慢性乙型肝炎患者睡眠质量调查及影响因素分析
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摘要
目的了解慢性乙型肝炎(CHB)患者睡眠质量及影响因素。方法采用便利抽样法抽取南通市某三级甲等传染病医院2016年7月-2017年6月CHB患者276例,运用匹兹堡睡眠质量指数量表对CHB患者进行调查分析。结果 CHB患者匹兹堡睡眠质量指数为(6.71±3.37)分,不同年龄、文化层次、医疗支付方式的CHB患者睡眠质量得分差异有统计学意义(P<0.05);匹兹堡睡眠质量与各维度呈中高度正相关(R=0.543、0.474、0.654、0.714、0.489、0.619、0.558,P<0.05)。结论慢性乙型肝炎患者睡眠质量较低,需进一步采取综合干预措施提高睡眠质量,提升生存质量。
Objective To investigate of sleep quality in patients with chronic hepatitis B(CHB)and to analyze it's influencing factors.Methods The convenience sampling method was used to select 276 CHB patients from a thirdclass A infectious disease hospital in Nantong from July 2016 to June 2017.The Pittsburgh sleep quality index(PSQI)scale was used to investigate and analyze the CHB patients.Results The score of PSQI of 276 CHB patients was 6.71±3.37.There were significant differences in the scores of sleep quality of CHB patients of different ages,cultural level and medical payment methods(P<0.05);Pearson correlation analysis showed that PSQI was positively correlated with various dimensions(R=0.543,0.474,0.654,0.714,0.489,0.619,0.558,P<0.05).Conclusions The sleep quality of patients with chronic hepatitis B was low.Comprehensive measures should be taken to improve the sleep quality and the quality of life.
Objective To investigate of sleep quality in patients with chronic hepatitis B(CHB)and to analyze it's influencing factors.Methods The convenience sampling method was used to select 276 CHB patients from a thirdclass A infectious disease hospital in Nantong from July 2016 to June 2017.The Pittsburgh sleep quality index(PSQI)scale was used to investigate and analyze the CHB patients.Results The score of PSQI of 276 CHB patients was 6.71±3.37.There were significant differences in the scores of sleep quality of CHB patients of different ages,cultural level and medical payment methods(P<0.05);Pearson correlation analysis showed that PSQI was positively correlated with various dimensions(R=0.543,0.474,0.654,0.714,0.489,0.619,0.558,P<0.05).Conclusions The sleep quality of patients with chronic hepatitis B was low.Comprehensive measures should be taken to improve the sleep quality and the quality of life.
引文
[1]中华医学会肝病学分会,中华医学会感染病学分会.慢性乙型肝炎防治指南(2015更新版)[J].中华肝脏病杂志,2015,23(12):888-905.
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[14]戴悦,张宝泉,李映兰,等.中国老年人睡眠质量与抑郁、焦虑相关性的Meta分析[J].中华护理杂志,2016,51(4):488-493.
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[16]李焕萍,施梅姐,邓燕妹,等.基于聚类分析研究音乐疗法对慢性乙型肝炎合并失眠患者的辅助治疗作用[J].中西医结合肝病杂志,2017(6):376-377.
[17]刘庆霞.中药足浴联合穴位按摩治疗乙肝患者失眠的临床观察[J].中国实用医药,2013,8(13):79-81.
[18]郭秀媚,管霞飞.中药穴位贴敷联合耳穴压豆治疗高血压失眠94例[J].中国中医药科技,2015,22(3):339-340.
[19]雷雪雪,于颖,李雪,等.正念训练对肝移植术后患者焦虑抑郁水平及睡眠质量的影响[J].护士进修杂志,2016,31(15):1403-1406.
[2]李宁珍,徐颖霞,李艳萍,等.肝硬化患者睡眠质量影响因素调查及护理对策[J].宁夏医学杂志,2014,36(8):765-767.
[3]张作记.行为医学量表手册[M].北京:中国行为医学科学杂志社,2001:292-294.
[4]沈霞.COPD稳定期患者睡眠质量及影响因素调查与干预研究[D].哈尔滨:哈尔滨医科大学,2014:1-71.
[5]谢玉真.肝癌患者术前睡眠质量调查分析[J].中国实用医药,2015,(28):273-275.
[6]李茹,王育强,张志群.某军校三年级医学生睡眠质量调查分析[J].解放军预防医学杂志,2006,24(5):347-348.
[7]赵楠.炎性肠病患者疲乏现状及其影响因素探讨[J].今日健康,2015,14(12):191.
[8]路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263.
[9]李宁珍,蒙凯,徐颖霞.320例肝硬化病人睡眠质量及影响因素调查分析[J].中华现代护理杂志,2016,22(4):506-509.
[10]刘贤臣,唐茂芹.匹兹堡睡眠质量指数的信度与效度研究[J].中华精神科杂志,1996,29(2):103-107.
[11]刘丽英,李文刚,吴丹,等.慢性乙型病毒性肝炎住院患者焦虑及抑郁情绪分析[J].现代中西医结合杂志,2013,22(33):3687-3688.
[12]李晓强.乙肝相关疾病住院病人经济负担和生存质量研究[D].宁夏医科大学,2012.
[13]丁庆华,张夏莲,王筠.中老年干部人群中睡眠质量、心理健康水平与血压的相关性[J].中国老年学杂志,2015,33(9):2120-2121.
[14]戴悦,张宝泉,李映兰,等.中国老年人睡眠质量与抑郁、焦虑相关性的Meta分析[J].中华护理杂志,2016,51(4):488-493.
[15]范恩芳,孙凤仙.社区居民睡眠质量与生活质量相关性调查分析[J].护士进修杂志,2014,29(12):1132-1134.
[16]李焕萍,施梅姐,邓燕妹,等.基于聚类分析研究音乐疗法对慢性乙型肝炎合并失眠患者的辅助治疗作用[J].中西医结合肝病杂志,2017(6):376-377.
[17]刘庆霞.中药足浴联合穴位按摩治疗乙肝患者失眠的临床观察[J].中国实用医药,2013,8(13):79-81.
[18]郭秀媚,管霞飞.中药穴位贴敷联合耳穴压豆治疗高血压失眠94例[J].中国中医药科技,2015,22(3):339-340.
[19]雷雪雪,于颖,李雪,等.正念训练对肝移植术后患者焦虑抑郁水平及睡眠质量的影响[J].护士进修杂志,2016,31(15):1403-1406.