摘要
目的 调查系统性红斑狼疮（SLE）患者睡眠质量，分析其影响因素。方法 采用便利抽样法选取2016年10月—2017年1月郑州大学第一附属医院风湿免疫科收治的156例SLE患者为研究对象。采用一般资料调查表、匹兹堡睡眠质量指数量表（PSQI）、系统性红斑狼疮疾病活动指数（SLEDAI）对患者进行调查。应用单因素分析和多元线性回归分析患者睡眠质量的影响因素。结果 SLE 患者睡眠质量得分为（10.04±5.83）分，62.23% 的SLE 患者睡眠质量不佳，夜间易醒或早醒、夜间频繁去厕所和感觉热是导致患者睡眠障碍的主要原因。单因素分析显示，不同年龄、文化程度、住院次数、病程、糖皮质激素日平均剂量及疾病活动性指数的SLE 患者睡眠质量总分差异有统计学意义（P ＜ 0.05）。多元线性回归分析表明，年龄、病程、糖皮质激素日平均剂量、疾病活动性指数是SLE患者睡眠质量的影响因素（P ＜ 0.01）。结论 SLE患者的睡眠质量受年龄、病程、糖皮质激素用量及疾病活动度影响，医护人员应关注患者的睡眠问题，在其治疗的基础上，进行睡眠护理干预，改善SLE 患者的睡眠及生活质量。
Objective To investigate the sleep quality of patients with systemic lupus erythematosus （SLE） and to analyze its influencing factors. Methods A total of 156 patients with SLE who were treated in the Rheumatology Department of the First Affiliated Hospital of Zhengzhou University from October 2016 to January 2017 were selected as the research objects by convenience sampling method. All the participants were investigated by general information questionnaire, Pittsburgh sleep quality index （PSQI） scale and systemic lupus erythematosus disease activity index （SLEDAI）. The influencing factors of patients＇ sleep quality was analyzed by single factor analysis and multiple linear regression analysis. Results The score of PSQI scale of SLE patients was （10.04 ± 5.83）. It was reported that 62.23% of patients had poor sleep quality. The main reason for night sleep disturbance were easy to wake up at night, night frequent urination and sensory heat. Single factor analysis showed that there was significant difference in total sleep quality among SLE patients with different age, education level, number of hospitalization, course of the disease, daily average dose of glucocorticoid and disease activity index （P 〈 0.05）. Multiple linear regression analysis showed that age, course of the disease, daily average dose of glucocorticoid and disease activity index were the influencing factors of SLE patients＇ sleep quality （P 〈 0.01）. Conclusions The results indicate that sleep quality of SLE patients is influenced by age, course of disease, daily average dose of glucocorticoids and disease activity index. Medical staff should pay attention to patients＇ sleep problems and give sleep nursing interventions on the basis of treatment in order to improve the sleep quality and life quality of SLE patients.
作者
龚丽
程书华
高冠民
张凤
Gong Li;Cheng Shuhua;Gao Guanmin;Zhang Feng(Rheumatology Department, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, Chin)
出处
《中华现代护理杂志》
2018年第4期393-397,共5页
Chinese Journal of Modern Nursing
基金
河南省高等学校重点科研项目（16A320011）
关键词
红斑狼疮
系统性
睡眠质量
影响因素
Lupus erythematosus, systemic
Sleep quality
Influencing factors
