目的 了解安徽北方农村地区胃肠道疾病患者的睡眠质量现状,比较常有不同胃肠道症状患者的匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评分以及PSQI评分分布的差异性,探索患者睡眠质量的影响因素.方法 采用多阶段抽样法,抽取安徽北方地区40家卫生院内科门诊为调查现场,连续观察、招募1个月.依据自制问卷和PSQI量表对患者开展面对面问卷调查.通过非参数检验与卡方检验比较PSQI各维度以及总评分分布在不同胃肠道症状患者中的差异性,采用多因素随机森林分类模型预测自变量对PSQI评分的影响.结果 本研究共招募309例门诊胃肠道疾病患者,其中26.21%患者的PSQI评分>7分,PSQI评分M(Q1～Q3)为5.00(3.00,8.00)分.与PSQI评分存在差异性的上消化道症状数明显多于下消化道症状数.随机森林建模的曲线下面积(area under curve,AUC)值为0.72,胃肠道症状总贡献度为67.41%,其中反酸(6.57%)、胃胀(5.67%)、纳差(5.13%)、烧心(5.10%)与腹痛(4.82%)的贡献度排序靠前.结论 安徽北方农村居民胃肠道症状患者的低睡眠质量检出率高于国内多数地区一般人群.多数胃肠道症状与睡眠质量密切相关,上消化道症状相较于下消化道症状对睡眠质量的影响程度更高.医生接诊胃肠道患者时除提供疾病治疗服务外,需更加重视睡眠等心理问题的发现,并提供相应的咨询与教育.
A study on the current situation and influencing factors of sleep quality among rural residents with gastrointestinal diseases in Northern Anhui
Objective:This study aims to analyze the current status of sleep quality among patients with gastrointestinal diseases in rural areas of Northern Anhui,compare the PSQI scores among patients with different gastrointestinal diseases,and explore the differences in the distribution of PSQI scores,with the purpose to investigate the factors affecting patients'sleep quality.Methods:Using a multi-stage sampling method,40 township health centers in Northern Anhui were selected as the survey sites,and patients were recruited continuously for one month.A self-designed questionnaire and Pittsburgh sleep quality index(PSQI)were used to conduct face-to-face interviews with the patients.Non-parametric tests and chi-square tests were used to compare the differences in PSQI scores and their distribution among patients with different gastrointestinal diseases.A multifactorial random forest classification model was used to predict the impact of independent variables on PSQI scores.Results:A total of 309 outpatient gastrointestinal patients were recruited in this study,among which 26.21%had PSQI scores more than 7.The median PSQI score(lower quartile,upper quartile)was 5.00(3.00,8.00).The number of upper gastrointestinal symptoms significantly exceeded the number of lower gastrointestinal symptoms with a difference in PSQI scores(P<0.05).The AUC value of the random forest model was 0.72,with a total contribution rate of gastrointestinal diseases(GS)of 67.41%,among which"acid reflux"(6.57%),"bloating"(5.67%),"poor appetite"(5.13%),"heartburn"(5.10%),and"abdominal pain"(4.82%)were ranked high in terms of contribution.Conclusion:The detection rate of low sleep quality in patients with gastrointestinal diseases is higher than that of the general population in most areas of the country.Most GS are closely related to sleep quality,and upper gastrointestinal diseases having a greater impact on sleep quality than lower gastrointestinal diseases.In addition to providing disease treatment services,doctors who treat patients with gastrointestinal diseases should pay more attention to the identification of psychological issues such as sleep so as to provide corresponding counseling and instruction.
gastrointestinal symptomsPittsburgh sleep quality indexsleep qualityrural area
万方数据
维普
