目的: 探讨脑卒中康复患者睡眠质量现状及影响因素。方法: 纳入2020年3月—2021年6月于我院进行脑卒中康复治疗的123例患者为研究对象,采用匹兹堡睡眠质量指数(PSQI)、罗森伯格自尊量表(RSES)、身体形象量表(BID)、医院焦虑(HADS-A)和抑郁量表(HADS-A)评估患者睡眠质量、身体意象、自尊及焦虑、抑郁状态。采用Pearson相关系数分析睡眠质量与身体意象和自尊、焦虑、抑郁的相关性,采用多因素Logistic回归方程分析脑卒中康复患者睡眠质量差的影响因素。结果: 123例患者中有52.84%(65/123)的患者主观睡眠质量差,55.28%(68/123)的患者入睡潜伏期长,42.28%(52/123)的患者睡眠时间短,47.15%(58/123)的患者正常睡眠效率低,PSQI总分为(12.32±2.45)分;Pearson 相关系数分析显示PSQI总分与HADS-A、HADS-D、BID和RSES评分呈正相关;多因素Logistic回归分析显示:医疗费用支付方式(OR=2.071,95%CI:1.874~2.908)、HADS-A(OR=1.296,95%CI:1.060~1.586)、HADS-D(OR=1.483,95%CI:1.204~1.826)、BID(OR=1.422,95%CI:1.081~1.869)、RSES(OR=0.682,95%CI:0.524~0.888)是脑卒中康复患者睡眠质量的影响因素。结论: 多数脑卒中康复患者睡眠质量不佳,且脑卒中康复患者睡眠质量与患者身体意象、自尊、焦虑抑郁情绪及医疗费用支付方式具有显著相关性。在管理脑卒中康复患者时需考虑患者身体意象、自尊、焦虑抑郁情绪及医疗费用支付方式,以提高患者睡眠质量。
Abstract
Objective To explore the status quo and influencing factors of sleep quality in stroke rehabilitation patients. Methods A total of 123 patients with stroke who received rehabilitation treatment in our hospital from March, 2020 to June, 2021 were selected as the research objects. Pittsburgh Sleep Quality Index (PSQI), Rosenberg Self-esteem Scale, Body Image Scale and Hospital Anxiety and Depression Scale were used to evaluate the sleep quality, body image, self-esteem and anxiety and depression status of patients. Pearson correlation coefficient was used to analyze the correlation between sleep quality and body image, self-esteem, anxiety and depression, and multivariate Logistic regression equation was used to analyze the influencing factors of poor sleep quality in stroke rehabilitation patients. Results Among 123 patients, 52.84% (65/123) had PSQI subjective sleep quality, 55.28% (68/123) had long sleep latency, 42.28% (52/123) had short sleep time, and 47.15% (58/123) had low normal sleep efficiency. Pearson correlation coefficient analysis showed that the total score of PSQI was positively correlated with HADS-A, HADS-D, BID and RSES. Multivariate Logistic regression analysis showed that the payment methods of medical expenses (OR= 2.071, 95% CI: 1.874~2.908), HADS-A (OR= 1.296, 95% CI: 1.060 ~ 1.586) and HADS-D (OR= 1.483, 95% CI: 1.081 ~ 1.869) and rses (OR=0.682, 95% CI: 0.524 ~ 0.888) are the influencing factors of poor sleep quality in stroke rehabilitation patients. Conclusions Most stroke rehabilitation patients have poor sleep quality, and the sleep quality of stroke rehabilitation patients is significantly correlated with patients' body image, self-esteem, anxiety and depression, and payment methods of medical expenses. When managing stroke rehabilitation patients, it is necessary to consider the patient's body image, self-esteem, anxiety and depression, and the payment method of medical expenses, so as to improve the sleep quality of patients
关键词
脑卒中 /
睡眠质量 /
身体意象 /
自尊
Key words
stroke /
sleep quality /
body image /
self-esteem
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基金
解放军总医院护理部立项课题:野战条件下脑水肿快速识别相关技术研究(2019YH23)