住院老年心肌梗死患者生活质量和睡眠质量的相关性研究

目的观察住院老年心肌梗死患者生活质量与睡眠质量的相关性。方法选取2011年1月到2013年6月期间住院的老年心肌梗死患者64例作为研究对象。对患者进行问卷调查,问卷调查内容包括堪萨斯城心脏病患者生活质量评分和匹兹堡睡眠质量指数量表,并将患者的生活质量评分与患者的睡眠质量各项指标评分以及一般资料进行相关性分析。结果心肌梗死患者的睡眠质量总分为(9.5±4.8)分,生活质量总分为(71.7±22.9)分。患者睡眠质量评分最高的是入睡时间,催眠药物的评分最低;生活质量中评分较高的是症状和躯体受限,评分较低的是社会功能和心理维度。相关性分析结果显示,心肌梗死患者的生活质量与睡眠各项指标的评分均具有相关性(P0.05),与患者的经济状况和文化程度也具有相关性(P0.05)。结论老年心肌梗死患者常伴有睡眠障碍的问题,心理问题比较严重,患者的生活质量评分与睡眠质量存在一定的关系,对患者加强心理调节和解决睡眠问题有助于提高患者的生活质量。

Correlation study of health - related life quality and sleep quafity of hospitalized patients with myocardial infarction

Objective To observe the correlation between health - related life quality and sleep quality of patients with myocardial infarction. Methods Sixty - four elderly patients with myocardial infarction in our hospital from January 2011 to June 2013 were selected as the object of study. The patients were investigated with a questionnaire, whose content included Kansas City Cardiomyopathy Questionnaire （KCCQ） and Pittsburgh Sleep Quality Index （PSQI） questionnaire. Correlation analysis was made between the scores of KCCQ, PSQI and the general data of patients. Results The total score of sleep quality in patients with myocardial infarction was 9.5 ± 4.8, and score of life quality was 71.7 ± 22.9. The highest sleep quality score was obtained at the moment of falling asleep, at which the hypnotic drugs was the lowest. The higher scores of quality of life were the symptom and limited body function, and the lower scores were the social function and psychological dimension. The results of correlation analysis showed that the life quality scores and sleep index of patients with myocardial infarction were correlated （ P 〈0.05 ）, and the scores also correlated with economic conditions and education level of patients （ P 〈 0. 05 ）. Conclusion Elderly patients with acute myocardial infarction often suffer from sleep disorders and serious psychological problems. There is a certain relationship between the score of life quality and sleep quality. Therefore, psychological adjustment and solving the problem of sleep can help to improve the quality of life of these patients.