子痫前期患者剖宫产术后的睡眠状况及其影响因素分析

Analysis of sleep status and influencing factors in patients with preeclampsia after cesarean section

目的了解子痫前期(PE)患者剖宫产术后的睡眠状况并分析其影响因素。方法选取139例行剖宫产分娩的PE患者,根据患者术后的匹兹堡睡眠质量指数(PSQI)测评有无发生睡眠障碍分为睡眠障碍组和睡眠正常组,对两组资料进行单因素分析,然后通过多因素Logistic回归分析筛选出影响PE患者剖宫产术后睡眠的显著因素。结果139例PE患者剖宫产术后PSQI评分为(11.06±2.69)分。PSQI总分>7分为74例(睡眠障碍组)、≤7分为65例(睡眠正常组)。睡眠障碍组与睡眠正常组在紧急剖宫产、术后医院焦虑抑郁量表(HAD)评分、术后视觉模拟评分法(VAS)评分、喂养方式指标比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析表明:紧急剖宫产、术后HAD评分高、术后VAS评分高、纯母乳喂养均是PE患者剖宫产术后睡眠的影响因素(P<0.05)。结论PE患者剖宫产术后睡眠质量差,其中紧急剖宫产、HAD评分高、VAS评分高、婴儿喂养均是其睡眠差的影响因素。

Objective To understand the sleep status of patients with preeclampsia(PE)after cesarean section and analyze its influencing factors.Methods 139 PE patients undergoing cesarean section were selected,.According to the Pittsburgh Sleep Quality Index(PSQI)after surgery,the patients were divided into sleep disorder group and normal sleep group,and the data of the two groups were analyzed by single factor analysis,Then,the significant factors affecting the sleep of PE patients after cesarean section were screened out by multivariate logistic regression analysis.Results The PSQI score of 139 PE patients after cesarean section was(11.06±2.69)points.The total score of PSQI>7 was 74 cases(sleep disorder group),and≤7 was 65 cases(normal sleep group).There were statistically significant differences between the sleep-disordered group and the sleep-normal group in the emergency cesarean section,the hospital anxiety and depression scale(HAD)score,the visual analogue scale(VAS)score and the feeding mode index(P<0.05).Multivariate logistic regression analysis showed that emergency cesarean section,high postoperative HAD score,high postoperative VAS score,and exclusive breastfeeding were all the factors affecting the sleep of PE patients after cesarean section(P<0.05).Conclusion The sleep quality of PE patients after cesarean section is poor,among which emergency cesarean section,high HAD score,high VAS score and infant feeding are the influencing factors.