方舱医院新型冠状病毒感染患者睡眠质量现状及影响因素分析

目的探讨方舱医院新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)患者睡眠质量现状及其影响因素。方法采用非概率抽样方法,选取方舱医院214例COVID-19患者作为研究对象,应用自制的一般资料调查表、匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)、恐惧疾病进展量表(fear of progression questionnaire-short form,FoP-Q-SF)、患者健康问卷抑郁自评量表(patient health questionnaire,PHQ-9)和痛苦表露指数量表(the distress disclosure index,DDI)对其进行问卷调查。结果方舱医院COVID-19患者PSQI总分为7.00(6.00,11.00)分,FoP-Q-SF总分为31.00(22.00,38.00)分,PHQ-9总分为5.00(2.00,8.00)分,DDI总分为37.00(31.00,44.00)分。PSQI总分与FoP-Q-SF总分、PHQ-9总分呈正相关(r=0.42,r=0.40),与DDI总分呈负相关(r=-0.53)。多因素分析结果显示,入舱时间、咳嗽、恐惧疾病进展、抑郁程度、痛苦表露水平是影响方舱医院COVID-19患者睡眠质量的主要因素。结论方舱医院COVID-19患者睡眠质量尚可,参与救援机构应针对影响患者睡眠质量的主要因素给予干预,建立统一完善的方舱医院管理方案,加大对患者身心的整体护理,减轻患者的心理应激反应,从而提高其睡眠质量。

The sleep quality of patients with coronavirus disease 2019 in fangcang hospital and its related influencing factors

Objective To study the sleep quality of patients with coronavirus disease 2019(COVID-19) in fangcang hospital and its related influencing factors. Methods Using non probability sampling method, 214 patients with COVID-19 in fangcang hospital were selected as the research objects. The self-made general information questionnaire, Pittsburgh sleep quality index (PSQI), fear of progression questionnaire-short form (FoP-Q-SF), patient health questionnaire (PHQ-9) and the distress disclosure index (DDI) were used. Results The total scores of PSQI,FoP-Q-SF,PHQ-9 and DDI were 7.00 (6.00, 11.00), 31.00 (22.00, 38.00), 5.00 (2.00,8.00) and 37.00(31.00,44.00),respectively. The total score of PSQI was positively correlated with the total score of FoP-Q-SF and PHQ-9(r=0.42,0.40), negatively correlated with the total score of DDI(r=-0.53).The multiple regression analysis results showed that the main factors affecting the sleep quality of patients with covid-19 in fangcang hospital were the entry time, cough, the progress of fear disease, the degree of depression and the level of pain exposure. Conclusion The sleep quality of COVID-19 patients in fangcang hospital is acceptable. The rescue organizations should accord to the main factors affecting the sleep quality of patients with COVID-19 give intervention, establish a unified and perfect management plan of fangcang hospital, increase the overall care of patients' body and mind, reduce patients' psychological stress response, and improve their sleep quality.