妇科患者术前睡眠状况调查及影响因素分析

Investigation on peroperative sleep status of gynecolofical patients and analysis of influencing factors

目的分析妇科患者术前影响睡眠质量的因素。方法采用随机抽样方法,抽取2019年1-4月拟行妇科择期手术患者124例。收集患者一般情况,术前1 d对患者进行问卷调查,包括匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)和医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HADS)。以PSQI>7分者为观察组,PSQI≤7分者为对照组。结果患者术前睡眠质量PSQI总分为(6.45±3.29)分,睡眠不良发生率为30.65%;焦虑亚量表评分为(5.57±3.45)分,抑郁亚量表评分为(4.40±3.01)分。将观察组和对照组的年龄、等待住院时间等几项因素进行单因素比较,与对照组自变量比较,观察组等待住院时间(t=-2.201,P<0.05)、焦虑评分(t=-2.974,P<0.05)、抑郁评分(t=-2.033,P<0.05)、文化程度(χ^2=10.07,P<0.05)差异有统计学意义。多因素Logistic回归分析表明,术前住院日越长(OR=1.483;95%CI:1.013~2.171),焦虑亚量表评分越高(OR=1.213;95%CI:1.042~1.413),患者术前睡眠状况越差。结论妇科患者术前睡眠障碍发生率与术前住院日长及焦虑因素有关。

Objective To analyze the factors of sleep quality in gynecology patients before surgery.Methods A random sampling method was used to extract 124 patients who were planned to perform gynaecological elective surgery from January to April 2019.The general status of patients were collected,and questionnaires were conducted one day before surgery,including the Pittsburgh sleep quality index(PSQI)and the Hospital Anxiety and Depression Scale.PSQI>7 was observer group,PSQI≤7 was control group.Results The patient’s PSQI was(6.45±3.29)one day before surgery,and the incidence of sleep disorder was 30.65 percent,the anxiety subscale score was(5.57±3.45),and the depression subscale score was(4.40±3.01).Several factors such as age and waiting hospitalization time were compared between the observation group and the control group.Compared to the indepeuclent variables of control group,the waiting hospitalization time(t=-2.201,P<0.05),auxiety score(t=-2.974,P<0.05),depression score(t=-2.033,P<0.05),and education level(χ^2=10.07,P<0.05)of the observation group showed statistacally sigaificant differences.The results of multi-factor Logistic regression showed that the longer preoperative hospitalization(OR=1.483;95%CI:1.013~2.171)and the higher the anxiety subscale score(OR=1.213;95%CI:1.042~1.413)were associated with the worse the preoperative sleep condition of gynaecological patients.Conclusion The incidence of preoperative sleep disorders was higher in gynaecological patients,which was related to preoperative hospitalization days and anxiety factors.