老年慢性心力衰竭患者睡眠障碍的影响因素

发布时间：2018-04-18 17:54

本文选题：慢性心力衰竭 + 睡眠障碍　；参考：《中国老年学杂志》2017年19期

【摘要】：目的探讨老年慢性心力衰竭(心衰)患者睡眠障碍的影响因素。方法对2013年5~12月方便抽取的住院80例老年慢性心衰患者进行问卷调查,发放92份,回收有效问卷80份。调查问卷包括一般人口学资料、疾病相关资料、匹兹堡睡眠质量指数量表(PSQI)与社会支持量表。结果老年慢性心衰患者PSQI总分平均得分(14.84±2.518)分,社会支持总分平均分(29.46±5.004)分。单因素分析和回归分析显示婚姻、年龄、心功能级别(NYHA)、并发症数量与社会支持(主观支持)为PSQI总分的影响因素(F=8.374,R~2=0.298,P0.01)。在其他变量被控制的前提下,仍显示社会支持量表中主观支持维度可增加回归模型对睡眠总分的预测力(ΔR~2=0.079,△F=7.827)。结论老年慢性心衰患者的睡眠障碍应给予更多的关注,尤其是单身、心功能分级高与并发症数量多的老年患者,同时加强社会支持,疏导患者不良心理情绪,提高其睡眠质量。
[Abstract]:Objective to investigate the influencing factors of sleep disorder in elderly patients with chronic heart failure (CHF).Methods from May to December 2013, 80 elderly patients with chronic heart failure (CHF) were investigated by questionnaires. 92 questionnaires were distributed and 80 valid questionnaires were collected.The questionnaire included general demographics, disease-related data, Pittsburgh Sleep quality Index (PSQI) and Social support scale (SSS).Results the average score of PSQI and social support were 14.84 卤2.518 and 29.46 卤5.004 respectively.Univariate analysis and regression analysis showed that marriage, age, cardiac function grade and the number of complications and social support (subjective support) were the influencing factors of total score of PSQI.On the premise that other variables were controlled, the subjective support dimension in the social support scale could increase the predictive power of the regression model to the total score of sleep (螖 RV 2 0. 079, F = 7. 827).Conclusion the elderly patients with chronic heart failure should pay more attention to their sleep disorders, especially the elderly patients who are single, have high cardiac function grade and have more complications. At the same time, they should strengthen social support, channel the bad psychological mood of the patients and improve their sleep quality.
【作者单位】：南阳医学高等专科学校护理系;
【基金】：南阳市2016年科技攻关项目(KJGG36) 南阳医学高等专科学校自然科学基金(2016NYYZ002)
【分类号】：R541.6

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