摘要
目的了解老年慢性阻塞性肺疾病(COPD)住院病人的睡眠质量并探讨相关因素。方法采用匹兹堡睡眠质量指数(PSQI)量表、疲乏程度量表(FSS)、呼吸困难量表(MMRC)等对我院老年科142例老年COPD病人进行调查。结果59.2%老年COPD病人有睡眠障碍,其中自理能力障碍、疲乏、焦虑、抑郁及使用利尿剂的老年COPD病人睡眠障碍发生率较高(P<0.05);多因素分析发现疲乏是老年COPD病人睡眠质量的主要影响因素。结论老年COPD病人睡眠质量受自理能力、疲乏、焦虑、抑郁及使用利尿剂等多种因素影响,特别应加强对有疲乏的老年COPD病人的睡眠干预,以提高其睡眠质量。
Objective To investigate the quality of sleep in elderly patients with chronic obstructive pulmonary disease(COPD)and to explore the related factors.Methods A total of 142 elderly patients with COPD were investigated by Pittsburgh Sleep Quality Index(PSQI),Fatigue Scale(FSS)and Mood Dyspnea Scale(MMRC).Results 59.2% of the elderly patients with COPD had sleep disorders.The prevalence of sleep disorders in the elderly patients with self-care disability,depression,fatigue,anxiety and diuretics was significantly higher than that in patients without self-care disability,depression,fatigue,anxiety and diuretics.Multivariate analysis showed fatigue was the independent risk factor of sleep quality in elderly patients with COPD.Conclusions The quality of sleep in senile patients with COPD is affected by many factors,such as self-care ability,fatigue,diuretics,anxiety and depression.It is necessary to strengthen clinical intervention in elderly patients with COPD,especially combined with fatigue.
作者
梅可乐
陈茜
高浪丽
刘定春
冯婷
封燕
许丽
MEI Ke-le;CHEN Qian;GAO Lang-li;LIU Ding-chun;FENG Ting;FEN Yan;XU Li(The Center of Gerontology and Geriatrics,West China Hospital,Sichuan Universtiy,Chendu 610041,China)
出处
《实用老年医学》
CAS
2019年第11期1069-1072,共4页
Practical Geriatrics
基金
四川省科技厅(2015sz0234-3,2018SZ0247)
关键词
老年人
慢性阻塞性肺疾病
睡眠质量
aged
chronic obstructive pulmonary disease
sleep quality
