疑似新型冠状病毒肺炎病例住院隔离治疗期间睡眠质量与焦虑状况初步分析

Analysis of Sleep Quality and Anxiety of Suspected Novel Coronavirus Pneumonia Cases during Quarantine Treatment

目的:探讨疑似新型冠状病毒肺炎(novel coronavirus pneumonia,NCP)患者住院隔离治疗期间睡眠与焦虑状况并对其影响因素进行分析,为加速患者康复和减少心理因素对日常生活的影响提供依据。方法:采用网络问卷调查方式,问卷将匹兹堡睡眠质量量表(Pittsburgh sleep quality index,PSQI)与焦虑自评量表(serf-rating anxiety scale,SAS)进行适当修改,分别对2020年2月18日-2020.2.25日在南方医科大学深圳医院禾正病区诊治的46名疑似新冠肺炎患者进行问卷调查。结果:46例疑似患者问卷经初步分析,男:女(20:26),年龄3-66岁,平均(42.6±8.6)岁。32.61%(15/46)患者近一月有湖北旅居史,39.13%(18/46)患者与确诊病例有密切接触。78.26%(36/46)的患者出现不适症状如咳嗽、发热、乏力等,所有患者入院前核酸检测均为阴性,10例患者入院后经反复多次核酸检测最终确诊为新冠肺炎患者。45.65%(21/46)患者入睡时间大于30分钟,36.96%(23/46)患者出现睡眠不规律,39.13%(18/46)患者睡眠不安或早醒,34.78%(16/46)患者认为自己的睡眠质量差或者较差,80.43%(37/46)患者担心自己被传染或传染别人,65.21%(30/46)患者的生活受到疫情的影响,69.57%(32/46)患者工作或收入受到影响,50%(23/46)患者出现烦躁,45.65%(21/46)患者担心周围人对自己的态度改变。结论:疑似新冠肺炎患者住院隔离治疗期间睡眠质量与心理状态受到明显影响,其影响因素是多方面的,医护人员应从患者角度出发,系统了解住院患者的睡眠状况和情绪变化,采取个体化对策,从而促进疾病的康复。

Objective:To determine the factors influence the sleep quality,the level of anxiety of the suspected novel coronavirus pneumonia patients during quarantine treatment and to provide evidence for accelerating the recovery of patients and reducing the influence of psychological factors on daily life of patients.Methods:Sleep quality and the level of anxiety of the suspected novel coronavirus pneumonia patients were assessed by(Pittsburgh sleep quality index,PSQI)questionnaire and Serf-Rating Anxiety Scale(SAS).The questionnaire was conducted on 46 suspected novel coronavirus pneumonia patients in Hezheng ward,Shenzhen Hospital,Southern Medical University from February 18,2020 to February 25,2020.Results:46 suspected novel coronavirus pneumonia patients were investigated by questionnaire,male:female(20:26),age 3-66 years,average(42.6±8.6)years.32.61%(15/46)of the patients had history of living in Hubei in the past one month,and 39.13%(18/46)of the patients had close contact with the confirmed novel coronavirus pneumonia patients.78.26%(36/46)suspected novel coronavirus pneumonia patients had cough,fever,fatigue or other symptoms.All patients were negative before hospitalization.10 patients were diagnosed with confirmed novel coronavirus pneumonia after hospitalization.45.65%(21/46)of the patients sleep latency was longer than 30 minutes,36.96%(23/46)of the patients had irregular sleep,39.13%(18/46)of the patients had restless sleep or woke up early,34.78%(16/46)of the patients thought their sleep quality was poor,80.43%(37/46)of the patients were worried about being infected or infecting others,65.21%(30/46)of the patients’life style were affected by the epidemic,69.57%(32/46)patients′work or income was affected,50%(23/46)patients were upset,45.65%(21/46)patients were worried about the change of their attitude from others.Conclusion:Various factors had significant influence on the sleep quality and psychological state of the patients with suspected new coronary pneumonia during quarantine treatment.The medical staff needs to understand the sleep status and mental health status changes of the patients systematically,and take individualized measures to promote the recovery of the disease.