综合性医院门诊就诊患者睡眠问题与情绪状态

Sleep Disorder and Emotional Symptom of Outpatients in General Hospital

目的：探讨综合性医院门诊就诊患者睡眠问题与情绪状态的相关关系。方法：采用睡眠问题测量问卷和中国心身健康量表,对483例门诊患者（研究组）和445例健康人群（对照组）进行问卷调查,数据应用t检验、Pearson相关分析、回归分析。结果：①综合性医院门诊就诊患者睡眠障碍总分及除非运动性异样睡眠因子外各因子分均高于健康人群（t=1.983～5.627,P〈0.05～0.01）;②综合性医院门诊就诊患者睡眠障碍与焦虑、抑郁呈正相关（r=0.110～0.323,P〈0.05～0.01）;③回归分析显示,影响综合性医院门诊就诊患者睡眠的主要因素是抑郁（β=0.264,t=5.997,P〈0.01）。结论：综合性医院门诊就诊患者总的睡眠质量相对较差;影响睡眠质量的主要因素是抑郁因子。

Objective： To explore the relationship of sleep disorder and emotional symptom of outpatients in general hospital. Methods： Employing Sleep Disorder Questionnaire（ SDQ） and Chinese Psychosomatic Health Scale（ CPHS） to assess 483 outpatients as experimental group and 445 health population as control group,and the acquired datum were analyzed by using t- test,Pearson＇s correlation analysis,and regression analysis. Results： ①Outpatients＇ total and single factor scores of sleep disorder except immotile abnormal sleep were all significantly higher than that of controls（ t = 1. 983 ～ 5. 627,P〈0. 05）.②The sleep disorder correlates to anxiety and depression in outpatients（ r = 0. 110 ～ 0. 323,P〈0. 05）. ③The regression analysis suggested that the main impact factor of outpatients＇ sleep disorder was depression（ β =0. 264,t = 5. 997,P〈0. 001）. Conclusion： Outpatients＇ sleep quality is worse than the healthy controls;meanwhile the main impact factor of outpatients＇ sleep disorder is depression.