广州市重症监护室脓毒症心肌病患者睡眠状况调查

目的 研究重症监护室（ICU）脓毒症心肌病患者睡眠状况,并分析相关影响因素。方法 选取某医院ICU收治的脓毒症心肌病患者为研究对象,使用睡眠问卷量表和ICU睡眠质量相关因素调查表对患者的睡眠质量进行评估,并分析睡眠状况相关影响因素。结果 本研究共对188例ICU脓毒症心肌病患者进行睡眠状况及相关因素调查,患者中男性112例,女性76例,平均年龄（65.96 ± 4.32）岁,住院时间3~15 d,平均住院时间（6.85 ± 2.74）d。患者睡眠质量（57.62 ± 13.51）分、觉醒（55.65 ± 9.87）分、睡眠潜伏期（56.05 ± 10.87）分、睡眠效率（54.69 ± 12.39）分、睡眠深度（56.51 ± 17.60）分。多元线性回归分析结果显示疼痛、呼吸不畅均降低患者5项睡眠评分（标准系数：-0.365、-0.201）,转运/走路/抢救噪音均降低患者睡眠质量、觉醒和睡眠深度评分（标准系数：-0.658~-0.336）,其他不适降低患者睡眠质量和睡眠深度评分（标准系数：-0.487、-0.207）,焦虑降低睡眠质量、睡眠潜伏期评分（标准系数：-0.665、-0.365）,使用镇静药物降低觉醒评分（标准系数：-0.147）。结论 ICU脓毒症心肌病患者的睡眠状况整体较差,噪声、疼痛、负性情绪等是影响其睡眠质量的主要因素。

Sleep status of patients with septic cardiomyopathy in ICU in Guangzhou

Objective To investigate the sleep status of patients with septic cardiomyopathy in ICU in Guangzhou and analyze the related influencing factors.Methods Patients with septic cardiomyopathy in ICU of a hospital were selected as research subjects. Sleep Questionnaire Scale and ICU Sleep Quality Related Factors Questionnaire were used to assess the sleep quality of the patients, and the influencing factors of sleep status were analyzed.Results A total of 188 patients with septic cardiomyopathy were investigated, including 112 males and 76 females, with an average age of （65.96 ± 4.32） years. The average length of hospital stay was （6.85 ± 2.74） days, ranging from 3 to 15 days. Scores were （57.62 ± 13.51） for the sleep quality, （55.65 ± 9.87） for arousal, （56.05 ± 10.87） for sleep latency, （54.69 ± 12.39） for sleep efficiency, and （56.51 ± 17.60） for sleep depth. Multiple linear regression analysis showed that the pain and poor breathing reduced 5 points of the sleep scores （standardized coefficient SC]： -0.365, -0.201）, and the transfer/walking/rescue noise reduced the patient‘s sleep quality, wakefulness and sleep depth scores （SC： -0.658, -0.336）, other discomforts reduced the patient’s sleep quality and sleep depth score （SC： -0.487, -0.207）, anxiety decreased sleep quality sleep latency score （SC： -0.665, -0.365）, sedatives reduced awakening score （SC： -0.147）.Conclusion Sleep status of patients with septic cardiomyopathy in ICU was generally poor. Noise, pain and negative emotions were the main factors influencing sleep quality.