新型冠状病毒肺炎危重患者睡眠质量与焦虑水平现况调查分析

A Survey of Sleep Quality and Anxiety of Critically Ill Patients with COVID-19

目的了解新型冠状病毒肺炎(简称新冠肺炎)危重患者睡眠质量及焦虑水平现状,为调节睡眠提供一定的理论依据。方法采用一般问卷调查法,使用匹兹堡睡眠指数量表(PSQI)及焦虑自评量表(SAS)对湖北某三甲医院(定点收治)某病区40例危重型COVID-19患者进行调查,应用描述性分析、单因素分析、相关性分析和多元线性回归分析讨论其睡眠相关影响因素及焦虑水平。结果本组新冠肺炎危重患者PSQI总分(14.67±4.67)分,SAS总分(51.55±10.10)分。睡眠质量与焦虑经Pearson分析呈正相关(r=0.923)。多元回归分析显示以婚姻状况、是否独生子女、患者主观认为疫情严重程度以及焦虑状态是影响危重型新冠肺炎患者睡眠质量的主要因素。结论新冠肺炎危重患者睡眠质量整体较差,应完善相关应急措施,加强对新冠肺炎危重患者心理疏导及新冠肺炎相关知识培训,减轻焦虑,提高睡眠质量,促进身心健康。

Objective To understand sleep quality and anxiety of critically ill patients with corona virus disease 2019(COVID-19),and to provide a theoretical basis for regulating sleep.Methods A general questionnaire survey method was used,which Pittsburgh sleep quality index(PSQI)and self-rating anxiety scale(SAS)were used to investigate 40 critically ill COVID-19 patients in a certain ward of Hubei.Sleep related influencing factors and anxiety were discussed by descriptive analysis,mono-factor analysis,correlation analysis and multiple linear regression analysis.Results Total score of PSQI was(14.67±4.67),and total score of SAS score was(51.55±10.10).Sleep quality and anxiety were positively correlated by Pearson analysis(r=0.923).Multiple regression analysis showed that thereweremainfactors affecting sleep quality,including marital status,only child,subjective perception of severity and anxiety.Conclusion The overall sleep quality of critically ill patients with COVID-19 is poor.Relevant emergency measures should be improved,psychological counseling and training on COVID-19 related knowledge should be strengthened to reduce anxiety,improve sleep quality,and promote physical and mental health.