珠三角地区创伤患者睡眠障碍与PTSD关系

钱蕾; 梅鸾仙; 龚艳艳; 周克雄; 史蕾

doi:10.11847/zgggws2014-30-09-26

珠三角地区创伤患者睡眠障碍与PTSD关系

doi: 10.11847/zgggws2014-30-09-26

1.
南方医科大学护理学院, 广东广州 510515;
2.
南方医科大学基础学院人体解剖学教研室;
3.
佛山市第五人民医院护理部

基金项目:

2011年广东省大学生创新实验计划（1212111032）;广东省高校优秀青年创新人才培育项目（WYM10090）

详细信息

作者简介:
钱蕾（1991- ），女，安徽马鞍山人，本科，研究方向：生物力学。

通讯作者:
史蕾，35508897@qq.com

中图分类号: R749.5
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出版历程
- 收稿日期: 2013-12-03
- 刊出日期: 2014-09-10

Correlation between PTSD and sleep disorder：a research among patients from 8 hospitals in Pearl River Delta

1.
School of Nursing, Southern Medical University, Guangzhou, Guangdong Province 510515, China

摘要

摘要: 目的了解珠江三角洲地区创伤住院患者创伤后应激障碍（PTSD）与睡眠障碍的发生情况及二者关系，并分析创伤后应激障碍患者睡眠障碍的影响因素。方法采用目的抽样法抽取珠江三角洲地区708名创伤患者，使用PTSD平民版筛查问卷（PCL-C）、匹兹堡睡眠质量指数量表（PSQI）及自编影响因素调查表进行问卷调查。结果珠江三角洲地区708名创伤患者PTSD发生率为27.5%，其中，轻或中度症状者占68.2%（133/195），重度症状者占31.8%（62/195）；睡眠障碍的总发生率为37.9%，其中，无症状、轻度或中度、重度PTSD症状患者睡眠障碍发生率分别为27.9%（143/513）、57.9%（77/133）、77.4%（48/62）；无PTSD症状的513人中，PSQI均分为（6.79±3.78）分，睡眠障碍143人；轻度或中度PTSD症状的133人中，PSQI均分为（6.62±3.69）分，睡眠障碍77人；重度PTSD症状的62人中，PSQI均分为（7.26±3.72）分，睡眠障碍48人；PTSD自评量表PCL-C得分与PSQI得分呈正相关（r=0.480，P<0.05）；不同程度的PTSD患者的睡眠总体情况及7个睡眠因子差异均有统计学意义（P<0.001）；多因素分析表明，PTSD患者睡眠障碍的主要影响因素为距事故发生时间（OR=1.303，95%CI=1.129~1.503）、脊柱受伤（OR=1.991，95%CI=1.219~3.251）和生活自理程度（OR=1.684，95%CI=1.286~2.206）。结论 PTSD患者的睡眠障碍随PTSD加剧而加重，不同程度的PTSD患者的睡眠障碍表现不同，主要受距事故发生时间，脊柱受伤与否及生活自理程度的影响。
- 创伤后应激障碍(PTSD) /
- 睡眠障碍 /
- 影响因素 /
- 相关性
Abstract: Objective To explore the correlation between post-traumatic stress disorder(PTSD) and sleep disorder among 708 patients from 8 hospitals in Pearl River Delta,and to analyze influence factors of sleep quality among PTSD patients.Methods With target sampling,708 patients were chosen from 8 grade two hospitals in Pearl River Delta for a self-administrated anonymous questionnaire survey with PTSD Checklist-Civilian Version(PCL-C) and Pittsburgh Sleep Quality Index(PSQI) under the help of investigators.Results Among the patients,the overall prevalence of PTSD symptoms was 27.5%,with the proportion of 31.8%(62/195) for severe symptoms and 68.2%(133/195)for mild to moderate symptoms.The prevalences of sleeping problem were 37.9% for all the patients,27.9%(143/513) for the patients without PTSD symptoms,and 57.9%(77/133) and 77.4%(48/62)for the patients with mild or moderate and severe PTSD symptoms,respectively.The average PSQI score was 6.79±3.78 among the 513 patients without PTSD symptoms,with 143 patients having sleeping disorder; whereas,the score was 6.62±3.69 and 7.26±3.72 among 133 patients with mild or moderate PTSD symptoms(77 having sleeping disorder) and 62 patients with severe PTSD symptoms(48 having sleeping disorder).There was a positive correlation between PCL-C and PSQI(r=0.480,P<0.05).There were significant differences in the general sleeping status and the 7 sleeping-related factors among the patients with different severity of PTSD symptoms.Multi-factor analyses showed that the main influence factors of sleep disorder for PTSD patients were the duration from the time of the accident(odds ratio[OR]=1.303,95% confidence interval[95%CI]=1.129-1.503; P=1.303),spinal injury(OR=1.991,95%CI=1.219-3.251; P=0.006) and ability of self-care(OR=1.684,95%CI=1.286-2.206; P=0.000).Conclusion PTSD and sleep disorder have a positive correlation.Patients with different severity of PTSD could have different performance in term of sleep disorder and the duration from the time of the accident,spine injury,and ability of self-care were main influencing factors for sleep disorder in PTSD patients.
- PTSD /
- sleep disorder /
- influencing factor /
- correlation

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