文章摘要
急性心肌梗死患者经皮冠状动脉介入术后睡眠质量调查及影响因素分析
Investigation of sleep quality of patients with acute myocardial infarction after PCI and its influencing factors
投稿时间:2016-12-28  
DOI:10.3969/j.issn.1000-0399.2017.05.029
中文关键词: 急性心肌梗死  经皮冠状动脉介入  睡眠质量
英文关键词: Acute myocardial infarction  Percutaneous coronary intervention  Sleep quality
基金项目:首都卫生发展科研专项项目(项目编号:2014-2-0511)
作者单位E-mail
支晨 100853 北京 解放军医学院学员队
100048 北京 海军总医院干部呼吸科 
 
皮红英 100048 北京 海军总医院干部呼吸科 pihongying@301hospital.com.cn 
章洁 100048 北京 海军总医院干部呼吸科  
唐静萍 100048 北京 海军总医院干部呼吸科  
宋杰 100853 北京 解放军医学院学员队  
惠慧 100853 北京 解放军医学院学员队  
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中文摘要:
      目的 调查急性心肌梗死患者经皮冠状动脉介入(PCI)术后睡眠质量,分析其影响因素。方法 采用便利抽样法选取海军总医院2016年2~6月收治的急性心肌梗死行PCI术治疗患者96例,采用自行设计的急性心肌梗死患者睡眠质量调查问卷调查患者睡眠情况,采用单因素和多因素logstic回归分析影响患者睡眠质量的因素。结果 老年患者(≥60岁)睡眠时间评分低于青中年患者(<60岁),入睡时间、睡眠质量、睡眠障碍、睡眠效率、日间功能指数及睡眠质量总评分均高于青中年,差异均有统计学意义(P<0.05),女性患者睡眠质量、睡眠障碍评分高于男性患者,差异有统计学意义(P<0.05),两组人群睡眠质量总评分差异无统计学意义(P>0.05);单因素分析显示,患者年龄、运动强度、运动时间、术后用药、腰臀比对患者睡眠质量有明显影响;logstic回归分析显示,腰臀比、运动强度、运动时间、术后用药是影响患者睡眠质量的危险因素。结论 急性心肌梗死PCI术后老年患者睡眠质量较青中年患者明显下降,男女患者间睡眠质量无明显差异,腰臀比、运动强度、运动时间、术后用药与睡眠质量降低有密切关系。
英文摘要:
      Objective To investigate the sleep quality of patients with acute myocardial infarction (AMI) after PCI and analyze the influencing factors. Methods Ninety-six patients with acute myocardial infarction underwent PCI during from Feb 2016 to June 2016 were selected. The PSQI of them was investigated by the Pittsburgh Sleep Quality Index (PSQI), and the influencing factors were analyzed. Results The sleep time scores of elderly patients (≥ 60 years) were significantly lower than those of young and middle-aged patients (<60 years); the sleep time, sleep quality, sleep disturbance, daytime function index and total sleep quality scores of elderly patients were significantly higher (P<0.05); sleep quality and sleep disturbance scores of female patients were higher than male patients (P<0.05); there were no significant differences in total sleep quality scores between female and male patients (P>0.05). Single factor analysis showed that age, exercise intensity, exercise time, postoperative medication, waist to hip ratio had significant effect on sleep quality, and multiple regression analysis showed that, waist to hip ratio(R2=0.482,P<0.01), exercise intensity(R2=0.415, P<0.01), exercise time (R2=0.337, P<0.01), postoperative medication(R2=0.327, P<0.01) were important factors influencing the sleep quality of the patients. Conclusion The quality of sleep in elderly patients with acute myocardial infarction is significantly lower than that in young and middle-aged patients; there was no significant difference in sleep quality between male and female patients, and waist to hip ratio, exercise intensity, exercise time, postoperative medication are closely related with sleep quality, so lifestyle intervention, reasonable exercise may probably improve sleep quality of patients with PCI.
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