CAJ | 학술논문

目的调查老年住院患者心理健康状况和睡眠质量情况,分析二者的相瓦关系.方法纳入2005年10月-2007年10月在哈尔滨医科大学附属第四医院老年住院患者300例.采用匹兹堡睡眠质量评价老年住院患者的睡眠质量,以匹兹堡睡眠质量指数>8分作为睡眠障碍的标准,将300例患者按匹兹堡睡眠质量指数<5分,5～8分,>8分为3组.分别为70例、84例、146例;采用心理卫生自评量表(90项症状自评量表)评价患者心理状况.测试前向患者说明调查目的及意义,要求患者在1～2 h内独立完成答卷,各组间心理卫生自评量表得分比较采用方差分析,匹兹堡睡眠质量指数和心理卫生自评量表得分的相关性分析采用Spearman等级相关分析.结果按意向处理分析,300例患者全部进入结果分析.(1)匹兹堡睡眠质量指数>8分的患者症状自评量表中躯体化、强迫、抑郁、焦虑、精神病性5个因子及总均分显著高于5～8分和<5分的患者,且匹兹堡睡眠质量指数得分越高,症状自评量表各因子及总得分越高.(2)症状自评量表躯体化、强迫、抑郁、焦虑、精神病性5个因子及总分与睡眠质昔呈显著正相关,其中其他、躯体化、强迫、3个因子与睡眠质量、入睡时间、睡眠时间、睡眠效率呈现非常显著正相关,郁抑郁、焦虑、和症状自评量表与睡眠效率呈显著正相关.结论老年住院患者睡眠质量越差.焦虑分和抑郁分就愈高,呈显著正相关,并且促使焦虑,抑郁等多种情绪障碍的发生.说明住院老年人失眠不单单是一个睡眠生理紊乱,同时还有一个心理紊乱过程.
목적 조사노년주원환자심리건강상황화수면질량정황,분석이자적상와관계.방법 납입2005년10월-2007년10월재합이빈의과대학부속제사의원노년주원환자300례.채용필자보수면질량평개노년주원환자적수면질량,이필자보수면질량지수>8분작위수면장애적표준,장300례환자안필자보수면질량지수<5분,5～8분,>8분위3조.분별위70례、84례、146례;채용심리위생자평량표(90항증상자평량표)평개환자심리상황.측시전향환자설명조사목적급의의,요구환자재1～2 h내독립완성답권,각조간심리위생자평량표득분비교채용방차분석,필자보수면질량지수화심리위생자평량표득분적상관성분석채용Spearman등급상관분석.결과 안의향처리분석,300례환자전부진입결과분석.(1)필자보수면질량지수>8분적환자증상자평량표중구체화、강박、억욱、초필、정신병성5개인자급총균분현저고우5～8분화<5분적환자,차필자보수면질량지수득분월고,증상자평량표각인자급총득분월고.(2)증상자평량표구체화、강박、억욱、초필、정신병성5개인자급총분여수면질석정현저정상관,기중기타、구체화、강박、3개인자여수면질량、입수시간、수면시간、수면효솔정현비상현저정상관,욱억욱、초필、화증상자평량표여수면효솔정현저정상관.결론 노년주원환자수면질량월차.초필분화억욱분취유고,정현저정상관,병차촉사초필,억욱등다충정서장애적발생.설명주원노년인실면불단단시일개수면생리문란,동시환유일개심리문란과정.
Objective To investigate the mental health status and sleep quality in elderly inpatients, and probe into the relationship between them. Methods A total of 300 elderly inpatients were selected from the Fourth Affiliated Hospital of Harbin Medical University from October 2005 to October 2007. Pittsburgh sleep quality index (PSQI) was used to assess the sleep quality, and Pittsburgh sleep quality index more than 8 was used as the judging standard of sleep disorder. The 300 patients were divided into the group of PSQI less than 5 (n = 70), the group of PSQI from 5 to 8 (n = 80), and the group of PSQI more than 8 (n = 146) according to their PSQI index. The symptom checklist 90 (SCL-90) was used to assess the influence of mental status. The objective and significance were explained to the patients before the test. The patients were asked to finish the questionnaires within 1 to 2 hours independently. The analysis of variance (ANOVA) was made to compare the means of scores for SCL-90, and correlation analysis based on Spearman was used to make the correlation test between the mental health status and sleep quality. Results According to the intention, all the 300 patients were analyzed in the result.① The scores of somatization, compulsion, depression, anxiety and psychoticism and the total score in the group of PSQI more than 8 were significantly higher than those in the groups of PSQI from 5 to 8 and less than 4. The higher the score of PSQI was, the higher the score of factors and the total score of SCL-90 were. ② The scores of somatization, compulsion, depression, anxiety and psychoticism and the total score were in a highly positive correlation with the sleep quality, wherein the scores of others, somatization and compulsion were in a significantly positive correlation with the scores of sleep, time for falling asleep, time of sleep and efficiency of sleep. The scores of depression and anxiety and the total score of SCL-90 were in a highly positive correlation with the score of efficiency of sleep. Conclusions The poorer the sleep quality in eider inpatients is, the higher the scores of depression and anxiety are, so they axe in a remarkable positive correlation. The poor sleep quality causes the emotional disorder such as depression and anxiety. Our results indicate that sleeplessness is not only a kind of physical order, but also a kind of mental order.