肺高血压住院患者睡眠质量现状及影响因素分析

Sleep Quality of Patients with Pulmonary Hypertension and Its Influence Factors

目的探讨肺高血压住院患者的睡眠质量及其影响因素。方法采用一般资料调查表、匹兹堡睡眠质量指数量表、简明健康调查量表,对117例肺高血压住院患者进行问卷调查,评估睡眠质量并分析其影响因素。结果 53.0%的患者存在睡眠问题。匹兹堡睡眠质量指数量表总分为（9.25±4.67）分。多元逐步回归结果显示,临床诊断分类、WHO心功能分级、病程和生活质量是肺高血压患者发生睡眠障碍的主要影响因素（P〈0.05）。结论肺高血压住院患者睡眠质量较差,尤其要关注结缔组织病相关性肺高血压、呼吸系统疾病相关的肺高血压,WHO心功能分级Ⅲ~Ⅳ级、病程5年以上且生活质量差的患者的睡眠质量。

Objective To investigate the sleep quality and its influence factors of hospitalized patients with pulmonary hypertension.Methods Totally 117 patients with pulmonary hypertension were investigated with general information questionnaire and Pittsburgh sleep quality index. Results Totally 53.0% of the patients had sleep problems. Total scores of Pittsburgh sleep quality index was 9.25±4.67. Multivariate linear regression analysis showed that clinical diagnosis classification, WHO function classification, course of the disease and quality of life were the main influence factors of sleep quality in patients with pulmonary hypertension（P〈0.05）.Conclusion The sleep quality of patients with pulmonary hypertension is poor. In order to improve patients ＇ sleep quality, more nursing interventions should be targeted on patients with connective tissue disease associated pulmonary hypertension, or with respiratory disease associated pulmonary hypertension, or with WHO function classification Ⅲ~Ⅳ and those with the disease more than 5 years.