Journal of International Psychiatry

【Abstract】Objective To analyze the risk factors of sleep disorder in severe pneumonia (SP) patients during hospitalization. Methods A study of 100 SP patients from Chongming Hospital affiliated to Shanghai Health Medical College from April 2021 to April 2023 was selected to assess whether the patients had Sleep disorders using the pittsburgh Sleep Quality Index (PSQI). 40 patients with sleep disorders (score ≥60) were set into the observation group, and those without sleep disorders (score <60) were set into the control group. Univariate and multivariate logistic regression analysis was performed to analyze the risk factors of sleep disorders in SP patients. According to different treatment methods, 40 patients with sleep disorders were divided into 2 groups with 20 cases each. The conventional group was given esazolam treatment, and the combined group was given mindfulness-based decompression treatment on the basis of the conventional group. The clinical efficacy and PSQI scores of the two groups were compared. Results Logistic regression analysis showed that family income, family care, payment method, stay time in intensive care unit (ICU), ICU environment, and number of invasive procedures were the risk factors for sleep disorders in SP patients (P < 0.05). The total clinical effective rate of combined group (95.00%) was higher than that of conventional group (70.00%), P < 0.05. The PSQI score of the combined group was lower than that of the conventional group (P < 0.05).Conclusion The occurrence of sleep disorders in SP patients is related to factors such as low family income, lack of family concern, payment method, short stay in ICU, noisy ICU environment, and frequent invasive operations. Estazolam combined with mindfulness-based decompression therapy can effectively improve the sleep quality and clinical efficacy of patients with severe pneumonia.

【Key words】Severe pneumonia; Sleep disorders; Risk factor