老年慢性阻塞性肺疾病患者睡眠质量及相关影响因素分析

Sleep quality of elderly patients with COPD and its related influencing factors

目的了解老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者的睡眠质量及相关影响因素,为临床提高照护质量提供数据支持。方法选择2016年12月-2018年12月解放军总医院第一、二医学中心呼吸内科门诊及病房收治的老年COPD稳定期患者89例,分别进行肺功能、匹兹堡睡眠质量指数量表(PSQI)、改良版英国医学研究委员会呼吸问卷(mMRC)、慢阻肺自我评估测试(CAT)等调查。结果老年COPD患者PSQI评分为5.73±2.96分,42.6%患者睡眠质量下降(PSQI>5分)。mMRC(OAR=0.663,P=0.039)得分和CAT评分(OR=1.124,P=0.007)与老年COPD患者睡眠质量显著相关。结论老年COPD稳定期患者睡眠质量欠佳,患者的呼吸系统症状和呼吸困难严重程度是影响睡眠相关因素。

Objective To investigate the sleep quality of elderly patients with chronic obstructive pulmonary disease(COPD)and its related influencing factors,and provide support for the improvement of quality of care.Methods Eighty-nine elderly patients with stable COPD in the first and second medical center of Chinese PL A General Hospital from December 2016 to December 2018 participated in a survey including lung function,Pittsburgh sleep quality index scale(PSQI),modified British medical research council respiratory questionnaire(mMRC),and COPD self-assessment test(CAT).Results The PSQI score of the elderly stable COPD patients was 5.73 ±2.96,and the sleep quality was poor in 42.6% patients(PSQI>5).Sleep quality in elderly patients with COPD was significantly correlated with CAT(OR=1.124,P=0.007)and mMRC(OR=0.663,P=0.039).Conclusion The sleep quality of elderly stable COPD patients is poor.Respiratory symptoms and severity of respiratory distress are the main factors affecting sleep quality.