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重症肺炎住院患者睡眠障碍的危险因素及疗效观察

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目的 分析重症肺炎(severe pneumonia,SP)患者住院期间睡眠障碍危险因素及治疗效果.方法 选定上海健康医学院附属崇明医院2021年4月~2023年4月就诊的100例SP患者研究,以匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)分组,≥60分的40例睡眠障碍患者设为观察组,<60分的非睡眠障碍患者设为对照组,logistic回归分析SP患者睡眠障碍的危险因素.对40例睡眠障碍患者根据治疗方法的不同将其分为2组,各20例,常规组给予艾司唑仑治疗及常规健康指导,联合组在常规组的基础上给予正念减压治疗,比较两组临床疗效、PSQI评分.结果 家庭经济收入、家属关心、付款方式、入住重症监护室(intensive care unit,ICU)时间、ICU环境是SP患者睡眠障碍的危险因素(P<0.05).联合组临床总有效率(95.00%)高于常规组(70.00%),P<0.05.联合组治疗后PSQI评分低于常规组(P<0.05).结论 SP患者睡眠障碍的发生与多种因素有关,艾司唑仑联合正念减压治疗可有效改善重症肺炎患者睡眠质量.
Risk factors and curative effect of sleep disorder in hospitalized patients with severe pneumonia
Objective To analyze the risk factors of sleep disorder in severe pneumonia(SP)patients during hospitalization.Methods A study was conducted on 100 patients with sleep disorders who visited Chongming Hos-pital affiliated with Shanghai University of Health from April 2021 to April 2023.They were divided into groups using the Pittsburgh Sleep Quality Index(PSQI),with 40 patients with sleep disorders with scores ≥ 60 as the observation group and non sleep disorder patients with scores<60 as the control group.Logistic regression analysis was conducted to identify the risk factors for sleep disorders in SP patients.Forty patients with sleep disorders were divided into two groups based on different treatment methods,with 20 cases in each group.The conventional group received treatment with es-tazolam and routine health guidance,while the combined group received mindfulness decompression treatment on the basis of the conventional group.The clinical efficacy and PSQI score of the two groups were compared.Results Family economic income,family care,payment methods,length of stay in intensive care unit(ICU),and ICU environment are risk factors for sleep disorders in SP patients,with P<0.05.The total clinical effective rate of the combination group(95.00%)was higher than that of the conventional group(70.00%),with P<0.05.The PSQI score of the combined group after treatment was lower than that of the conventional group,P<0.05.Conclusion The occurrence of sleep disorders in SP patients is related to multiple factors,and the combination of eszolam and mindfulness decompression therapy can effectively improve the sleep quality of patients with severe pneumonia.

Severe pneumoniaSleep disordersRisk factor

秦丹凤、胡晓峰

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上海健康医学院附属崇明医院(上海,202150)

重症肺炎 睡眠障碍 危险因素

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(4)