摘要
目的 分析良性前列腺增生（BPH）患者年龄、下尿路症状评分和睡眠质量三者之间的关系,从而为临床护理提供帮助.方法 应用国际前列腺症状评分表（IPSS）、匹兹堡睡眠质量指数量表（PSQI）对63例BPH患者的下尿路症状（LUTS）及其对患者生活质量的影响和睡眠质量进行评估,应用Spearman相关系数分析患者年龄、下尿路症状评分和睡眠质量三者之间的关系.结果 63例BPH患者的PSQI评分10 ～20分,平均（15.6±2.3）分.其中睡眠效率（2.6±0.8）分,入睡时间（2.5±0.6）分；IPSS总分为（31.3±2.1）分,其中2次排尿间隔＜2h、排尿的困扰2个问题评分分别为（4.6±0.6）,（5.3±0.8）分；经Spearman相关系数法统计分析,IPSS总分与PSQI总分呈正相关（r=0.304,P＜0.05）.考虑到年龄也会对患者的睡眠造成影响,分析了患者的年龄与IPSS和PSQI评分的关系,分析结果显示患者的年龄与IPSS总分（r=0.234）及PSQI总分（r=0.355）均呈正相关（P＜0.01）.进一步分析IPSS症状评分中的“2次排尿间隔＜2h”的评分与PSQI评分中的“睡眠效率”得分呈正相关（r=0.415,P＜0.01）,IPSS评分表的排尿困扰与PSQI量表的入睡时间呈正相关（r=0.386,P＜0.01）.结论 BPH患者的下尿路症状影响患者的睡眠质量,在临床护理工作中需要分析相互影响因素,采取针对性护理干预措施,从而提高患者的生活质量.
Objective To analyze the relationship among age,score of lower urinary tract symptom and sleep quality of patients with benign prostatic hyperplasia （BPH） to provide help for clinical nursing.Methods From January 2012 to June 2012,the effect of the lower urinary tract symptom （LUTS） on quality of life was evaluated by international prostate symptom score （IPSS）,and the sleep quality was analyzed through Pittsburgh sleep quality index （PSQI） scores in 63 BPH patients.The relationship among age,score of lower urinary tract symptom and sleep quality were analyzed by Spearman analysis.Results The score of PSQI in patient with BPH was 10 ～ 20,the average score was （15.6 ± 2.3） ; the score of sleep efficiency was （2.6 ± 0.8）,and the score of time to fall asleep was （2.5 ± 0.6）.The general score of IPSS was （31.3 ± 2.1）,the score of the interval between two urination 〈 2 h was （4.6 ± 0.6）,and the score of urination problem was （5.3 ± 0.8）.The IPSS score was positively correlated with the PSQI score （r =0.304,P 〈 0.05） by Spearman analysis.Both IPSS score and PSQI score were positively correlated with the patients＇ age （r =0.234,0.335,respectively; P 〈 0.01）.Further,the score of the interval between two urination 〈 2 h was positively correlated with the score of sleep efficiency （r =0.415,P 〈 0.01）,and the score of urination problem was positively correlated with the score of time to fall asleep （r =0.386,P 〈 0.01）.Conclusions The lower urinary tract symptom can obviously affect the sleep quality of the BPH patients.The affecting factors should be analyzed during clinical nursing to promote the life quality of the patient.
出处
《中华现代护理杂志》
2013年第25期3073-3075,共3页
Chinese Journal of Modern Nursing
关键词
良性前列腺增生
年龄
下尿路症状
睡眠质量
Benign prostatic hyperplasia
Age
Lower urinary tract symptom
Sleep quality
