神经内科患者睡眠质量与焦虑抑郁现况调查

Study on the sleep quality and anxiety-depression of neurology patients

目的了解北京市某医院神经内科患者睡眠障碍、焦虑、抑郁的发生率及其现状,为临床早期干预及治疗提供依据。方法采用横断面调查方法,对431例神经内科就诊患者使用匹兹堡睡眠质量量表(PSQI)、汉密尔顿焦虑量表14项(HAMA-14)、汉密尔顿抑郁量表24项(HAMD-24)进行他评式问卷调查。结果被调查的431例患者睡眠障碍的发生率高达84.69%,68.91%的患者存在不同程度的焦虑或抑郁,其中32.2%的患者肯定有焦虑,30.6%的患者有明显抑郁,23.9%的患者焦虑抑郁共病。PSQI平均分为(12.12±4.17)分,HAMA-14的平均分为(10.97±6.95)分,HAMD-24的平均分为(15.29±10.15)分。女性睡眠质量较男性差,更容易患焦虑(P<0.05);住院患者睡眠效率明显低于门诊患者(P<0.05);有焦虑或抑郁的患者睡眠质量显著低于一般患者(P<0.01)。结论神经内科患者睡眠障碍与焦虑抑郁发生率较高,女性高于男性,住院患者睡眠效率更差,应引起医护人员的足够重视,并对患者进行早期预防及治疗。

Objective To explore the incidence of sleep disorders and anxiety-depression of the neurology patients,provide the evidence for early clinical intervention and treatment.Methods By using cross-sectional study method,totally 431 neurology patients were chosen and investigated with Pittsburgh sleep quality index scale(PSQI),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)by other-rating questionnaire.Results The incidence of neurology patients with sleep disorder was up to 84.69%and patients with anxiety or depression was 68.91%,the incidence of obvious anxiety was 32.2%and depression was 30.6%,23.9%patients both had anxiety and depression.The average score of PSQI,HAMA and HAMD was 12.12±4.17,10.97±6.95 and 15.29±10.15,respectively.Women sleep quality is worse and easier anxiety than man.Compared with outpatients,hospitalized patients have a poor sleep efficiency(P﹤0.05).Anxiety or depression patients sleep quality were significantly lower than the general(p﹤0.01).Conclusion Neurology patients with high incidence of sleep and mood disorders,Women and hospitalized patients both have a poor sleep efficiency.Its should pay more attention and early prevention and treatment of patients.