CAJ | 학술논문

目的：了解福建地区围绝经期综合征（ PMS）患者睡眠质量并分析其影响因素。方法筛选福建地区698例PMS患者，采用神经心理学量表和自行研制的危险因素问卷开展调查，同时检测PMS患者血清雌二醇（E2）、卵泡刺激素（FSH）和促黄体生成素（LH）等性激素水平，应用多元logistic回归等统计学方法分析。结果（1）福建地区PMS患者存在睡眠质量问题者占69.8％，其中重度失眠者占31.5％。失眠者伴有明显的抑郁焦虑状态（P＜0.01），以重度失眠者尤为显著（P＜0.01）；（2）退休、独身、A型性格、优质蛋白及胆固醇摄入量低、生活、经济自评差、较少参加宗教活动、与邻居联系交往少、近两年亲人去世、血清性激素水平明显紊乱均是福建地区PMS患者出现失眠症的影响因素；（3）优质蛋白及胆固醇摄入量低、较少参加宗教活动、与邻居联系交往少、血清性激素水平明显紊乱是影响福建地区PMS 患者失眠症轻重程度的危险因素。结论福建地区PMS患者存在睡眠质量问题比例较高，且受社会人口学特征、性激素水平等多因素影响，要多方位地采取干预措施。
목적：료해복건지구위절경기종합정（ PMS）환자수면질량병분석기영향인소。방법사선복건지구698례PMS환자，채용신경심이학량표화자행연제적위험인소문권개전조사，동시검측PMS환자혈청자이순（E2）、란포자격소（FSH）화촉황체생성소（LH）등성격소수평，응용다원logistic회귀등통계학방법분석。결과（1）복건지구PMS환자존재수면질량문제자점69.8％，기중중도실면자점31.5％。실면자반유명현적억욱초필상태（P＜0.01），이중도실면자우위현저（P＜0.01）；（2）퇴휴、독신、A형성격、우질단백급담고순섭입량저、생활、경제자평차、교소삼가종교활동、여린거련계교왕소、근량년친인거세、혈청성격소수평명현문란균시복건지구PMS환자출현실면증적영향인소；（3）우질단백급담고순섭입량저、교소삼가종교활동、여린거련계교왕소、혈청성격소수평명현문란시영향복건지구PMS 환자실면증경중정도적위험인소。결론복건지구PMS환자존재수면질량문제비례교고，차수사회인구학특정、성격소수평등다인소영향，요다방위지채취간예조시。
Objective To investigate the sleep quality and its influencing factors of the patients with perimenopausal syndrome (PMS) in Fujian area.Methods 698 PMS patients in Fujian area were recruited.The neuropsychological scales and self-developed related questionnaire were interviewed and the level of sex hormones including estradiol (E2), follicule-stimulating hormone (FSH) and luteinizing hormone (LH)were determined.Multivariate logistic analysis was used to analyze the independent influencing factors .Results (1)487 (69.8%) PMS patients had sleep problems.Among it,220(31.5%)cases had severe insomnia.The prevalence of depressive and anxiety status for PMS patients with insomnia were significantly higher than those of the cases without insomnia ( P<0 .01 ) , especially in the cases with severe insomnia(P<0.01);(2)Retirement, celibacy, type A personality, lower intake of high quality protein and cholesterol than daily requirement , bad self-rated life and economic status , less of community engagement and involvement of the activities of the neighbourhood , loss of dearest persons in the last two years and a pretty major sex hormonal imbalance were the independent risk factors of the PMS patients with insomnia in Fujian area;(3)There were obviously negative associations between the insomnia severity and the following factors: having lower intake of high quality protein and cholesterol than daily requirement ,having a pretty major sex hormonal imbalance ,with loss of commu-nity engagement and seldom joining in the activities of the neighbourhood .Conclusions PMS patients in Fujian area show higher prevalence of having sleep problems .The quality of sleep in PMS patients are influenced by a number of factors ,so it is necessary to take multi-faceted interventions to improve their quality of sleep .