珠三角地区创伤患者睡眠障碍与PTSD关系

发布时间：2018-04-02 18:01

本文选题：创伤后应激障碍(PTSD)　切入点：睡眠障碍　出处：《中国公共卫生》2014年09期

【摘要】：目的了解珠江三角洲地区创伤住院患者创伤后应激障碍(PTSD)与睡眠障碍的发生情况及二者关系,并分析创伤后应激障碍患者睡眠障碍的影响因素。方法采用目的抽样法抽取珠江三角洲地区708名创伤患者,使用PTSD平民版筛查问卷(PCL-C)、匹兹堡睡眠质量指数量表(PSQI)及自编影响因素调查表进行问卷调查。结果珠江三角洲地区708名创伤患者PTSD发生率为27.5%,其中,轻或中度症状者占68.2%(133/195),重度症状者占31.8%(62/195);睡眠障碍的总发生率为37.9%,其中,无症状、轻度或中度、重度PTSD症状患者睡眠障碍发生率分别为27.9%(143/513)、57.9%(77/133)、77.4%(48/62);无PTSD症状的513人中,PSQI均分为(6.79±3.78)分,睡眠障碍143人;轻度或中度PTSD症状的133人中,PSQI均分为(6.62±3.69)分,睡眠障碍77人;重度PTSD症状的62人中,PSQI均分为(7.26±3.72)分,睡眠障碍48人;PTSD自评量表PCL-C得分与PSQI得分呈正相关(r=0.480,P0.05);不同程度的PTSD患者的睡眠总体情况及7个睡眠因子差异均有统计学意义(P0.001);多因素分析表明,PTSD患者睡眠障碍的主要影响因素为距事故发生时间(OR=1.303,95%CI=1.129~1.503)、脊柱受伤(OR=1.991,95%CI=1.219~3.251)和生活自理程度(OR=1.684,95%CI=1.286~2.206)。结论PTSD患者的睡眠障碍随PTSD加剧而加重,不同程度的PTSD患者的睡眠障碍表现不同,主要受距事故发生时间,脊柱受伤与否及生活自理程度的影响。
[Abstract]:Objective to investigate the incidence of PTSD and the relationship between PTSD and sleep disorder in patients with traumatic stress disorder (PTSD) in the Pearl River Delta region, and to analyze the influencing factors of sleep disorders in patients with PTSD.Methods A total of 708 trauma patients in Pearl River Delta were selected by sampling method. PCL-CX, Pittsburgh Sleep quality Index (Pittsburgh Sleep quality Index) and self-designed influencing factors questionnaire were used to screen out 708 patients with trauma in Pearl River Delta.Results the incidence of PTSD in 708 trauma patients in the Pearl River Delta region was 27.55.Among them, mild or moderate symptoms accounted for 68.22 / 133 / 195, severe symptoms accounted for 31.862 / 195, and the total incidence of sleep disorders was 37.90.Among them, asymptomatic, mild or moderate.In the 62 patients with severe PTSD symptoms, the scores of PTSD were 7.26 卤3.72 and 7.26 卤3.72, respectively.There was a positive correlation between the PCL-C score and the PSQI score in 48 patients with sleep disorders, and there was a significant difference in the overall sleep status and the seven sleep factors among the patients with different degrees of PTSD.Conclusion the sleep disorder of PTSD patients is aggravated with the aggravation of PTSD. Different degree of PTSD patients have different sleep disorders, which are mainly affected by the time of distance accident, spinal injury or not, and the degree of self-care of life.
【作者单位】：南方医科大学护理学院;南方医科大学基础学院人体解剖学教研室;佛山市第五人民医院护理部;
【基金】：2011年广东省大学生创新实验计划(1212111032) 广东省高校优秀青年创新人才培育项目(WYM10090)
【分类号】：R749.5

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