神经内科患者睡眠质量与焦虑抑郁现况调查
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摘要
目的了解北京市某医院神经内科患者睡眠障碍、焦虑、抑郁的发生率及其现状,为临床早期干预及治疗提供依据。方法采用横断面调查方法,对431例神经内科就诊患者使用匹兹堡睡眠质量量表(PSQI)、汉密尔顿焦虑量表14项(HAMA-14)、汉密尔顿抑郁量表24项(HAMD-24)进行他评式问卷调查。结果被调查的431例患者睡眠障碍的发生率高达84.69%,68.91%的患者存在不同程度的焦虑或抑郁,其中32.2%的患者肯定有焦虑,30.6%的患者有明显抑郁,23.9%的患者焦虑抑郁共病。PSQI平均分为(12.12±4.17)分,HAMA-14的平均分为(10.97±6.95)分,HAMD-24的平均分为(15.29±10.15)分。女性睡眠质量较男性差,更容易患焦虑(P<0.05);住院患者睡眠效率明显低于门诊患者(P<0.05);有焦虑或抑郁的患者睡眠质量显著低于一般患者(P<0.01)。结论神经内科患者睡眠障碍与焦虑抑郁发生率较高,女性高于男性,住院患者睡眠效率更差,应引起医护人员的足够重视,并对患者进行早期预防及治疗。
Objective To explore the incidence of sleep disorders and anxiety-depression of the neurology patients, provide the evidence for early clinical intervention and treatment.Methods By using cross-sectional study method, totally 431 neurology patients were chosen and investigated with Pittsburgh sleep quality index scale(PSQI), Hamilton Anxiety Scale(HAMA), Hamilton Depression Scale(HAMD) by other-rating questionnaire.Results The incidence of neurology patients with sleep disorder was up to 84.69% and patients with anxiety or depression was 68.91%, the incidence of obvious anxiety was 32.2% and depression was 30.6%, 23.9% patients both had anxiety and depression. The average score of PSQI, HAMA and HAMD was 12.12±4.17, 10.97±6.95 and 15.29±10.15, respectively. Women sleep quality is worse and easier anxiety than man. Compared with outpatients, hospitalized patients have a poor sleep efficiency(P﹤0.05). Anxiety or depression patients sleep quality were significantly lower than the general(p﹤0.01).Conclusion Neurology patients with high incidence of sleep and mood disorders, Women and hospitalized patients both have a poor sleep efficiency. Its should pay more attention and early prevention and treatment of patients.
Objective To explore the incidence of sleep disorders and anxiety-depression of the neurology patients, provide the evidence for early clinical intervention and treatment.Methods By using cross-sectional study method, totally 431 neurology patients were chosen and investigated with Pittsburgh sleep quality index scale(PSQI), Hamilton Anxiety Scale(HAMA), Hamilton Depression Scale(HAMD) by other-rating questionnaire.Results The incidence of neurology patients with sleep disorder was up to 84.69% and patients with anxiety or depression was 68.91%, the incidence of obvious anxiety was 32.2% and depression was 30.6%, 23.9% patients both had anxiety and depression. The average score of PSQI, HAMA and HAMD was 12.12±4.17, 10.97±6.95 and 15.29±10.15, respectively. Women sleep quality is worse and easier anxiety than man. Compared with outpatients, hospitalized patients have a poor sleep efficiency(P﹤0.05). Anxiety or depression patients sleep quality were significantly lower than the general(p﹤0.01).Conclusion Neurology patients with high incidence of sleep and mood disorders, Women and hospitalized patients both have a poor sleep efficiency. Its should pay more attention and early prevention and treatment of patients.
引文
1 袁琼婧张雷,谢名萱,等.住院患者夜间睡眠质量及其影响因素的调查.解放军护理杂志,2008,25:21-24.
2 王丽娜,樊济海.700例心血管住院患者抑郁焦虑现状及影响因素分析.中国健康教育,2014,30:151-153.
3 Becker NB,Jesus SN,Jo?o KA,et al.Depression and sleep quality in older adults:a meta-analysis.Psychology Health & Medicine,2016,22:889-895.
4 Christodoulou C,Efstathiou V,Ferentinos P,et al.Comparative study of hostility in depressive patients with and without a suicide attempt history. Psychology Health & Medicine,2016:1-6.
5 Del VR,Tomé-Pires C,Solé E,et al.The Pittsburgh Sleep Quality Index:Validity and factor structure in young people.Psychological Assessment,2015,27:22-27.
6 温程,丁丽君.2010年厦门市一般人群睡眠质量现况分析.中国健康教育,2010,26:832-834.
7 Zimmerman M,Martin J,Clark H,et al.Measuring anxiety in depressed patients:A comparison of the Hamilton anxiety rating scale and the DSM-5 Anxious Distress Specifier Interview.繨ournal of Psychiatric Research,2017,93:59-63.
8 刘顺莉,杜艳英,孟令民,等.住院老年患者睡眠质量与心理健康分析.中国健康心理学杂志,2015,23:143-145.
9 潘晓凌,欧阳鸿枚.神经内科住院患者焦虑抑郁状况的调查及相关因素分析.齐齐哈尔医学院学报,2013,34:3407-3408.
10 徐娜,赵碧筠.中年女性慢性病患者自我认同感与心理健康的关系研究.中国健康教育,2016,32:629-631.
11 王小丹,李巧,陈用成,等.2341名海南省本科大学生睡眠质量现况分析.中国健康教育,2014,30:587-589.
12 Perlis ML,Giles DE,Buysse DJ,et al.Self-reported sleep disturbance as a prodromal symptom in recurrent depression.Journal of Affective Disorders,1997,42:209-212.
2 王丽娜,樊济海.700例心血管住院患者抑郁焦虑现状及影响因素分析.中国健康教育,2014,30:151-153.
3 Becker NB,Jesus SN,Jo?o KA,et al.Depression and sleep quality in older adults:a meta-analysis.Psychology Health & Medicine,2016,22:889-895.
4 Christodoulou C,Efstathiou V,Ferentinos P,et al.Comparative study of hostility in depressive patients with and without a suicide attempt history. Psychology Health & Medicine,2016:1-6.
5 Del VR,Tomé-Pires C,Solé E,et al.The Pittsburgh Sleep Quality Index:Validity and factor structure in young people.Psychological Assessment,2015,27:22-27.
6 温程,丁丽君.2010年厦门市一般人群睡眠质量现况分析.中国健康教育,2010,26:832-834.
7 Zimmerman M,Martin J,Clark H,et al.Measuring anxiety in depressed patients:A comparison of the Hamilton anxiety rating scale and the DSM-5 Anxious Distress Specifier Interview.繨ournal of Psychiatric Research,2017,93:59-63.
8 刘顺莉,杜艳英,孟令民,等.住院老年患者睡眠质量与心理健康分析.中国健康心理学杂志,2015,23:143-145.
9 潘晓凌,欧阳鸿枚.神经内科住院患者焦虑抑郁状况的调查及相关因素分析.齐齐哈尔医学院学报,2013,34:3407-3408.
10 徐娜,赵碧筠.中年女性慢性病患者自我认同感与心理健康的关系研究.中国健康教育,2016,32:629-631.
11 王小丹,李巧,陈用成,等.2341名海南省本科大学生睡眠质量现况分析.中国健康教育,2014,30:587-589.
12 Perlis ML,Giles DE,Buysse DJ,et al.Self-reported sleep disturbance as a prodromal symptom in recurrent depression.Journal of Affective Disorders,1997,42:209-212.