炎性肠病病人疲乏水平和睡眠质量的相关性研究

Study on correlation of fatigue level and sleep quality of patients with inflammatory bowel disease

[目的]探讨炎性肠病(IBD)病人疲乏水平和睡眠质量的相关性。[方法]采用多维疲乏量表(MFI-20)和匹兹堡睡眠指数量表(PSQI)对150例IBD病人进行调查。[结果]IBD病人PSQI得分中,睡眠障碍、日间功能紊乱、入睡时间及主观睡眠质量得分相对较高,分别为2.17分±0.63分、1.98分±0.88分、1.60分±0.83分、1.51分±0.85分,催眠药物、睡眠时间、睡眠效率3个维度得分较低,分别为0.97分±0.67分、1.06分±0.83分、1.37分±1.21分。IBD病人MFI-20总分为60.04分±13.57分。IBD病人主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能紊乱与疲乏水平存在相关性(P<0.05或P<0.01)。[结论]护理人员在对IBD病人的干预过程中,应帮助病人形成良好的睡眠规律,注重提高病人的睡眠质量,改善病人的疲乏水平。

Objective:To study the correlation of fatigue level and sleep quality of patients with inflammatory bowel disease,IBD.Methods:A total of 150 cases of IBD patients were investigated by using multidimensional fatigue scale(MFI-20)and Pittsburgh sleep quality index scale(PSQI).Results:In PSQI score of IBD patients,the scores of sleep disorders,daytime dysfunction,hypnagogic time and subjective sleep quality were relatively higher,respectively were 2.17±0.63,1.98±0.88,1.60±0.83 and 1.51±0.85.The scores of hypnotic drugs,sleep time and sleep efficiency were lower,respectively 0.97±0.67,1.06±0.83,1.37±1.21.The total MFI-20 score of IBD patients was 60.04±13.57.The subjective sleep quality,hypnagogic time,sleep time,sleep efficiency,sleep disorders and daytime dysfunction of IBD patients were related with their fatigue level(P<0.05 or P<0.01).Conclusion:During the intervention for IBD patients,nursing personnel should help the patients to form a good sleep pattern,focus on improving the sleep quality of patients and improve their fatigue level.