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慢性肝病住院患者生活质量与疲劳及睡眠状况的相关性研究
作者:郑亚彬  姜有珠  刘娜 
单位:南京市第二医院 神经内科, 江苏 南京 210003
关键词:慢性肝病 生活质量 疲劳 睡眠质量 
分类号:R295
出版年·卷·期(页码):2018·46·第七期(788-792)
摘要:

目的:研究慢性肝病(CLD)住院患者生活质量与疲劳及睡眠状况的关系,为实施必要的干预措施提供依据。方法:运用生存质量测评量表(SF-36)、疲劳量表(FS-14)及匹兹堡睡眠质量指数(PSQI)量表对77例CLD住院患者进行调查分析。结果:CLD住院患者SF-36中生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和精神健康分别为(82.40±17.35)、(48.38±41.43)、(77.60±23.25)、(52.73±20.54)、(67.60±19.56)、(72.15±23.13)、(54.55±41.15)和(73.35±18.85)分,生理健康总分和心理健康总分分别为(65.28±19.17)分和(66.92±19.98)分。与常模相比,CLD住院患者疲劳总分、躯体疲劳及精神疲劳得分增加,分别为[(7.03±3.399)分,P=0.000]、[(4.40±2.488)分,P=0.017]、[(2.62±1.522)分,P=0.000]。CLD住院患者睡眠障碍者占41.6%,与常模相比,PSQI总分[(7.05±4.154)分]明显增高,差异有统计学意义(P<0.001);PSQI中的睡眠质量、睡眠延迟、睡眠时间、睡眠效率、睡眠障碍、睡眠药物及日间功能等7个维度分别为(1.21±1.07)、(1.12±1.06)、(1.06±1.07)、(1.18±1.11)、(1.11±0.57)、(0.06±0.296)及(1.19±0.641)分。逐步多元线性回归分析显示,躯体疲劳、文化程度、日间功能、睡眠效率对躯体健康有影响(F=18.074,P=0.000);躯体疲劳、文化程度、日间功能及睡眠时间对精神健康有影响(F=21.186,P=0.000)。结论:CLD住院患者疲劳感及睡眠障碍明显;躯体疲劳和睡眠障碍是影响这些患者生活质量的重要负性因素,而文化程度是影响患者生活质量的重要正性因素。

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