摘要
目的调查抑郁症患者睡眠障碍情况,并分析其影响因素。方法选取2016年9月至2018年9月我院心身障碍科186例抑郁症患者,按照匹兹堡睡眠质量指数问卷(Pittsburgh sleep quality index,PSQI),将总分≥8分的患者归入睡眠障碍组(105例),总分<8分的患者归入非睡眠障碍组(81例)。采用问卷调查方式,给患者发放一般情况调查表、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、社会支持评定量表(Social support rate scale,SSRS)、特质应对方式问卷(Trait coping style questionnaire,TCSQ)、生活事件量表(Life event scale,LES),比较睡眠障碍组与非睡眠障碍组的一般情况和各项问卷结果,将其中具有统计学意义的变量代入Logistic回归分析,找出抑郁症患者睡眠障碍的独立影响因素。结果(1)PSQI问卷结果显示,总分≥8分的患者有105例,占比56.45%;(2)睡眠障碍组患者的平均年龄较非睡眠障碍组大,HAMD评分、HAMA评分均较非睡眠障碍组高,主观社会支持评分较非睡眠障碍组低,负性事件刺激量大于非睡眠障碍组,差异有统计学意义(P<0.05);(3)Logistic回归分析显示,年龄、不良情绪、主观社会支持、负性生活事件均为抑郁症患者睡眠障碍的独立影响因素(P<0.05)。结论睡眠障碍在抑郁症患者中较为常见,年龄、不良情绪、主观社会支持和负性生活事件是影响其睡眠质量的独立因素。
Objective To investigate the situation of sleep disorders in patients with depression and analyze its influencing factors.Methods From September 2016 to September 2018,A total of 186 patients with depression in our department of psychosomatic disorders were selected.According to the Pittsburgh sleep quality index questionnaire(PSQI),patients with a total score of≥8 were classified into the sleep disorder group(105 cases),and patients with a total score of<8 were classified into the non-sleep disorder group(81 cases).A questionnaire survey was used,and the patients were given general questionnaires,Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA),social support rate scale(SSRS),trait coping style questionnaire(TCSQ),and life event scale(LES).The general situation and the results of various questionnaires were compared between the sleep disorder group and the non-sleep disorder group.The statistically significant variables were substituted into Logistic regression analysis,and the independent influencing factors of sleep disorders in the patients with depression were identified.Results(1)PSQI questionnaire results showed that there were 105 patients with a total score≥8,accounting for 56.45%;(2)The average age of patients in the sleep disorder group was older than that in the non-sleep disorder group.HAMD score and HAMA score were higher than those in the non-sleep disorder group,the subjective social support score was lower than that in the non-sleep disorder group,and the amount of negative event stimulation was greater than that in the non-sleep disorder group.The differences were statistically significant(P<0.05);(3)Logistic regression analysis showed that age,unhealthy emotions,subjective social support,and negative life events were all independent influencing factors of sleep disorders in the patients with depression(P<0.05).Conclusion Sleep disorders are relatively common among patients with depression.Age,negative mood,subjective social support,and negative life events are independent factors that affect their sleep quality.
作者
吴桂红
马灵亚
何红娟
赵建利
WU Guihong;MA Lingya;HE Hongjuan;ZHAO Jianli(Department of Psychosomatic Disorder,Shaoxing 7th People′s Hospital in Zhejiang Province,Shaoxing312000,China)
出处
《中国现代医生》
2021年第4期138-141,145,共5页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2017KY673)。
