中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
14期
1644-1646
,共3页
肝硬化%睡眠%焦虑%抑郁
肝硬化%睡眠%焦慮%抑鬱
간경화%수면%초필%억욱
Liver cirrhosis%Sleep%Anxiety%Depression
目的 调查分析肝炎后肝硬化患者睡眠状况与焦虑、抑郁发生情况,为采取针对性干预措施提供依据.方法 采用睡眠状况自评量表(SRSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)对72例住院的肝硬化患者进行问卷调查.结果 肝硬化患者与全国常模SRSS评分中,睡眠质量、睡眠不稳因子、失眠后反应得分及总分比较差异有统计学意义(P<0.01或P<0.05);不同病程患者失眠情况的比较差异有统计学意义(P<0.01);不同性别患者SDS、SAS评定结果的比较差异均有统计学意义(P<0.05).70.8%的患者存在不同程度的失眠,高于全国常模45.6%,差异有统计学意义(χ2=18.366,P<0.01).不同性别肝硬化患者中,有69.44%的患者存在焦虑,女性高于男性;有62.50%的患者存在抑郁,男性高于女性,差异均有统计学意义(P<0.05).结论 肝炎后肝硬化患者失眠、焦虑、抑郁的存在具有普遍性、特殊性,应引起医护人员的足够重视.
目的 調查分析肝炎後肝硬化患者睡眠狀況與焦慮、抑鬱髮生情況,為採取針對性榦預措施提供依據.方法 採用睡眠狀況自評量錶(SRSS)、焦慮自評量錶(SAS)、抑鬱自評量錶(SDS)對72例住院的肝硬化患者進行問捲調查.結果 肝硬化患者與全國常模SRSS評分中,睡眠質量、睡眠不穩因子、失眠後反應得分及總分比較差異有統計學意義(P<0.01或P<0.05);不同病程患者失眠情況的比較差異有統計學意義(P<0.01);不同性彆患者SDS、SAS評定結果的比較差異均有統計學意義(P<0.05).70.8%的患者存在不同程度的失眠,高于全國常模45.6%,差異有統計學意義(χ2=18.366,P<0.01).不同性彆肝硬化患者中,有69.44%的患者存在焦慮,女性高于男性;有62.50%的患者存在抑鬱,男性高于女性,差異均有統計學意義(P<0.05).結論 肝炎後肝硬化患者失眠、焦慮、抑鬱的存在具有普遍性、特殊性,應引起醫護人員的足夠重視.
목적 조사분석간염후간경화환자수면상황여초필、억욱발생정황,위채취침대성간예조시제공의거.방법 채용수면상황자평량표(SRSS)、초필자평량표(SAS)、억욱자평량표(SDS)대72례주원적간경화환자진행문권조사.결과 간경화환자여전국상모SRSS평분중,수면질량、수면불은인자、실면후반응득분급총분비교차이유통계학의의(P<0.01혹P<0.05);불동병정환자실면정황적비교차이유통계학의의(P<0.01);불동성별환자SDS、SAS평정결과적비교차이균유통계학의의(P<0.05).70.8%적환자존재불동정도적실면,고우전국상모45.6%,차이유통계학의의(χ2=18.366,P<0.01).불동성별간경화환자중,유69.44%적환자존재초필,녀성고우남성;유62.50%적환자존재억욱,남성고우녀성,차이균유통계학의의(P<0.05).결론 간염후간경화환자실면、초필、억욱적존재구유보편성、특수성,응인기의호인원적족구중시.
Objective To investigate sleeping status, anxiety and depression in patients with liver cirrhosis so as to provide basis for intervention measures.Methods Self-rating Scale of Sleep (SRSS), Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were used to investigate 72 inpatients with liver cirrhosis.Results Scores of factors of sleeping quality, sleeping unsteady and response after insomnia among the patients had significant difference compared with the national norm (P<0.01 or P<0.05). Significant differences were found among patients with different degrees of insomnia (P<0.01). There were significant differences in terms of SDS and SAS between males and females(P<0.05). 70.8% of the patients had insomnia in various degrees, higher than the national norm 45.6%. The difference was statistically significant (χ2=18.366,P<0.01). Among liver cirrhosis patients of different sex, 69.44% of them had anxiety, and the rate was higher in females than in males, while 62.50% of them had depression, and the rate was higher in males than in females(P<0.05).Conclusions Insomnia, anxiety and depression are commonly and particularly found in patients with liver cirrhosis, and should draw the medical staff's attention.