新型冠状病毒肺炎疫情期间神经内科住院患者的情绪、睡眠质量及其影响因素分析

Influential factors affecting the mood and sleep quality of the inpatients in the Neurology Department during novel Coronavirus pneumonia epidemic and analysis of related factors

目的探讨新型冠状病毒肺炎疫情期间神经内科住院患者的情绪、睡眠质量现状及其影响因素。方法2020年2-3月采用便利抽样法选取上海市某三级甲等综合性医院神经内科的70例住院患者为研究对象,并选取非新型冠状病毒肺炎疫情期间的40例住院患者作为对照组。采用问卷调查、焦虑自评量表、抑郁自评量表、匹兹堡睡眠质量指数量表、社会支持评定量表对其进行调查。结果新型冠状病毒肺炎疫情期间住院患者焦虑发生率为2.86%,均为轻度焦虑。抑郁发生率为22.9%,以轻度抑郁为主。住院患者睡眠障碍的发生率为34.29%,主要表现在入睡时间和睡眠效率上。与非新型冠状病毒肺炎疫情期间的住院患者相比,新型冠状病毒肺炎疫情期间住院患者的抑郁及睡眠障碍的发生率显著升高(P<0.05)。担忧合并症与家庭月收入是住院患者出现抑郁的主要影响因素,而担忧合并症、文化程度与对住院期禁止外出是睡眠障碍的主要影响因素。结论新型冠状病毒肺炎疫情期间神经内科住院患者抑郁与睡眠障碍的发生率较高,医护人员应尽早识别其情绪与睡眠问题,制定有针对性的干预措施,促进患者的长期心理健康。

Objective To investigate and analyze the influential factors affecting the mood and sleep quality of the inpatients in the Neurology Department during novel Coronavirus pneumonia epidemic.Methods Seventy inpatients admitted in the Neurology Department of a certain tertiary hospital in Shanghai from February to March 2020 were recruited as the study group,and another 40 inpatients without novel Coronavirus pneumonia were chosen as the control.A survey was made in the patients of the 2 groups by using questionnaire,anxiety self-assessment scale,depression self-assessment scale,Pittsburgh sleep quality index and social support assessment scale.Results During the epidemic,the rate of anxiety among the inpatients was as mild as 2.86%,and the rate of depression was 20.9%,which was mainly mild depression.The incidence of sleep disorders was 34.29%,mainly manifesting in sleep time and sleep efficiency.The rate of sleep disorders among the inpatients was 34.29%,which mainly displayed in fall-asleep difficulty and sleep quality.The rates of depression and poor sleep quality among the inpatients during the epidemic increased significantly,as compared with the rates of those inpatients during the non-epidemic situation(P<0.05).Worry about complications and family income were the main influencing factors of depression,while worry about complications,educational background and go-out prohibition during hospitalization were the main influential factors of sleep disorders.Conclusion The rates of depression and sleep disorders among the inpatients of the Neurology Department were rather high during the epidemic.Medical personnel should identify the changes in their mood and sleep problems as early as possible,and develop targeted intervention measures for the promotion of their long-term mental health.