成人阻塞性睡眠呼吸暂停低通气综合征患者生命质量及影响因素分析

Quality of Life in Adult Patients with Obstructive Sleep Apnea and Its Influencing Factors

目的:探讨成人阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的生命质量及影响因素,旨在为提高患者的生命质量提供科学依据。方法:选取2018年1月至2019年10月山东大学齐鲁医院收治的成人OSAHS患者120例作为研究对象,采用一般资料调查表、Calgary睡眠呼吸暂停生命质量指数(SAQLI)量表和Epworth嗜睡程度(ESS)量表对患者进行相关调查,对于影响成人OSAHS患者生命质量的指标进行多因素Logistic回归分析。结果:成人OSAHS患者的SAQLI得分为(4.38±0.39)分。通过ESS量表共选出44例轻度、22例中度和54例重度嗜睡患者。多因素Logistic回归分析结果显示,患者的性别、经济收入、居住条件、体质量指数、是否合并糖尿病等基础性疾病和嗜睡程度是影响成人OSAHS患者生命质量的重要因素或独立危险因素(均P<0.05)。结论:本研究所纳入患者的生命质量得分处于较低水平。其中,男性、经济收入低、独居、体质量较重、合并糖尿病等基础性疾病和重度嗜睡的患者生命质量较低,护士应该采取综合护理干预对策,降低其嗜睡程度,提高其生命质量。

Objective:To explore the quality of life and its influencing factors in adult patients with obstructive sleep apnea hypopnea syndrome(OSAHS)in order to provide theoretical reference for improving the quality of life of the patients.Methods:A total of 120 adult patients with OSAHS were randomly selected and treated in Qilu Hospital of Shandong University from January 2018 to October 2019,the general data questionnaire,Calgary sleep apnea quality of life index(SAQLI)scale and Epworth sleepiness scale(ESS)were used to investigate.Multivariate logistic regression analysis was performed on the indicators that affect the quality of life of adult OSAHS patients.Results:For the indicators that affect the quality of life of adult OSAHS patients,the SAQLI score of adult OSAHS patients was(4.38±0.39)by multivariate logistic regression analysis.A total of 44 mild,22 moderate and 54 severe patients were selected by ESS.Multi-factor analysis shows that,sex,economic income,living condition,heavier weight,whether combined with diabetes and other basic diseases and the degree of hypersomnia were the influencing factors of quality of life(P s<0.05).Conclusion:The quality of life scores of patients included in this study are at a low level.Among them,the quality of life of patients with male,low income,living alone,heavier weight,combined with diabetes and other basic diseases,and patients with severe somnolence is lower.Nurses should adopt comprehensive nursing intervention measures to reduce the degree of somnolence of patients,improve the quality of life of patients.