影响慢性阻塞性肺病患者睡眠质量的相关因素及预防和治疗对策分析

Analysis of Relevant Factors and Prevention and Treatment Strategies AffectingSleep Quality in Patients with Chronic Obstructive Pulmonary Disease

目的:分析影响慢性阻塞性肺病(COPD)患者睡眠质量的相关因素并提出相应干预对策。方法:选取2021年1月至2022年12月福建省浦城县中医医院收治的COPD患者200例作为研究对象,依据睡眠质量评分[采用匹兹堡睡眠质量指数(PSQI)评估]将患者分为观察组(n=143,睡眠障碍)与对照组(n=57,无睡眠障碍)。收集患者一般资料,包括性别、年龄、文化程度、婚姻状况、家庭人均月收入、体质量指数(BMI)、呼吸困难等级、肺功能等级、是否使用利尿剂、中医证候积分及健康状况[采用圣乔治呼吸问卷(SGRQ)评估],比较2组一般资料差异,找出影响COPD患者睡眠质量的相关因素,并使用多元logistics回归分析其相关性。结果:单因素分析结果显示,家庭人均月收入、呼吸困难等级、肺功能等级、使用利尿剂、中医证候积分、SGRQ评分对COPD患者睡眠质量存在显著影响,差异均有统计学意义(均P<0.05);多元Logistic回归分析结果显示,家庭人均月收入、呼吸困难等级、肺功能等级、使用利尿剂、中医证候积分、SGRQ评分均为影响COPD患者睡眠质量的独立因素,差异均有统计学意义(均P<0.05)。结论:家庭人均月收入、呼吸困难等级、肺功能等级、是否使用利尿剂、中医证候积分、SGRQ评分对COPD患者睡眠质量存在显著影响,临床中可进行针对性干预、预防及治疗。

Objective:To analyze the relevant factors affecting sleep quality in patients with chronic obstructive pulmonary disease(COPD)and propose corresponding intervention strategies.Methods:A total of 200 COPD patients who received treatment in our hospital from January 2021 to December 2022 were selected as the research subjects.According to the sleep quality score[evaluated using the Pittsburgh Sleep Quality Index(PSQI)],patients were divided into an observation group(n=143,sleep disorder)and a control group(n=57,non sleep disorder).General information of the patients was collected,including gender,age,education level,marital status,per capita monthly income of the family,body mass index(BMI),respiratory difficulty level,lung function level,whether diuretics were used,traditional Chinese medicine syndrome scores,and health status[evaluated using the St.George′s Respiratory Questionnaire(SGRQ)].The general data differences between the two groups were compared to identify the relevant factors affecting the sleep quality of COPD patients,and their correlations were analyzed using multiple logistic regression.Results:The results of univariate analysis showed that per capita monthly income,respiratory distress level,lung function level,use of diuretics,traditional Chinese medicine syndrome score,and SGRQ score had a significant impact on the sleep quality of COPD patients(P s<0.05).The results of multiple logistic regression analysis showed that per capita monthly income,respiratory distress level,lung function level,diuretic use,traditional Chinese medicine syndrome score,and SGRQ score were all independent factors affecting the sleep quality of COPD patients(P s<0.05).Conclusion:Family per capita monthly income,respiratory difficulty level,lung function level,whether to use diuretics,traditional Chinese medicine syndrome score,and SGRQ score have a significant impact on the sleep quality of COPD patients.Targeted interventions,prevention,and treatment can be carried out in clinical practice.