摘要
目的调查阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的就医状况。方法采用问卷调查法,对OSAHS患者的就医状况、临床和社会人口学特点进行调查与分析。结果 89例OSAHS患者中,意识到自己存在睡眠相关疾病者81例(91.01%),就医时间中位数为17个月,最长间隔时间为31年。多数患者具有提示意义的临床表现,就医时Epworth嗜睡量表(Epworth Sleepiness Scale,ESS)得分≥9分者63例(70.80%),夜间睡眠打鼾及呼吸暂停者76例(85.39%);体重指数>24者80例(89.88%),颈围>40cm者50例(56.18%);65例(73.03%)患者报告有高血压等相关并发症。多元logistic回归分析示,影响患者就医延迟的因素包括颈围(OR=1.309,P=0.006)和ESS(OR=1.150,P=0.019)。患者没有及时就医最主要的原因是觉得"没有影响日常生活",占61.80%。社区医生转诊来就医的患者仅占3.37%,没有患者因为健康体检的提示而前来就医。结论 OSAHS患者就医延迟状况严重,应加大健康宣教的力度,特别是加强患者有关OSAHS对靶器官损害或并发症的认知及对OSAHS的不自知性的认知,并应进一步增强社区和健康体检在OSAHS防控中的作用。
Objective To investigate the station of hospital presentation in patients with obstructive sleep apnea hypopnea（OSAHS）. Method The questionnaires were used in the study,to investigate the current state of seeking medical assistance in patients with OSAHS. Analyze the interval time（‘I.T.＇ for short） between first realized having sleeping disease and getting treatment and the relevant factors. Results A total of 89 cases with diagnosed OSAHS were enrolled. There were 81（91.01%） people realized they having sleeping diseases. The median I.T was 17 months,and the longest I.T. was 31 years;Most of them have clinical implications in there clinical manifestations,63（70.80%） patients＇ scores of Epworth sleepiness scale（ESS） were ≥9, patients with snore or apnea in sleeping were76（85.39%）,80（89.88%）patients＇ values of BMI were more than 24, 50（56.18%） patients＇ value of neck circumference were more than 40, 65（73.03%） patients reported complications of hypertension. Significant predictors of hospital presentation（odds ratio,P） included：neck circumference（1.309,0.006） and ESS（1.150,0.019）.Total 61.80% people didn＇t go to see a doctor for having no influence on life,only 3.37% patients came to see the doctor by the advises of general practitioners,none of them came to see the doctor by the tips of health check-up. Conclusion The realization of hospital presentation in patients with OSAHS was bad. Healthy education to improve the realizations was needed,especially in cognize of target organ damage and imperceptibility. And the functions of community need to enhance.
出处
《中华护理杂志》
CSCD
北大核心
2014年第2期197-201,共5页
Chinese Journal of Nursing
关键词
睡眠呼吸暂停
阻塞性
就医状况
Sleep Apnea
Obstructive
Station of hospital presentation
