睡眠障碍对老年慢性功能性便秘患者焦虑抑郁情绪和生活质量的影响分析

背景随着饮食结构的改变和生活方式的快速变化,慢性便秘发病率呈逐渐上升趋势.睡眠障碍可增加胃肠道症状,也是焦虑、抑郁形成的一个危险因素.本研究旨在探讨睡眠障碍对老年慢性功能性便秘患者焦虑抑郁情绪和生活质量的影响进行分析,以期为治疗老年慢性功能性便秘患者的新思路提供客观依据.目的旨在探讨睡眠障碍对老年慢性功能性便秘患者焦虑抑郁情绪和生活质量的影响分析.方法选择2017-03/2019-09在我院就诊的126例老年慢性功能性便秘患者为研究对象,根据是否有睡眠障碍分为睡眠障碍组和睡眠正常组.对所有患者进行便秘评分系统(constipatipation scoring system,CSS)、便秘患者症状自评问卷(patient assessment of constipation symptom,PAS-SYM)、睡眠质量评估、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(selfrating depression scale,SDS)及生活质量量表评分.结果睡眠障碍组CSS评分为19.63分±3.36分,PAS-SYM评分为1.59分±0.52分,SAS评分为58.92分±6.72分,SDS评分为57.74分±6.38分,均高于睡眠正常组(P<0.05).睡眠障碍组患者社会功能评分为71.56分±3.38分、情绪评分为75.89分±2.95分、躯体角色评分为76.86分±2.92分、躯体健康评分为80.25分±3.35分、心理卫生评分为78.36分±3.65分、总健康评分为76.19分±2.56分,均低于睡眠正常组,差异有统计学意义(P<0.05).CSS、PAC-SYM各维度评分以及总分均与SAS、SDS评分呈正相关(P<0.05);生活质量量表中6个维度的得分与SAS、SDS评分均呈负相关(P<0.05).结论睡眠障碍和焦虑、抑郁可能是影响老年慢性功能性便秘患者临床症状的重要因素,并影响患者生活质量.

Influence of sleep disorders on anxiety and depression and quality of life in elderly patients with chronic functional constipation

BACKGROUND With the changes of dietary structure and lifestyles,the incidence of chronic constipation is gradually increasing.Sleep disorders increase gastrointestinal symptoms and are a risk factor for anxiety and depression.The purpose of this study was to explore the influence of sleep disorders on anxiety and depression and quality of life in elderly patients with chronic functional constipation,so as to provide an objective basis for the treatment of elderly patients with chronic functional constipation.AIM To investigate the effects of sleep disorders on anxiety and depression and quality of life in elderly patients with chronic functional constipation.METHODS A total of 126 elderly patients with chronic functional constipation admitted to our hospital from March 2017 to September 2019 were selected as the study subjects.They were divided into a sleep disorder group and a normal sleep group according to whether they had a sleep disorder.All patients underwent assessments using the constipation scoring system(CSS),patient assessment of constipation-symptoms(PAS-SYM)questionnaire,sleep quality assessment,self-rating anxiety scale(SAS),selfrating depression scale(SDS),and a quality of life scale.RESULTS In the sleep disorder group,the CSS score was 19.63±3.36,the PAS-SYM score was 1.59±0.52,the SAS score was 58.92±6.72,and the SDS score was 57.74±6.38,all of which were significantly higher than those of the normal sleep group(P<0.05).The scores of social function,emotional score,physical role,physical health,mental health,and total health in the sleep disorder group were 71.56±3.38,75.89±2.95,76.86±2.92,80.25±3.35,78.36±3.65,and 76.19±2.56,respectively,all of which were significantly lower than those of the normal sleep group(P<0.05).CSS scores,PAS-SYM scores,and total scores were positively correlated with SAS and SDS scores(P<0.05).The scores of the six dimensions in SF-36 were negatively correlated with SAS and SDS scores(P<0.05).CONCLUSION Sleep disorders,anxiety,and depression may be important factors affecting the clinical symptoms and quality of life of elderly patients with chronic functional constipation.