绝经后骨质疏松症患者睡眠状况影响因素分析

Analysis of factors affecting sleep status in postmenopausal patients with osteoporosis

目的了解绝经后骨质疏松症患者睡眠状况及其影响因素,为改善绝经后骨质疏松症患者睡眠状况提供科学依据。方法以匹茨堡睡眠质量指数(PSQI)、抑郁自评量表(SDS)及自制睡眠影响因素量表为测评工具,调查绝经后骨质疏松症患者睡眠状况及用Logical回归分析影响因素。结果 84名绝经后骨质疏松症患者PSQI平均分为9. 56±2. 85。睡眠障碍者(PSQI≥8)50人(59. 52%); 59. 52%绝经后骨质疏松症患者存在睡眠障碍,骨绝经后骨质疏松症患者SDS测评41. 67%存在抑郁(SDS≥50),SDS与PSQI的各成份评分有密切关系,抑郁组患者PSQI各成分评分显著高于正常组(P=0. 00,P <0. 05);在PSQI总分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物及日间功能障碍各项评分均显著高于国内常模(P=0. 00,P <0. 05)。生理病理疾病疼痛、睡眠习惯改变是影响其睡眠质量的重要因素。结论骨质疏松症患者的睡眠状况欠佳,且抑郁、疼痛、睡眠习惯改变是影响睡眠质量的重要因素。应及早采取有效的护理措施控制影响睡眠的影视,提高睡眠质量。

Objective To understand the status of sleep and its influencing factors in postmenopausal orthopedic patients and provide scientific basis for improving the sleep quality in postmenopausal orthopedics. Methods The Sleep Quality Index （PSQI）. Self-rating Depression Scale （SDS） and self-made sleep influencing factors scale were used as the evaluation tools to investigate and analyze the sleep status and influential factors in postmenopausal orthopedics. Results The 84 PSQI of postmenopausal orthopedic were divided equally into 9. 56 ± 2. 85. 50 （59. 52%） were with sleep disturbance （PSQI≥8）. The scores of SDS and PSQI were closely related to the scores of SDS （subscript 41. 67%） in elderly patients with orthopedics. The PSQI score of depression group was significanty higher than that of normal group （ P = 0. 00.P 〈 0. 05）. 76% of elderly patients with orthopedic disorders had sleep disorders. The scores of PSQI scores. sleep quality. sleep time. sleep time. sleep efficiency. sleep disorders. hypnotic drugs and daytime dysfunction were significantly higher than those in the domestic norm （P = 0. 00.P 〈 0. 05 ）. Pain and change of sleep habitare important factors affecting sleep quality. Conclusion Early effective nursing measures should be taken to control Depression.Pain. change of sleep habit to improve the quality of sleep.