原发性失眠患者生活质量及危险因素的研究

A study on quality of life and risk factors in patients with primary insomnia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(6)
作者
作者单位

苏州大学附属第一医院 ;
苏州市广济医院 ;

摘要
目的:探讨原发性失眠患者生活质量及其相关危险因素。方法:采用世界卫生组织生活质量评估量表(WHOQOL)分别对 50 例原发性失眠症患者和 40 名健康对照组进行生活质量(QOL)的评估;应用匹兹堡睡眠质量指数量表(PSQI)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评定原发性失眠症患者的睡眠质量及焦虑抑郁程度;采用独立样本t检验、卡方检验、及多元逐步回归分析比较 2组的差异性及生活质量相关危险因素。结果:原发性失眠组在生理领域、心理领域、独立性领域、社会关系领域、环境领域和总体生活质量中评分均低于健康对照组(P<0.05)。在多元逐步回归分析中,SDS 分、PSQI 分、家族史等 3 个自变量成为影响患者生活质量总分的主要因素。结论:原发性失眠症患者的生活质量在生理、心理、独立性、社会关系、环境等维度和总体生活质量都有显著降低。失眠所伴随的抑郁情绪,失眠的严重程度和有无家族史是影响原发性失眠症患者生活质量的主要因素。
Abstract
Objective: To explore the quality of life and risk factors in patients with primary insomnia。Methods: 50 patients with primary insomnia (PI), well matched with 40 healthy controls (HC) in age, gender and education, were assessed by world health organization quality of life(WHOQOL-BREF), Pittsburgh Sleep Quality Index(PSQI), Self-rating anxiety scale (SAS) and Self-rating depression scale (SDS). The difference between groups was analyzed by independent-samples t test or χ2 test, Meanwhile, multiple linear regression analysis were performed to further assess the factors affecting the quality of life in patients with primary insomnia. Results: Compared with the healthy controls, the WHOQOL-BREF in the physical, psychological, independent, social relationships, environment domains and the overall QOL were significantly lower in the PI patients (p<0.05). Multiple linear regression analyses indicated that the depression symptom, severity of insomnia and family history were significant predictors of impairment of quality of life in PI patients.Conclusions: In PI patients, the quality of life in the physical, psychological, independent, social relationships, environment domains and the overall QOL were impaired. The severity of insomnia, family history, depressive symptoms are the important factors resulting in impairment of quality of life in PI patients.
关键词
原发性失眠症; 生活质量
KeyWord
primary insomnia; quality of life (QOL)
基金项目
页码 1071-1073
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张会然*,陈美玲,兰光华,陈文,杜向东. 原发性失眠患者生活质量及危险因素的研究 [J]. 国际精神病学杂志. 2018; 45; (6). 1071 - 1073.

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