摘要
[目的]探讨健康干预对阻塞性睡眠呼吸暂停病人生存质量的影响。[方法]以中重度阻塞性睡眠呼吸暂停低通气综合征病人且行持续正压气道治疗者为对象,对其进行多导睡眠仪监测(polysomnography,PSG),并进行匹兹堡睡眠质量指数(PSQI)、嗜睡评价量表(Epworth)、生存质量量表(WHOQOL-BREF)、焦虑自评量表、抑郁自评量表、艾森克人格问卷测验、社会支持评定量表的调查,并进行系统的健康干预,对影响生存质量的因素进行多元逐步回归。[结果]健康干预前研究组与对照组生存质量指标:社会关系领域和环境领域得分差异无统计学意义,在自我感觉的总健康状况、总生存质量、生理领域和心理领域得分具有统计学意义(P<0.05);干预后生理领域和心理领域指标均具有统计学意义(P<0.05),社会关系和环境领域无统计学意义;影响生存质量的因素有PSQI、健康干预、Epworth、情绪稳定性。[结论]病人的睡眠质量、健康干预和情绪稳定性会影响病人的生存质量,加强对病人的健康干预,可以提高病人的生存质量。
Objective： To probe into the influence of health intervention on living quality of obstructive sleep apnea patients. Methods： Patients with moderate and severe obstructive sleep apnea low ventilation syndrome and undergoing continuous positive airway pressure treatment as the study subjccts, they were monitored by appiying polysomnography and investigated hy adopting PSQI, Epworth, WHOQOL - BREF, anxiety self - rating scale, depression self- rating scale, Aikeseng personality test, and social support evaluation scale. Systematic health interventions were carried out for them. And factors influencing living quality of patients were analyzed by polynary stepwise regression analysis. Results： To compare living quality indexes between test and control group patients before health intervention, in terms of social relation realm scoring and circumstance realm scoring, there were no statistical significances between them. However, there were statistical significant differences in terms of total health state and total living quality, physiological and psychological realms scoring （all P 〈 0.05）. After health intervention, there were no statistical significant differences in terms of social relation and circumstance realms （ P 〈 0.05）. Factors influencing living quality of patients included PSQI, health intervention, Epworth and stability of emotion. Conclusion： Sleep quality, health intervention and stability of emotion of patients can influence the living quality of them. And to strengthen health intervention for patients can enhance their living quality.
出处
《护理研究（上旬版）》
2008年第3期592-594,共3页
Chinese Nursing Researsh
基金
山西省资助回国留学人员课题,项目号:[2004]7-73
关键词
阻塞性睡眠呼吸暂停低通气综合征
持续正压气道治疗
心理支持
健康干预
生存质量
obstructive sleep apnea- hypopnea syndrome
continuous positive airway pressure treatment
psychological support
health intervention
living quality
