110例肺结核患者睡眠障碍发生率及影响因素研究

Study on the Sleep Disorder Rate of 110 Patients with Pulmonary Tuberculosis and Its Influence Factors

目的:研究观察肺结核患者睡眠障碍发生率及影响因素。方法:选取2016年2月至2017年6月期间本院诊治的110例肺结核患者为研究对象,将其采用阿森斯失眠量表(Athens Insomnia Scale,AIS)睡眠量表进行睡眠状态的评估,将不同性别、年龄、文化程度、心理状态、病程、严重程度及治疗情况者的AIS量表评估结果进行比较,采用多因素Logistic回归分析处理研究因素与肺结核患者睡眠障碍的关系。结果:110例肺结核患者的AIS睡眠质量评估结果较差,76例患者存在睡眠障碍,发生率为69.09%,不同性别患者的睡眠障碍发生率比较,差异无统计学意义(P>0.05),而不同年龄、文化程度、心理状态、病程、严重程度及治疗情况者的睡眠障碍发生率比较,差异有统计学意义(P<0.05),多因素Logistic回归分析显示,年龄、文化程度、心理状态、病程、严重程度及治疗情况均是肺结核患者睡眠障碍发生的影响因素。结论:肺结核患者睡眠障碍发生率较高,年龄、文化程度、心理状态、病程、严重程度及治疗情况均对患者睡眠有一定影响,应针对上述睡眠影响因素进行针对性干预。

Objective ： To study and observe the sleep disorder rate of patients with pulmonary tuberculosis and its in- fluence factors. Methods： 110 patients with pulmonary tuberculosis in our hospital from February 2016 to June 2017 were selected as the study object, and they were evaluated with AIS sleep scale, and the AIS scale evaluation results of patients with different gender, ages, education degree, psychology state, course of disease, severity degree and treatment situa- tion were compared, and the relationship between the study factors and sleep disorder of patients with pulmonary tuberculo- sis were statisticed with multivariate Logistic regression analysis. Results： The AIS scale evaluation results of 110 patients with pulmonary tuberculosis were worse, and 76 patients were with sleep disorder, the rate was 69.09%, and the sleep disorder rates of patients with different gender were compared, the difference was not statistically significant （ P 〉 0.05 ） , while the sleep disorder rates of patients with different ages, education degree, psychology state, course of disease, se- verity degree and treatment situation were compared, the differences were statistically significant （ P 〈 0. 05 ）, the muhi- variate Logistic regression analysis showed the ages, education degree, psychology state, course of disease, severity de- gree and treatment situation were the influence factors of disorder rate of patients with pulmonary tuberculosis. Conclusion： The sleep disorder rate of patients with pulmonary tuberculosis is high, and the ages, education degree, psychology state, course of disease, severity degree and treatment situation all have certain influence for the sleep of patients, so the pa- tients should be paid to targeted intervention according to those influence factors.