四肢骨折患者术后睡眠质量及其影响因素分析

Investigation on the postoperative sleep quality of patients with limbs fracture and its influence factors

目的：研究四肢骨折患者术后的睡眠质量，并探讨其影响因素。方法：选取2013年4月～2014年10月在本院采用手术治疗的156例四肢骨折患者为研究对象，采用阿森斯失眠量表进行睡眠质量的评估，同时比较其不同骨折部位、疼痛程度、性别、年龄、文化程度、社会支持程度、自我效能感及心理状态的评估结果，同时以Logistic分析上述因素与睡眠质量的关系。结果：不同骨折部位患者的阿森斯失眠量表评分结果比较无统计学意义（P〉0.05），同时不同疼痛程度、性别、年龄、文化程度、社会支持程度、自我效能感及心理状态患者的阿森斯失眠量表评分结果比较有统计学意义（P〈0.05）。经Logistic分析显示，疼痛程度、性别、年龄、文化程度、社会支持程度、自我效能感及心理状态均与睡眠质量有密切关系。结论：四肢骨折患者术后的睡眠质量较差，且疼痛程度、性别、年龄、文化程度、社会支持程度、自我效能感及心理状态均是其影响因素。

Objective：To study the postoperative sleep quality of patients with limbs fracture ,and investigate its influence factors. Methods：156 patients with limbs fracture who were treated with operation were selected as study objects,and the sleep quality of the patients were evaluated with Athens insomnia scale （ AIS score） ,then the evaluation results of patients with different fracture sites,pain degree,gender,ages,education degree,social support degree,self effica-cy and psychology state were compared too,and the relationship between those factors and sleep quality were analyzed by the Logistic analysis. Results：The AIS score of patients with different fracture sites had no significant difference,P〉0. 05,and the evaluation results of patients with different pain degree,gen-der,ages,education degree,social support degree,self efficacy and psychology state had obvious differences,all P〈0. 05,the pain degree,gender,ages,edu-cation degree,social support degree,self efficacy and psychology state all had close relationship to the sleep quality by the Logistic analysis. Conclusion：The postoperative sleep quality of patients with limbs fracture are worse,and the pain degree,gender,ages,education degree,social support degree,self efficacy and psychology state are the influence factors.