心房颤动患者睡眠质量与生活质量的相关性分析

Correlation analysis of sleep quality and life quality in patients with atrial fibrillation

目的采用评分量表评估心房颤动患者的睡眠质量和生活质量,分析心房颤动患者睡眠质量与生活质量的相关性。方法选取郑州大学华中阜外医院心内科2019年3月—2020年3月收治的心房颤动患者96例为研究对象,采用匹兹堡睡眠质量指数量表(PSQI)对患者睡眠质量状况进行评估,采用房颤特异生活质量量表(AFEQT)对患者生活质量状况进行评估,根据PSQI评分将96例患者分为睡眠障碍组和非睡眠障碍组,比较2组患者睡眠质量和生活质量,并分析二者之间的相关性。结果96例患者中,睡眠障碍组患者共62例,占64.58%,非睡眠障碍组共34例,占35.42%;睡眠障碍组患者主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、睡眠药物使用以及日间功能障碍评分及PSQI总分均明显高于非睡眠障碍组患者(均P<0.01);睡眠障碍组患者症状严重程度、治疗焦虑、日常活动及AFEQT总分均明显低于非睡眠障碍组患者(均P<0.05),2组患者治疗满意度评分比较差异无统计学意义(P>0.05);经Pearson线性分析显示,PSQI总分与AFEQT量表中的症状严重程度、日常活动、治疗焦虑及AFEQT总分呈负相关性(均P<0.05)。结论心房颤动患者多数存在睡眠障碍,伴有睡眠障碍的心房颤动患者生活质量显著低于无睡眠障碍患者,心房颤动患者的睡眠质量与生活质量之间密切相关,临床治疗房颤时应注重患者的睡眠质量状况,采取措施改善睡眠质量进而提高心房颤动患者的生活质量。

Objective To evaluate the sleep quality and life quality of patients with atrial fibrillation(AF)using the score scale,and analyse the correlation between sleep quality and life quality of patients with AF.Methods A total of 96 cases of AF admitted in the Heart Medicine Department from March 2019 to March 2020 were collected as the research subjects.The Pittsburgh sleep quality index scale(PSQI)was used to evaluate patients’sleep quality,and the specific quality of life scale(AFEQT)was performed in patients with AF to evaluate quality of life.The patients were divided into the sleep disorder and non-sleep disorder groups on the basis of their PSQI scores.Sleep quality and quality of life were compared between the two groups,and their correlation was analysed.Results Amongst the 96 patients,62(64.58%)were in the sleep disorder group,and 34(35.42%)were in the non-sleep disorder group.Subjective sleep quality,sleep time,sleep efficiency,sleep disturbance,sleep medication use,daytime dysfunction score and total PSQI score of patients in the sleep disorder group were significantly higher than those in the non-sleep disorder group(all P<0.01).The severity of symptoms,treatment anxiety,daily activities and total AFEQT scores of patients in the sleep disorder group were significantly lower than those in the non-sleep disorder group(all P<0.05).Moreover,no statistical significance in the scores of treatment satisfaction was found between the two groups(P>0.05).Pearson linear analysis showed that the total PSQI score was negatively correlated with the symptom severity,daily activities,treatment anxiety and total AFEQT score in the AFEQT scale(all P<0.05).Conclusion AF is mostly associated with sleep disorders.The quality of life of AF patients with sleep disorders is significantly lower than that of patients without sleep disorders.The sleep quality of patients with AF is closely related to the quality of life.Clinical treatment should consider the sleep quality status of AF patients,and measures should be taken to improve the sleep quality and quality of life of patients with AF.