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钱蕾, 梅鸾仙, 龚艳艳, 周克雄, 史蕾. 珠三角地区创伤患者睡眠障碍与PTSD关系[J]. 中国公共卫生, 2014, 30(9): 1190-1193. DOI: 10.11847/zgggws2014-30-09-26
引用本文: 钱蕾, 梅鸾仙, 龚艳艳, 周克雄, 史蕾. 珠三角地区创伤患者睡眠障碍与PTSD关系[J]. 中国公共卫生, 2014, 30(9): 1190-1193. DOI: 10.11847/zgggws2014-30-09-26
QIAN Lei, MEI Luan-xian, GONG Yan-yan.et al, . Correlation between PTSD and sleep disorder:a research among patients from 8 hospitals in Pearl River Delta[J]. Chinese Journal of Public Health, 2014, 30(9): 1190-1193. DOI: 10.11847/zgggws2014-30-09-26
Citation: QIAN Lei, MEI Luan-xian, GONG Yan-yan.et al, . Correlation between PTSD and sleep disorder:a research among patients from 8 hospitals in Pearl River Delta[J]. Chinese Journal of Public Health, 2014, 30(9): 1190-1193. DOI: 10.11847/zgggws2014-30-09-26

珠三角地区创伤患者睡眠障碍与PTSD关系

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

  • 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。

     

    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 ratioOR=1.303,95% confidence interval95%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.

     

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