温州市两所医院心力衰竭患者功能失调性态度与睡眠质量的相关性研究

Research of the Relationship between Dysfunctional Attitude and Sleeping Quality of Patients with Heart Failure in Two Hospitals in Wenzhou

目的:探讨心力衰竭患者功能失调性态度对睡眠质量的影响,为提高心力衰竭患者的睡眠质量提供科学依据。方法:2013年11月-2014年10月选取323例心力衰竭患者为研究对象,采用美国纽约心脏病协会(New York Heart Association,NYHA)提出的心功能分级方案将患者划分为4级;采用功能失调性态度问卷(Dysfunctional Attitude Scale,DAS)评估患者的功能失调性态度;以匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评定患者的睡眠质量。结果:心力衰竭患者PSQI和DAS的平均得分分别为(10.13±1.93)和(3.21±0.58);不同年龄段患者的PSQI和DAS得分差异具有统计学意义;不同心功能分级患者的睡眠质量差异具有统计学意义(P<0.05);不同DAS得分患者的PSQI得分差异具有统计学意义(P<0.05),功能失调性态度与睡眠质量呈显著相关性关系(r=0.56,P<0.05)。结论:心力衰竭患者的功能失调性态度与睡眠质量有一定的相关性,应针对患者功能失调性态度进行相应的健康教育,控制功能失调性态度水平,提高其睡眠质量。

Objective： To study the influence of patients with heart failure dysfunctional attitudes on sleeping quality,to provide a scientific basis for improving the sleeping quality in patients with heart failure. Methods： We chose 323 cases of heart failure patients as the research object from November 2013 to October 2014. The patients were divided into four levels using American New York Heart Association（ NYHA） classification scheme. Dysfunctional Attitude Questionnaire Scale（ DAS） was used to assess an individual＇s dysfunctional attitudes,with Pittsburgh Sleep Quality Index（ PSQI） to assess the patient＇s sleeping quality,then to study the correlation between the two. Results： The average score of PSQI and DAS with heart failure patients was（ 10. 13 ± 1. 93） and（ 3. 21 ± 0. 58）,respectively. The difference of PSQI and DAS of the patients with different ages was statistically significant（ P〈0. 05）. The difference of sleeping quality of the patients with different NYHA functional class was statistically significant（ P〈0. 05）. The difference of PSQI scores of patients with different DAS- A score was statistically significant. Dysfunctional attitudes were significantly correlated with sleeping quality（ r = 0. 56）. Conclusion： The dysfunctional attitudes can effectively predict the sleeping quality of heart failure patients. Health education should be proceed for patients with dysfunctional attitudes,and controlled the level of dysfunctional attitudes in order to improve their sleeping quality.