摘要
目的探究慢性阻塞性肺疾病患者睡眠障碍的影响因素。方法回顾性分析2022年1月—2024年2月博罗县人民医院收治的95例慢性阻塞性肺疾病患者的临床资料,患者均接受匹茨堡睡眠质量指数(PSQI)评估,根据评估结果将患者分为睡眠障碍组与非睡眠障碍组,对比两组一般资料、睡眠状况、心理健康状态,分析慢性阻塞性肺疾病患者睡眠障碍的影响因素,以及其与心理情绪的相关性。结果纳入的95例慢性阻塞性肺疾病患者中,38例(40.00%)有睡眠障碍。睡眠障碍组女性占比、年龄65岁以上占比、无规律身体活动占比、改良版英国医学研究委员会呼吸困难问卷(mMRC)评分、综合医院焦虑抑郁量表(HADS)焦虑评分、HADS抑郁评分、睡眠信念和态度量表简化版(DBAS-16)评分均高于非睡眠障碍组,心理弹性量表(CD-RISC)评分低于非睡眠障碍组,组间差异有统计学意义(P<0.05);两组文化程度、婚姻状况、月收入情况、基础疾病情况对比,组间差异无统计学意义(P>0.05)。多因素Logistic回归分析结果显示,无规律身体活动、MMRC评分≥1分、HADS焦虑评分>7分、HADS抑郁评分>7分、DBAS-16评分>20分、CDRISC评分≤60分是慢性阻塞性肺疾病患者睡眠障碍的危险因素(P<0.05)。焦虑症状评分、抑郁症状评分、睡眠信念和态度评分与慢性阻塞性肺疾病患者睡眠障碍均呈正相关,心理弹性与慢性阻塞性肺疾病患者睡眠障碍呈负相关(P<0.05)。结论慢性阻塞性肺疾病患者睡眠障的影响因素包括无规律身体活动、呼吸困难、负性心理情绪等,需改善其不良心理状态,增强积极睡眠信念,提高心理弹性,以降低睡眠障碍发生率。
Objective To explore the influencing factors of sleep disorders in patients with chronic obstructive pulmonary disease.Methods A retrospective analysis was conducted on the clinical data of 95 patients with chronic obstructive pulmonary disease admitted to the Boluo County People's Hospital from January 2022 to February 2024.All patients were evaluated using the Pittsburgh Sleep Quality Index(PSQI),and were divided into a sleep disorder group and a non sleep disorder group based on the evaluation.The general data,sleep status and mental health status of the two groups were compared to analyze the influencing factors of sleep disorders in patients with chronic obstructive pulmonary disease and its correlation with psychological emotions.Results Among the 95 patients with chronic obstructive pulmonary disease included,38(40.00%)had sleep disorders.The portion of women,over 65 years old,irregular physical activity,modified British Medical Research Council Breathlessness Questionnaire(mMRC)score,Hospital Anxiety and Depression Scale(HADS)anxiety score,HADS depression score,Dysfunctional Beliefs and Attitudes about Sleep Scale-16(DBAS-16)scores were all higher than those in the non-sleep disorder group,Connor-Davidson Resilience Scale(CD-RISC)score was lower than that in the non-sleep disorder group,and the differences between the groups were statistically significant(P<0.05).There was no statistically significant difference between the two groups in terms of education level,marital status,monthly income,and underlying diseases(P>0.05).The results of multiple Logistic regression analysis showed that irregular physical activity,MMRC score≥1,HADS anxiety score>7,HADS depression score>7,DBAS-16 score>20,and CD-RISC score≤60 were risk factors for sleep disorders in patients with chronic obstructive pulmonary disease(P<0.05).There is a positive correlation between anxiety symptom score,depression symptom score,sleep belief and attitude score and sleep disorders in patients with chronic obstructive pulmonary disease,while psychological resilience is negatively correlated with sleep disorders in chronic obstructive pulmonary disease patients(P<0.05).Conclusion The influencing factors of sleep disorders in chronic obstructive pulmonary disease patients include irregular physical activity,breathing difficulties,negative psychological emotions,etc.It is necessary to improve their adverse psychological state,enhance positive sleep beliefs,improve psychological resilience,and reduce the incidence of sleep disorders.
作者
邓星雷
曾艳芳
梁欢雅
黄慧
DENG Xinglei;ZENG Yanfang;LIANG Huanya;HUANG Hui(Shantou University Medical School,Shantou 515000,China;Department of General practice,Boluo County People's Hospital,Huizhou 516000,China;Department of Respiratory and Critical Care Medicine,Boluo County People's Hospital,Huizhou 516000,China;Department of Pneumology,Huizhou Central People's Hospital,Huizhou 516000,China)
出处
《反射疗法与康复医学》
2024年第10期171-174,186,共5页
Reflexology And Rehabilitation Medicine
基金
惠州市科技计划项目(2022CZ010454)。
关键词
慢性阻塞性肺疾病
睡眠障碍
焦虑
抑郁
Chronic obstructive pulmonary disease
Sleep disorders
Anxiety
Depressed