摘要
目的:探讨影响围绝经期低维生素D水平妇女睡眠质量的因素。方法:选取2020年3月至2021年12月东莞市东坑医院妇产科收治的围绝经期维生素D缺乏妇女50例作为观察组,选取同时期收治的围绝经期维生素D水平正常妇女50例作为对照组。采用匹兹堡睡眠质量指数量表(PSQI)评估2组患者的睡眠质量,采用抑郁自测量表(SDS)和焦虑自测量表(SAS)评估2组患者的焦虑抑郁情况,检测2组患者的维生素D水平。结果:1)观察组患者的PSQI评分明显高于对照组,2组比较差异有统计学意义(P<0.05);2)观察组患者的SDS评分及SAS评分均明显高于对照组,2组比较差异均有统计学意义(均P<0.05);3)观察组患者的血清维生素D水平明显低于对照组,2组比较差异有统计学意义(P<0.05)。结论:围绝经期妇女多数存在睡眠障碍,而焦虑抑郁的负性情绪、活动减少、血清维生素D缺乏是影响睡眠质量的重要因素,应及早采取有效的干预措施,提高围绝经期妇女维生素D水平,改善其睡眠质量,提高其生命质量。
Objective:To explore the factors affecting the sleep quality of perimenopausal women with low vitamin D level.Methods:A total of 50 perimenopausal women with vitamin D deficiency treated in Dongguan Dongkeng Hospital from March 2020 to December 2021 were selected as the observation group,and 50 perimenopausal women with normal vitamin D level in our department at the same time were selected as the control group.Pittsburgh sleep quality index(PSQI)score was used to evaluate the sleep quality of the two groups,self rating Depression Scale(SDS)and self rating Anxiety Scale(SAS)scores were used to evaluate the anxiety and depression of the two groups,and the vitamin D level of the two groups was measured.Results:1)the PSQI score of the observation group was significantly higher than that of the control group,and the difference between the two groups was statistically significant(P<0.05);2)The SDS and SAS scores of observation group were significantly higher than those of control group,and the difference between the two groups was statistically significant(P<0.05);3)the serum vitamin D level of patients in the observation group was significantly lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:most perimenopausal women have sleep disorders,and the negative emotions of anxiety and depression,decreased activity and serum vitamin D deficiency are important factors affecting sleep quality.Effective intervention measures should be taken as soon as possible to improve the vitamin D level,sleep quality and life quality of perimenopausal women.
作者
陈方耿
莫志平
李美玲
岑振考
冯洁
苏婉如
CHEN Fanggeng;MO Zhiping;LI Meiling;CEN Zhenkao;FENG Jie;SU Wanru(Department of Obstetrics and Gynecology,Dongguan Dongkeng Hospital,Dongguan 523451,China)
出处
《世界睡眠医学杂志》
2023年第2期297-299,共3页
World Journal of Sleep Medicine
基金
东莞市社会科技发展(一般)项目(202050715037062)——围绝经期妇女维生素D、K_(2)水平与骨质疏松的关系。
关键词
围绝经期
睡眠障碍
心理干预
血清维生素D
Perimenopausal
Sleep disorder
Psychological intervention
Serum vitamin D