河北省住院麻风病患者的睡眠质量调查

目的了解河北省住院麻风病患者的睡眠特点及规律。方法选取河北望都皮肤病防治院确诊的住院麻风病患者41例为研究组,按照相同性别、相同职业及年龄±2岁的原则,在探视家属及附近居民抽取有效样本43例做为对照组。采用匹兹堡睡眠质量指数(PSQI)中国修订版评定两组患者最近1个月的睡眠质量,以7分为有睡眠问题。结果研究组PSQI评定总分明显高于对照组(t=6.90,P0.01),尤其应用催眠药物因子分差异更加明显,研究组有睡眠问题者19例(46.3%),高于对照组7例(16.3%),差异有统计学意义(χ2=8.88,P0.01)。结论麻风病患者睡眠问题发生率高,应引起医务工作者的注意,睡眠障碍不能单纯依赖药物治疗,要有针对性的开展心理咨询和治疗,从根本上解除影响麻风病患者睡眠质量的因素,以提高这类人群的生存质量。

Study on the Sleeping Quality of the Patients with Leprosy in Hospital in Hebei Province

Objective To investigate the characteristic and regulations of the sleeping quality of the patients with leprosy in hospital in Hebei Province.Methods The diagnosed 41 patients with leprosy in Dermatosis Prevention Institute in Wang Du,Hebei were assigned as the members in experiment group.While based on the same gender,career,and age older or younger 2,43 visiting families and near residents were assigned as the members in control group.The sleeping quality of the members in the two groups was checked for one month by the adapted Pittsburgh Sleep Quality Index（PSQI） in China,conducting the sleeping problem with a score higher than 7.Results the score of the PSQI in the experiment group was apparently higher than that in control group（t=6.90,P0.01）,especially with the application of hypnotic drugs,the result was more obvious.There were 19 patients with sleep problems in the experiment group（46.3%）,higher than 7 cases in the control group（16.3%）.The difference showed the significant meaning（χ2=8.88,P0.01）.Conclusion High incidence of the sleeping problems of the patients with leprosy should draw the attention of medical workers.Not only the medication but the psychological counseling and treatment should be used to cure sleep disorders to be removed from the fundamental factors affecting the quality of leprosy sleep to improve the life of those people.