功能性胃肠病患者睡眠质量调查

目的分析功能性胃肠疾病(FGIDs)患者与健康人群睡眠质量的区别,探讨FGIDs患者的睡眠质量。方法采用匹兹堡睡眠质量指数(PSQI)对329例FGIDs患者进行问卷调查,再与健康人群的匹兹堡质量指数总分进行比较,采用两样本t检验进行统计学分析。结果 PSQI总得分均分为(11.27±4.02),与正常健康人群的匹兹堡质量指数总分(7.00±0.47)进行比较,P<0.001,可认为功能胃肠病患者的PSQI总得分与健康人群PSQI总得分有统计学意义。结论功能性胃肠病患者确实存在睡眠异常。在进行临床治疗时,除对症治疗胃肠道相关病症外,应考虑改善患者的睡眠质量。     

合并溃疡的下肢静脉曲张患者睡眠质量研究

目的了解合并溃疡的下肢静脉曲张患者主观睡眠质量特点,为改善合并溃疡的下肢静脉曲张患者睡眠质量提供线索。方法对合并溃疡的大隐静脉曲张患者使用匹兹堡睡眠质量指数(PSQI)量表评定其主观睡眠质量。结果合并溃疡组PSQI总评分高于对照组和单纯静脉曲张组。合并溃疡组的睡眠质量差的比率明显高于对照组和单纯静脉曲张组。伴溃疡组患者的睡眠潜伏期长于对照组和单纯静脉曲张组,睡眠紊乱重于对照组和单纯静脉曲张组。结论单纯静脉曲张组睡眠质量与正常对照组没有差别,而伴溃疡组主观睡眠质量较差,因此要重视伴溃疡组的睡眠质量,给予早期治疗以提高睡眠质量,利于病情恢复。     

嗜睡量表对老年阻塞性睡眠呼吸暂停综合征初筛诊断意义(附98例分析)

目的为阻塞性睡眠呼吸暂停综合征(OSAS)患者寻找简捷、价廉的初筛诊断方法。方法应用Epworth嗜睡量表(ESS)对患者进行嗜睡评分(EP),再与多导睡眠图(PSG)检查结果进行比较,研究其相关性。结果各组EP及PGS结果比较:EP组与OSAS组的轻度、中度、重度患者逐渐升高,组间差比较有显著性差异(P<0.05)。各组患者呼吸暂停低通气指数(AHI)、最低SaO2(L SaO2)、SaO2<90%占睡眠时间百分比(SIT90),有显著性差异(P<0.05)。EP与PSG结果有相关性,EP越高OSAS病情越重。结论ESS表对老年人OSAS具有方法简便、经济易行、准确率较高的特点,可以用于基层医院和在人群普查时对可疑OSAS患者进行初筛诊断,为筛查OSAS患者提供诊断依据。     

某干休所老年人睡眠状况调查及对策

睡眠质量不仅影响到老年人的日间功能和心身健康,也与多种精神疾病的发生和发展密切相关[1]。为此,我们于2008年9月至2009年1月对3个部队干休所的离休老干部及家属进行了睡眠状况调查,现报告如下。     

改良Epworth嗜睡量表在妊娠合并阻塞性睡眠呼吸暂停低通气综合征中的应用

目的 应用改良Epworth嗜睡量表（ESS）对妊娠合并阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者进行筛查,并评估其效果.方法 选择单纯妊娠组22例、妊娠合并OSAHS（轻度23例、中度22例、重度19例）组64例,采用ESS和改良ESS进行评分得出EP值和改良EP值,并测量颈围（NC）、体质量指数（BMI）,行多导睡眠监测（PSG）并得出呼吸暂停低通气指数（AHI）和最低血氧饱和度（LSaO2）,分析改良ESS和ESS与AHI的相关性并绘制ROC曲线.结果 妊娠合并轻度OSAHS组的EP值与单纯妊娠组差异无统计学意义（P＞0.05）;其余妊娠合并OSAHS组的改良EP、EP值与单纯妊娠组均有统计学意义（均P＜0.05）;改良EP、EP、NC、BMI值与AHI值呈现正相关,相关系数r分别为0.876、0.748、0.671、0.670（均P＜0.001）;改良EP、EP、NC、BMI的曲线下面积（AUC）值为0.901、0.819、0.750、0.779;当改良EP值=8.5时,有较高的灵敏度（84.4%）与特异性（90.9%）.结论 改良ESS对妊娠合并OSAHS的患者有较好的临床筛查价值.     

