论文部分内容阅读
目的分析骨质疏松老年患者睡眠障碍的影响因素。方法采用匹兹堡睡眠质量指数量表(PSQI)评测患者的睡眠状况,使用自行设计的一般人口学资料及相关因素调查表于2014年7—12月对就诊于华北理工大学附属医院的412例骨质疏松老年患者进行调查。结果骨质疏松老年患者PSQI得分为(8.71±5.03)分,睡眠障碍者占50.0%;单因素分析显示,女性(52.9%)、离异或丧偶(69.9%)、从事体力劳动(54.9%)、月收入1 000~1 999元(58.7%)、骨质疏松程度严重(68.3%)、继发性骨质疏松(56.3%)、疼痛(55.7%)、疼痛程度重(71.9%)、自感乏力(63.7%)、肌肉痉挛(59.1%)、脊椎压缩变形(60.5%)、自评健康差(68.9%)、自理能力差(78.5%)、焦虑(83.3%)、抑郁(89.7%)患者睡眠障碍率较高(P<0.05);多因素logistic回归分析结果显示,体力劳动(OR=2.168)、离异或丧偶(OR=2.461)、骨质疏松程度重(OR=2.419)、疼痛程度中度以上(OR=5.740)、自感乏力(OR=3.902)、肌肉痉挛(OR=1.923)、抑郁情绪(OR=8.120)是骨质疏松老年患者睡眠障碍的危险因素,进行抗骨质疏松治疗(OR=0.334)是骨质疏松老年患者睡眠障碍的保护因素。结论应重视患者自身疾病及心理状况的治疗,降低睡眠障碍的发生,提高健康水平。
Objective To analyze the influencing factors of sleep disorders in elderly patients with osteoporosis. Methods The Pittsburgh Sleep Quality Index Scale (PSQI) was used to evaluate the sleep status of the patients. According to the self-designed general demographic data and related factors questionnaire, 412 cases of osteoporosis attending the Affiliated Hospital of North China University of Science and Technology from July to December 2014, Loose elderly patients to investigate. Results The scores of PSQI in elderly patients with osteoporosis were (8.71 ± 5.03) and those with sleep disorders were 50.0%. Univariate analysis showed that women (52.9%) were divorced or widowed (69.9%), physically engaged (54.9% Monthly income of 1 000-1 999 yuan (58.7%), severe osteoporosis (68.3%), secondary osteoporosis (56.3%), pain (55.7%), severe pain (71.9% (63.7%), muscle spasm (59.1%), vertebral compression deformation (60.5%), self-rated poor health (68.9%), poor self-care ability (78.5%), anxiety (83.3%), depression Multivariate logistic regression analysis showed that manual labor (OR = 2.168), divorced or widowed (OR = 2.461), severe osteoporosis (OR = 2.419), moderate to severe pain (P <0.05) (OR = 5.740), muscle weakness (OR = 3.902), muscle spasm (OR = 1.923) and depression (OR = 8.120) were risk factors for sleep disorders in elderly patients with osteoporosis and were treated with anti-osteoporosis (OR = 0.334) is a protective factor for sleep disorders in elderly patients with osteoporosis. Conclusion Patients should pay attention to the treatment of their own diseases and psychological conditions, reduce the incidence of sleep disorders and improve their health.