慢性阻塞性肺疾病急性加重期患者睡眠质量现状及影响因素分析(1)
[摘要] 目的 探讨AECOPD患者睡眠质量，分析其影响因素，为构建有针对性的睡眠护理干预措施提供理论依据。方法 采用便利取样法选取某三甲医院2019年5—7月呼吸内科收治138例入院诊断为AECOPD的患者为研究对象，利用匹兹堡睡眠质量指数量表、社会支持量表及一般资料调查表进行调查。 结果 AECOPD患者睡眠质量得分为(9.59±3.21)分，75%的AECOPD患者睡眠质量总分>7分;吸烟、文化程度以及急性发作的次数是导致患者睡眠障礙主要影响因素(t=-3.240、9.345、4.845，P=0.002、0.000、0.000<0.05)。患者社会支持总分与PSQI睡眠质量量表总得分呈负相关。结论 COPD患者的睡眠质量受文化程度与疾病急性发作次数、社会支持程度等多因素的影响。医护人员应关注AECOPD患者的睡眠问题，在综合考虑其身心特点的基础上，进行睡眠护理干预，以改善其睡眠与生活质量。
[关键词] 睡眠质量; AECOPD; 社会支持
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2020)06(b)-0095-05
[Abstract] Objective To explore the sleep quality of AECOPD patients， analyze the influencing factors， and provide theoretical basis for constructing targeted sleep nursing interventions. Methods A convenient sampling method was used to select 138 patients admitted to the Department of Respiratory Medicine from May 2019 to July 2019 in the Department of Respiratory Medicine who were diagnosed as "AECOPD" as the research object. Conduct a survey on the data questionnaire. Results The sleep quality score of AECOPD patients was (9.59 ± 3.21)points， 75% of patients with AECOPD had a total sleep quality score was greater than 7; smoking， education， and the number of acute attacks were the main influencing factors of patients with sleep disorders (t=-3.240，9.345，4.845，P=0.002，0.000，0.000<0.05). The total score of patients' social support was negatively correlated with the total score of PSQI sleep quality scale. Conclusion The sleep quality of patients with COPD is affected by many factors such as education level， number of acute attacks， and social support. Medical staff should pay attention to the sleep problems of AECOPD patients， and carry out sleep nursing intervention on the basis of comprehensive consideration of their physical and mental characteristics to improve their sleep and quality of life.
[Key words] Sleep quality; AECOPD; Social support
慢性阻塞性肺疾病急性加重期(Acute exacerbation of chronic obstructive pulmonary diseases， AECOPD)是一种急性起病过程，主要表现为呼吸系统症状急性加重[1]，严重影响患者的身体健康和生活质量。而睡眠质量下降是COPD患者在呼吸困难和疲乏后最常见的症状[2]。睡眠不足很容易使患者在日间活动中感到疲乏，产生不良情绪，甚至影响COPD患者的预后[3-4]，失眠是临床上常见的病症，以睡眠障碍、倦怠、乏力等为主要症状，可对患者的日常生活及工作带来一定影响[5]。然而目前对AECOPD患者的睡眠问题的关注度不够，治疗和护理的侧重点还是放在改善患者呼吸症状上，临床上也还未将睡眠的问题列入诊疗计划中。因此，调查该人群的睡眠现状，探索影响睡眠的各种因素，全面分析患者的生理和心理需要，为建立缓解不良睡眠型态的护理指南提供理论依据。该次研究便利选择某三甲医院呼吸内科2019年5—7月收治138例入院诊断为“AECOPD”的患者作为研究对象，探讨AECOPD患者睡眠质量与吸烟、文化程度以及急性发作次数等的相关性，现报道如下。
1 对象与方法
1.1 研究对象, http://www.100md.com(何秀珍 苏小满 郭佳秋)
[关键词] 睡眠质量; AECOPD; 社会支持
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2020)06(b)-0095-05
[Abstract] Objective To explore the sleep quality of AECOPD patients， analyze the influencing factors， and provide theoretical basis for constructing targeted sleep nursing interventions. Methods A convenient sampling method was used to select 138 patients admitted to the Department of Respiratory Medicine from May 2019 to July 2019 in the Department of Respiratory Medicine who were diagnosed as "AECOPD" as the research object. Conduct a survey on the data questionnaire. Results The sleep quality score of AECOPD patients was (9.59 ± 3.21)points， 75% of patients with AECOPD had a total sleep quality score was greater than 7; smoking， education， and the number of acute attacks were the main influencing factors of patients with sleep disorders (t=-3.240，9.345，4.845，P=0.002，0.000，0.000<0.05). The total score of patients' social support was negatively correlated with the total score of PSQI sleep quality scale. Conclusion The sleep quality of patients with COPD is affected by many factors such as education level， number of acute attacks， and social support. Medical staff should pay attention to the sleep problems of AECOPD patients， and carry out sleep nursing intervention on the basis of comprehensive consideration of their physical and mental characteristics to improve their sleep and quality of life.
[Key words] Sleep quality; AECOPD; Social support
慢性阻塞性肺疾病急性加重期(Acute exacerbation of chronic obstructive pulmonary diseases， AECOPD)是一种急性起病过程，主要表现为呼吸系统症状急性加重[1]，严重影响患者的身体健康和生活质量。而睡眠质量下降是COPD患者在呼吸困难和疲乏后最常见的症状[2]。睡眠不足很容易使患者在日间活动中感到疲乏，产生不良情绪，甚至影响COPD患者的预后[3-4]，失眠是临床上常见的病症，以睡眠障碍、倦怠、乏力等为主要症状，可对患者的日常生活及工作带来一定影响[5]。然而目前对AECOPD患者的睡眠问题的关注度不够，治疗和护理的侧重点还是放在改善患者呼吸症状上，临床上也还未将睡眠的问题列入诊疗计划中。因此，调查该人群的睡眠现状，探索影响睡眠的各种因素，全面分析患者的生理和心理需要，为建立缓解不良睡眠型态的护理指南提供理论依据。该次研究便利选择某三甲医院呼吸内科2019年5—7月收治138例入院诊断为“AECOPD”的患者作为研究对象，探讨AECOPD患者睡眠质量与吸烟、文化程度以及急性发作次数等的相关性，现报道如下。
1 对象与方法
1.1 研究对象, http://www.100md.com(何秀珍 苏小满 郭佳秋)