125例维持性血液透析患者睡眠质量调查分析

目的了解维持性血液透析患者的睡眠质量及其影响因素,为提供针对性干预措施提供依据。方法采用匹兹堡睡眠质量指数量表(pittsburgh sleep quality index,PSQI)对125例维持性血液透析患者进行问卷调查。结果 55.2%的维持性血液透析患者存在不同程度的失眠,其问题主要表现为睡眠质量、睡眠时间、入睡时间、睡眠效率、睡眠障碍、催眠药物和日间功能障碍,主要病因为由疾病导致的躯体相关疾病因素及精神心理因素。结论维持性血液透析患者中普遍睡眠质量较差,并受多因素影响。     

泥城社区404名居民睡眠质量调查分析

目的：对上海远郊泥城社区18～60岁居民进行睡眠质量及相关影响因素调查分析,为耳穴埋豆治疗睡眠障碍提供依据。方法：2012年9月随机抽样泥城社区6村居民404人,在调查人员指导下自填问卷;利用匹兹堡睡眠质量指数量表（PSQI）对人群睡眠质量进行评价,进行睡眠质量影响因素相关性分析。结果：泥城居民PSQI总均分为（4．83±2．53）分,睡眠质量差（PSQI≥7分）的发生率为15．8％。睡眠质量与性别、年龄、职业、学历、婚姻状况、失眠家族史、吸烟、身体健康状况有关;与工作或学习压力、收入、居住地环境、饮酒等无显著性关联。结论：居民睡眠问题比较普遍,社区有必要开展睡眠相关知识的健康教育和社区干预。     

社区老年原发性高血压患者睡眠质量的调查研究

目的了解社区老年原发性高血压患者的睡眠质量。方法采用匹兹堡睡眠质量指数（PSQI）作为调查工具,对145例长沙市砂子塘社区老年原发性高血压患者和140例正常老年人的睡眠质量进行调查。结果老年原发性高血压患者睡眠质量问题报告率为45．67％,正常老年人睡眠质量问题报告率为25．12％,差异有统计学意义（P〈0.01）。老年原发性高血压患者PSQI总分睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物和日间功能障碍影响与正常老年人相比,差异有统计学意义（P〈0.05）。结论社区老年原发性高血压患者的睡眠质量问题较多,应积极进行健康宣教。     

围绝经期妇女心理状况与睡眠质量的相关性研究

目的探讨围绝经期妇女心理状况与睡眠质量的相关性。方法选取2011年1月至2012年12月就诊于山东省精神卫生中心门诊的601例有睡眠障碍主诉的45—55岁围绝经期女性患者作为研究对象,利用自拟问卷、匹兹堡睡眠质量指数（PSQI）量表和症状自评量表（SCL-90）对601例更年期妇女进行一般情况、睡眠质量及心理健康状况调查。结果601例有睡眠障碍主诉的围绝经期妇女PSQI平均得分（6±4）分,其中27．8％（167／601）存在睡眠质量问题（PSQI总分〉7）。相关分析表明PSQI总分与SCL-90总分存在相关性（r=0．535,P〈0．05）。多因素回归分析提示,躯体化、抑郁、焦虑和偏执可能是影响就诊的围绝经期妇女睡眠质量的影响因素（t值分别为7．25,3．02,2．64,-3．39,均P〈0．01）。结论就诊围绝经期妇女睡眠质量可能受心理健康状况影响。     

湖南省普通成人中饮酒者与非饮酒者的睡眠质量调查

目的:了解湖南省普通成人饮酒者与非饮酒者的睡眠质量.方法:采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)问卷对湖南省4961名饮酒者和17 740名非饮酒者的睡眠质量进行调查.结果:饮酒者PSQI总分为4.72±2.73分,明显高于非饮酒者(4.29±2.65分),差异...     

Epworth量表在飞行人员睡眠呼吸暂停低通气综合征流行病学调查中的应用价值

目的评价Epworth嗜睡评价量表(ESS)在飞行人员睡眠呼吸暂停低通气综合征(SAHS)流行病学调查中的应用价值。方法采用整群抽样法,对1200名飞行人员进行ESS量表及问卷调查,有效率为88.8%。对打鼾者和(或)Epworth量表(ESS)评分≥9分者,随机检测夜间脉搏血氧饱和度(SpO2),对氧减饱和指数(ODI)≥10次/h者,行整夜多导睡眠图(PSG)监测。临床可疑SAHS者,直接行PSG监测。结果保守估计飞行人员SAHS的患病率为0.8%。ESS均值在不打鼾、单纯鼾症及SAHS三组之间呈逐渐增高趋势,各组间有显著性差异。按ESS评分<9分和≥9分分组,各组构成比有显著性差异,ODI结果亦有显著差异(P均<0.001)。在AHI<5次/h和≥5次/h两组间,ESS评分无显著性差异(P>0.05)。结论ESS量表在飞行人员SAHS流行病学调查中具有初筛作用,在SAHS诊断、判断严重程度及治疗效果方面具有一定预测作用。但对飞行人员等特殊职业人群SAHS的筛查可能存在一定局限性,建议补充、限定,提高应用价值。     

