住院稳定期慢性阻塞性肺疾病患者睡眠质量及影响因素调查分析

目的：探讨住院稳定期慢性阻塞性肺疾病（COPD）患者的睡眠质量现状及其影响因素。方法：采用匹兹堡睡眠质量指数量表（PSQI）、睡眠个人信念与态度量表（DBAS）、焦虑自评量表（SAS）、抑郁自评量表（SDS）、自制夜间症状调查表对146例住院稳定期COPD患者进行问卷调查，评估其睡眠质量，并分析睡眠质量的影响因素。结果：住院稳定期COPD患者的PSQI总分为（7.05±2.27）分，显著高于国内常模；78例（53.42%）患者存在睡眠质量问题；夜间症状、焦虑、抑郁、睡眠个人信念和态度、吸烟、合并其他慢性病是稳定期COPD患者睡眠质量的主要影响因素。结论：慢性阻塞性肺疾病患者睡眠质量较差；临床医务人员可根据影响因素，开展有针对性的睡眠管理，进而改善患者睡眠质量。

A survey of sleep quality and its inlfuencing factors among the hospitalized stable COPD patients

Objective：To explore the current status of sleep quality and its inlfuencing factors among hospitalized stable COPD patients. Methods：The PSQI, DBAS, SAS, SDS and self-designed nocturnal symptoms questionnaire were used to investigate 146 hospitalized stable COPD patients and to analyze the inlfuencing factors. Results：The PSQI score of stable COPD patients is 7.05＆#177;2.27, signiifcantly higher than domestic norm. There are 78（53.42%） patients are troubled by sleep problems. Nocturnal symptoms, anxiety, depression, beliefs and attitudes towards sleep, smoking and combined with other chronic diseases are the main inlfuencing factors. Conclusion：Stable COPD patients had a poor sleep quality. Nurses should take some effective measures to improve patients＆#39; sleep quality according to the inlfuencing factors.