摘要
目的探索慢性阻塞性肺疾病合并呼吸衰竭患者的睡眠质量和心理健康状况。方法采用回顾性研究方法，选择2015年10月至2016年6月因慢性阻塞性肺疾病合并呼吸衰竭住院治疗的患者作为研究组，选取同期住院的非慢阻肺患者作为对照组，分析两组患者睡眠质量和心理健康状况的差异。结果两组患者年龄和体质量指数（BMI）差异无统计学意义（t=0．753，0．693，P〉0．05），研究组一秒用力呼气容积（FEV1％）预计值为（52．34±12．25）、动脉氧分压（PaO2）为（9．21±1．83）、血氧饱和度（SaO2）为（90．36±3．47），三组数据均显著低于对照组，差异有统计学意义（t=25．199、5．414、16．439，均P〈0．01）。两组在躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐怖方面差异存在统计学意义（P〈0．05），在敌对、偏执和精神病性方面的差异不存在统计学意义（P〉0．05）。研究组生活质量量表（GQOL-74）得分在认知功能（74．47±6.13）、心理功能（71，28±7．36）、躯体功能（73．73±8．85）和社会功能（74．35±7．18）方面均显著低于对照组，差异有统计学意义（t=9．735，13．972，5．739，10．040，P〈0．01）。结论慢性阻塞性肺疾病合并呼吸衰竭患者的睡眠质量和心理健康状况较差，在临床诊疗工作中要予以关注和干预。
Objective To explore sleep quality and mental health status of chronic obstructive pulmonary disease（COPD） patients with respiratory failure. Methods From October 2015 to June 2016, COPD patients with respiratory failure hospitalized in our hospital were selected as study group. Patients without COPD hospitalized in our hospital were selected as the control group. The sleep quality and mental health were compared between the two groups. Results The age and body mass index （BMI） between the two groups showed no significant difference （ t = 0. 753,0. 693, all P 〉 0.05 ）. The forced expiratory volume in one second （ FEV1 % ） expected value, arterial oxygen pressure （ PaO2 ） , oxygen saturation （ SaO2 ） in the study group were （52.34 ± 12.25 ） % , （ 9.21 ± 1.83 ） mmHg, （90.36 ± 3.47 ） % , which were significantly lower than those in the control group, the differences were statistically significant （t = 25. 199,5. 414, 16. 439, all P 〈 0. 01 ）. The somatization, obsessive - compulsive symptoms, interpersonal sensitivity, depression, anxiety, terror between the two groups had significant differences （ all P 〈 0.05 ）, the differences in hostility, paranoia and psychosis were not statistically significant （ all P 〉 0.05 ）. The quality of life scale （ GQOL - 74 ） scores in cognitive function [ （ 74. 47 ± 6. 13 ） points ], psychological function [ （ 71.28 ±7.36） points ], physical function [ （ 73.73 ± 8.85 ） points ] and social function [ （ 74.35 ± 7.18 ） points ] in the study group were significantly lower than those in the control group, the differences were statistically significant （ t = 9. 735, 13. 972,5. 739,10. 040, all P 〈 0.01 ）. Conclusion The sleep quality and mental health status of COPD patients with respiratory failure is poorer, we should pay more attention and intervention in clinical diagnosis and treatment.
出处
《中国基层医药》
CAS
2017年第19期2972-2975,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肺疾病
慢性阻塞性
呼吸衰竭
睡眠质量
心理健康
Pulmonary disease,chronic obstructive
Respiratory failure
Sleep quality
Mental health
