骨质疏松疾病状况对老年患者睡眠质量的影响

目的了解老年骨质疏松(OP)患者的疾病状况对其睡眠质量的影响。方法采用匹兹堡睡眠质量指数量表(PSQI)对在2014年7月到12月期间就诊于华北理工大学附属医院412例的≥60岁骨质疏松患者进行睡眠情况调查。应用SPSS17.0统计软件对数据进行一般描述性分析、t检验、方差分析和多元线性回归分析。结果多元线性逐步回归分析显示,影响老年骨质疏松患者睡眠质量的一般因素有婚姻、月收入,疾病因素有自理能力、走路迟缓、乏力、OP程度、疼痛程度分段、肌肉痉挛、慢病数量、用药种类等,差异有统计学意义(P0.05)。结论骨质疏松疾病状况影响老年骨质疏松患者睡眠质量,其中疼痛影响睡眠质量,且疼痛程度越重,对睡眠质量影响越大;自理能力的改变、乏力使老年OP患者夜间睡眠时间减少;肌肉痉挛造成老年OP患者睡眠障碍。应积极采取应对措施,提高老年骨质疏松患者睡眠质量。

Effect of osteoporosis disease status on sleeping quality in the elderly patients

Objective To study the effect of osteoporosis disease status on the sleeping quality in the elderly patients. Methods The sleeping quality of 412 elderly patients aged over 60 years with osteoporosis were investigated using Pittsburgh sleep quality index scale (PSQI) in the Affiliated Hospital of North China University of Science and Technology from July to December 2014. Data described in general, t test, variance analysis, and multiple linear regression analysis were performed using a SPSS 17. 0 statistical software. Results The result of multivariate logistic regression analysis showed that sleeping quality of the elderly patients with osteoporosis was correlated to marriage, monthly income, disease factors living, walking slow, fatigue, OP level, pain segment, muscle spasms, the number of chronic diseases, and medication type (P <0.05). Conclusion Osteoporosis disease status affects the quality of sleep of the elderly patients. The more severe the pain it is, the greater the impact on the quality of sleep. The nocturnal sleep time reduces with self-care ability changes and weakness. Muscle spasm causes sleep disorders in elderly patients with osteoporosis. More measures should be taken to improve the quality of sleep in elderly patients with osteoporosis.