82例慢性重型乙型肝炎患者睡眠状况的临床分析

Sleeping Status of Patients with Chronic Severe Hepatitis B:A Clinical Analysis of 82 Cases

目的了解慢性重型乙型肝炎患者的睡眠状况及影响因素。方法采用睡眠状况自评量表(SRSS)和自编影响睡眠因素调查表对82例慢性重型乙型肝炎患者进行问卷调查。结果 82例慢性重型乙型肝炎患者SRSS总分为(25.76±5.02)分,显著高于常模的(22.14±5.84)分(P<0.01),且各因子评分均显著高于国内常模(P<0.01);失眠率为70.73%,显著高于常模的45.6%(P <0.01)。影响睡眠的因素中,身体不适占58.54%,担忧疾病占48.78%,经济负担占46.34%,生活习惯改变占37.80%,环境因素占34.15%,医源性因素占32.93%。结论慢性重型乙型肝炎患者更容易发生睡眠障碍,影响慢性重型乙型肝炎患者睡眠的主要因素是疾病本身、对疾病的担忧、治疗造成的经济负担、生活习惯改变、外界环境、医源性因素等。针对患者的不同情况,采取有效的治疗、护理等措施,减少或消除不良因素造成的影响,提高睡眠质量,可达到提高疗效、改善预后的目的。

Objective To understand the sleep status and its influencing factors in patients with chronic severe hepatitis B.Methods Eighty-two patients with chronic severe hepatitis B were surveyed using the self-assessment lists of sleep(SRSS)and self-compiled questionnaire of sleep-affecting factors.Results Compared with the norms,the total SRSS score and insomnia rate significantly increased in patients with chronic severe hepatitis B(25.76±5.02vs22.14±5.84and70.73%vs45.6%,respectively;P<0.01).Furthermore,the scores of all SRSS factors were higher than norms(P<0.01).The factors influencing sleep included physical discomfort(58.54%),concern about disease(48.78%),economic burden(46.34%),changes in lifestyle(37.80%),environmental factors(34.15%),and iatrogenic factors(32.93%).Conclusion Patients with chronic severe hepatitis B are prone to sleep disorder.The main factors affecting sleep include disease itself,concern about disease,economic burden of treatment,changes in lifestyle,environmental factors,iatrogenic factors,etc.The effective treatment and nursing measures should be taken according to patient situations to reduce or eliminate the impacts of adverse factors,and then to improve sleep quality and prognosis.