妊高症继发失眠患者睡眠质量与心理健康状况的相关研究

目的探讨妊娠高血压综合征（妊高症）继发失眠患者睡眠质量情况及其与心理健康状况的关系。为妊高症继发失眠患者心理治疗提供参考依据。方法使用匹兹堡睡眠质量指数（PSQI）和症状自评量表（SCL-90），对336例妊高症继发失眠患者进行睡眠及心理健康状况调查，并进行相关和回归分析。结果妊高症患者PSQI总均分为（13．12±3．26）分，根据PSQI总分〉7分为睡眠质量差的标准，睡眠质量差者316例（94．04％），睡眠时间不足者138例（41．07％），睡眠效率低者175例（52．21％），有睡眠障碍者336例（100％），入睡困难者272例（81．1％）。相关分析结果：PSQI总分与SLL-90总分间相关系高达0．40（P〈0．01），SCL-90各因子中除恐怖因子外其余均与PSQI总分呈显著正相关，其中，躯体化与PSQI总分间相关系数高达0．40（P〈0．01），PSQI各成分中睡眠障碍与躯体化间相关系数高达0．46（P〈0．01）。结论妊高症继发失眠患者的睡眠质量与心理因素，尤其是躯体化症状显著相关，临床上主要采用各种心理治疗方法解决其躯体化症状问题。

Investigation of sleep quality and mental health in secondary insomnia patients with pregnancy-induced hypertension

Objective To investigate the sleep quality of secondary insomnia patients with pregnancyinduced hypertension and its relation with their mental health to provide the references to do psychological treatment for those patients. Methods Pittsburgh Sleep Quality Index (PSQI) and the Symptom Checklist (SCL-90) were applied to investigate the sleep quality and mental health in 336 cases of secondary insomnia patients with pregnancy-induced hypertension. The correlational and regressive analyses were used to analyze the data.Results The total PSQI average scores of those patients are(13.12±3.26). According to the criteria of PSQI of poor quality of sleep (>7),there were 316(94.04%) patients suffering from the poor quality of sleep. All patients suffered sleep disorder. 138 (41.07%) ones suffered from insufficient sleep. 175 (52.21%) ones suffered from the lower sleep efficiency. 272(81.1%) ones suffered from difficulty of falling sleep. Correlation analysis results: the correlation between PSQI total score and the SLL-90 total score is up to 0.40 (P<0.01).In addition, all factors of SCL-90 except terror were significantly and positively correlated to PSQI total scores,in which the correlation coefficient between somatization factor and PSQI total scores was as high as 0.40 (P<0.01). Furthermore,the correlation coefficient between sleep disorder in PSQI and somatization was 0.46.(P <0.01). Conclusion The correlation between the sleep quality and psychological factors, especially the symptoms of somatization is significant. Thus, some psychological treatments can be adopted to treat somatization in clinical practice.