摘要
目的探讨2型糖尿病继发失眠患者睡眠质量情况及其与心理健康状况的关系，为2型糖尿病继发失眠患者心理治疗提供参考依据。方法使用匹兹堡睡眠质量指数（PSQI）和症状自评量表（SCL－90），对90例2型糖尿病继发失眠患者进行睡眠及心理健康状况调查，并进行相关和回归分析。结果2型糖尿病患者PSQI总均分为（14．13±3．38）分。根据PSQI总分≥11为睡眠质量差的标准，睡眠质量差者75人，占83．33％（男性28例，女性47例）。根据PSQI量表单项评分≥2为该成分结果呈阳性的标准，睡眠质量差者86例（95．56％）；睡眠时间不足者38例（42．22％）；睡眠效率低者48例（53．33％）；有睡眠障碍者90例（100％）；人睡困难者81例（90％）。相关分析结果：PSQI总分与SCL-90总分间相关系数高达0．40（P〈0．01）。SCL-90各因子中除恐怖因子外其余均与PSQI总分呈显著正相关，其中，躯体化与PSQI总分间相关系数高达0．40（P〈0．01）。PSQI各成分中睡眠障碍与躯体化间相关系数高达0．46（P〈0．01）。多元逐步回归分析表明：影响睡眠障碍成分的心理症状因子主要为躯体化，它可解释睡眠障碍成分得分变异的29．2％。结论2型糖尿病继发失眠患者的睡眠质量与心理因素尤其是躯体化症状显著相关，临床上主要采用各种心理治疗方法解决其躯体化症状问题。
Objective To investigate the relation between sleep quality and mental health of secondary insomnia of type 2 diabetes mellitus and to provide a new treatment for this disease. Methods Ninety patients suffering from secondary insomnia of type 2 diabetes mellitus were evaluated and analyzed with Pittsburgh Sleep Quality Index （PSQI） and Symptom Checklist 90 （SCL-90）. Results The mean total PSQI score was 14.13 with a standard deviation of 3.38 in the sampled patients. According to the total score PSQI≥ 11 as a standard of poor sleep quality,poor sleep quality was present by 83.33% of the subjects with no significant difference between males and females（75 eases：male 22 ,female 53）. According to the single item score PSQI≥2 as a positive ease, poor sleep quality was present by 95.56% （ 86 cases） ,insufficiency of sleep time was present by 42.22% （38 cases） ,low sleeping efficiency was present by 53.33% （48 cases）. All these patients had sleep disturbance. There were 21 patients （21.33%） taking drugs for insomnia,81patients（90% ） with long sleep latency and 78 patients （86.67%） had daytime dysfunction . The correlation coemcient between total PSQI score and total SCL-90 score was r = 0. 400（P 〈 0.01 ）. All the factors were significantly related to total PSQI score,except phobic factor. The correlation coemcient between somatization and total PSQI score was r = 0. 400 （P 〈 0.01 ）. The correlation eoemcient between sleep disturbance and somatization was r= 0. 458 （P〈 0.01 ）. Through multiple stepwise regression analysis we found that somatization was the major factor affecting sleep disturbance. Conclusion Sleep quality of patients suffering from secondary insomnia of type 2 diabetes mellitus had a closely relationship with psychological factors especially somatization of SCL-90. Psychological treatment for improving somatization symptoms should be considered.
出处
《中国行为医学科学》
CSCD
2008年第8期702-704,共3页
Chinese Journal of Behavioral Medical Science
关键词
2型糖尿病继发失眠
睡眠质量
心理健康
Secondary insomnia of type 2 diabetes mellitus
Sleep quality
Psychological health
