摘要
目的探讨分析住院乙型肝炎后肝硬化患者睡眠障碍与社会支持的相关性。方法选取符合纳入条件且知情同意的134例乙型肝炎肝硬化患者,采用匹兹堡睡眠质量指数量表(PSQI)、社会支持评定量表(SSRS)、抑郁症筛查量表(PHQ-9)、广泛性焦虑量表(GAD-7)进行调查,收集研究对象的一般资料。采用单因素方差分析,Pearson相关性分析、多元线性回归进行统计学处理。结果乙型肝炎肝硬化患者睡眠障碍患病率为55.2%(69/125),PSQI总平均分为7.75±3.52分,PSQI总分与SSRS及其三个维度、PHQ-9、GAD-7均存在统计学意义(P<0.05),其中PSQI总分与SSRS及其三个维度呈现负相关(r值分别为-0.207、-0.257、-0.234、-0.294,P<0.05),与PHQ-9、GAD-7呈现正相关(r值分别为0.519、0.347,P<0.05)。多元线性回归显示,SSRS、PHQ-9为患者PSQI总得分的独立影响因素(R^(2)=0.296,P<0.05)。结论乙型肝炎肝硬化患者睡眠障碍患病率高,与社会支持息息相关,对患者提供较好的社会支持可在一定程度上减少患者睡眠障碍的程度。
Objective To explore and analyze the correlation between sleep disturbance and social support in hospitalized patients undergoing liver cirrhosis after hepatitis B.Methods To select 134 cases of patients who underwent liver cirrhosis after hepatitis B and met the included conditions and informed consent were investigated by Pittsburgh sleep quality index(PSQI),social support rating scale(SSRS),patient health questionnaire-9(PHQ-9),generalized anxiety disorde-7(GAD-7),and general data of the research subjects were collected.Univariate analysis of variance,Pearson correlation analysis,and multiple linear regression were used for statistical processing.Results The prevalence of sleep disorders in patients with hepatitis B cirrhosis was 55.2%(69/125).The total average PSQI score was 7.75±3.52 points.The total PSQI score and SSRS and its three dimensions,PHQ-9 and GAD-7 were statistically significant(P<0.05).Among them,PSQI The total score was negatively correlated with SSRS and its three dimensions(r values are-0.207,-0.257,-0.234,-0.294 respectively,P<0.05),and positively correlated with PHQ-9 and GAD-7(r values are 0.519,0.347 respectively,P<0.05).Multiple linear regression analysis showed that the SSRS and PHQ-9 were the independent influencing factors of patients’total PSQI score(R^(2)=0.296,P<0.05).Conclusion The prevalence of sleep disorders in patients undergoing liver cirrhosis after hepatitis B was high,which was closely related to social support.Providing better social support to patients can reduce the degree of sleep disorders in patients to a certain extent.
作者
林丽燕
王碧芬
赖瑾
LIN Liyan;WANG Bifen;LAI Jin(The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)
出处
《护理实践与研究》
2021年第10期1469-1473,共5页
Nursing Practice and Research
关键词
乙型肝炎肝硬化
睡眠障碍
社会支持
Liver cirrhosis after hepatitis B
Sleep disturbance
Social support
