摘要
目的睡眠障碍是影响中老年人生活质量的主要因素,随着高血压患病率的逐年升高,高血压合并睡眠障碍的患者越来越常见,本研究分析高血压患者睡眠障碍特点及其影响因素,为改善高血压患者的睡眠质量提供理论依据。方法采用匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)和基础资料调查问卷,对2015-03-09-2017-09-03在宁津县中医院心血管内科就诊的323例原发性高血压患者进行问卷调查,155例睡眠障碍者作为睡眠障碍组,168例睡眠良好者作为睡眠良好组,分析高血压患者睡眠障碍的临床特点及影响因素。结果单因素分析结果显示,年龄、午睡习惯、体质指数(body mass index,BMI)、非休息时间卧床睡觉、晚餐类型、夜宵、高血压分级等因素对睡眠质量有影响;多因素分析结果显示,年龄(OR=1.107,95%CI为1.022~2.473,P=0.012),非休息时间卧床睡觉(OR=1.650,95%CI为1.479~4.946,P<0.001)、高血压分级(OR=2.754,95%CI为2.350~13.471,P<0.001)为睡眠障碍的危险因素,有午睡习惯(OR=0.347,95%CI为0.314~0.942,P<0.001)为睡眠质量的保护因素。结论高血压患者睡眠障碍发生率较高,年龄、非休息时间卧床睡觉、高血压为睡眠障碍的危险因素。
OBJECTIVE The sleep disorder is the main factor affecting the quality of life of the middle-aged and the elderly.With the increase of the prevalence of hypertension,the patients with high blood pressure and sleep disorders are more and more common.This study aims to analyze the characteristics of sleep disorders and its influencing factors in hypertensive patients,and provide a theoretical basis for improving the quality of sleep in hypertensive patients.METHODS A questionnaire survey was conducted among 323 patients with essential hypertension who were admitted to the Department of Cardiovascular Medicine of Ningjin Hospital of Traditional Chinese Medicine with Pittsburgh sleep quality index scale and basic data questionnaire from March 9,2015 to September 3,2017.There were 155 cases in sleep disorder group and 168 cases of sleep well in good sleep group.It was performed an analysis of clinical features of hypertension patients with sleep disorders,and of its influence factors.RESULTS The results of single factor analysis showed that age,siesta habit,BMI,sleeping in bed,type of dinner,night snack,and high blood pressure grade had influence on the quality of sleep.The results of multifactor analysis showed that age（OR=1.107,95%CI：1.02-2.473,P=0.012）,non-rest in bed for sleep（OR=1.650,95%CI：1.479-4.946,P〈0.001）,hypertension（OR=2.754,95%CI：2.350-13.471,P〈0.001）were risk factors for sleep disorders.The siesta habit was a protective factor for sleep quality（OR=0.347,95%CI：0.314-0.942,P〈0.001）.CONCLUSIONS The incidence of sleep disorders is high in hypertensive patients.Age,non-rest in bed for sleep,high blood pressure are risk factors for sleep disorders,and siesta habit is a protective factor for sleep quality.
作者
王长庚
郝书锋
吴立行
WANG Chang-geng , HAO Shu-feng , WU Li-xing(Vasculocardiology Department, Ningjin County Hospital of Traditional Chinese Medicine ,Dezhou 253000, P. R. China)
出处
《社区医学杂志》
2018年第14期1135-1137,共3页
Journal Of Community Medicine
关键词
高血压
睡眠障碍
危险因素
hypertension
sleep disorders
risk factors