福州部分大学生特质焦虑与睡眠质量的相关性调查

目的探讨大学生特质焦虑与其睡眠质量之间的关系。方法分层随机抽取福州地区453名大学生为对象,采用特质焦虑量表(T-AI)和匹兹堡睡眠质量量表(PSQI)进行调查。结果大学生睡眠问题检出率为11.48%;特质焦虑得分存在显著的性别与年级差异;特质焦虑和PSQI总分、主观睡眠质量及入睡时间等因子呈显著正相关(r=0.16,P<0.01;r=0.16,P<0.01;r=0.11,P<0.01),且具有正向预测作用(β=0.16,P<0.01;β=0.16,P<0.01;β=0.11,P<0.01)。结论特质焦虑对大学生睡眠质量有显著预测作用。     

护理干预改善体育类大学生睡眠质量的研究

目的探讨护理干预对改善体育类大学生睡眠质量的作用。方法选取睡眠质量较差的体育类大学生60例,随机分为足底按摩组、放松组和对照组,对照组不进行任何护理干预措施。半年后同时测定3组匹兹堡睡眠质量指数（PSQI）量表的评分。结果经护理干预半年后,足底按摩组和放松组PSQI总评分均明显比干预前降低（P〈0.05）;放松组入睡时间评分比足底按摩组低,但足底按摩组睡眠时间评分比放松组低（P〈0.05）。结论放松训练和足底按摩护理干预都有利于改善体育类大学生的睡眠质量,值得推广应用。     

Global sleep quality as a moderator of alcohol consumption and consequences in college students

The authors examined the relationship between global sleep quality and alcohol risk, including the extent to which global sleep quality moderated the relationship between alcohol use and drinking-related consequences. Global sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) and alcohol-related consequences were assessed using the Rutgers Alcohol Problem Index (RAPI). The sample consisted of 261 college students (61.3% female, 58.2% Caucasian) who completed online surveys. Using a four-step hierarchical multiple regression model, global sleep quality was found to predict alcohol consequences, over and above assessed covariates (demographics and weekly drinking). Further, global sleep quality emerged as a strong moderator in the drinking-consequences relationship such that among heavier drinkers, those with poorer global sleep quality experienced significantly greater alcohol-related harm. Campus health education and alcohol interventions may be adapted to address the importance of maintaining a healthy lifestyle, both in terms of healthful sleeping and drinking behaviors, which appear to play a strong synergistic role in alcohol-related risk.     

Sleep and Gambling Severity in a Community Sample of Gamblers

Although sleep has been extensively studied in substance related disorders, it has yet to be examined as thoroughly in gambling-related disorders. The purpose of this study is to examine the relationship between gambling severity and sleep disturbances in a sample of non-treatment seeking gamblers (N = 96) using the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). Mean ESS scores for recreational, problem, and pathological gamblers were 4.13, 5.81, and 8.69, respectively, with a significant difference between pathological gamblers and both problem (P = .007) and recreational gamblers (P < .001). Mean PSQI scores for recreational, problem, and pathological gamblers were 3.35, 5.30, and 5.44, respectively, with a significant difference in sleep quality between recreational and problem gamblers (P = .018), as well as recreational and pathological gamblers (P = .008). As the first study to use objective sleep measures, these findings will not only increase awareness of this relationship, but also provide a foundation on which others can investigate the benefits of screening and adjunct treatment for sleep disorders in the gambling population.     

Impact of COVID-19 lockdown on sleep quality of pharmacy students in UiTM Puncak Alam

Due to the COVID-19 pandemic, the closure of educational institutions was executed during the period of lockdown. This subsequently led to alterations in daily routines and emotional distress, particularly among university students, affecting their sleep quality resulting in disturbance of immune functioning and mood regulation. Hence, the present study aimed to measure students' sleep quality during the first few months of the lockdown period. This study is a cross-sectional, single-centred survey that was done by distributed electronic questionnaire. The e-questionnaire was divided into 4 sections that assessed socio-demographic characteristics, sleep quality, psychological state and engagement in physical activity. Exactly 248 valid responses were received, 82 % female students. Students with poor sleep quality were three times greater than those with good sleep quality. No association were found between physical activity and sleep quality. However, a significant positive relationship between sleep quality and psychological state was observed (p < 0.01). In conclusion, this study suggests that the majority of pharmacy students in UiTM Puncak Alam are poor sleepers and psychological distress negatively affects sleep quality but, is mainly due to stress. Thus, interventions such as stress management programs and mental health support can be taken by the faculty's management to overcome this problem.