收稿日期: 2023-02-17
网络出版日期: 2023-09-14
基金资助
国家自然科学基金面上项目(72074168)
Sleep quality and its influencing factors in acute brain infarction patients with type 2 diabetes mellitus
目的 了解2型糖尿病患者急性脑梗死后睡眠质量情况，分析其影响因素。 方法 采用一般资料调查表、匹兹堡睡眠质量指数量表、斯坦福急性应激反应问卷和中文版心理韧性量表对304例2型糖尿病合并急性脑梗死患者进行调查。 结果 2型糖尿病患者急性脑梗死后睡眠障碍的发生率为55.92%。Logistic回归分析结果显示，性别（OR=1.816，95%CI=1.035~3.186）、改良Rankin量表评分（OR=1.495，95%CI=1.093~2.045）、心理应激——焦虑或警觉维度（OR=1.174，95%CI=1.117~1.234）、心理韧性——乐观性维度（OR=0.912，95%CI=0.842~0.989）是2型糖尿病患者急性脑梗死后发生睡眠障碍的影响因素。 结论 2型糖尿病患者急性脑梗死后睡眠障碍发生率较高，临床应关注肢体功能较差的患者并及时评估其焦虑与警觉情况，针对性给予乐观性较差的患者心理干预，改善其睡眠质量，有助于促进其康复。
李孝红 , 丁青 , 蔡怡伟 , 丁丹 , 朱晓萍 . 2型糖尿病患者急性脑梗死后睡眠质量及影响因素研究[J]. 中华护理教育, 2023 , 20(9) : 1107 -1112 . DOI: 10.3761/j.issn.1672-9234.2023.09.015
Objective This study analyzed the sleep quality and the factors in acute brain infarction patients with type 2 diabetes mellitus. Methods The general information questionnaire，Pittsburgh Sleep Quality Index，Stanford Acute Stress Reaction Questionnaire and 25-iterm Connor-Davidson Resilience Scale were distributed among 304 acute brain infarction patients with type 2 diabetes mellitus. Results The incidence of sleep disorder in acute brain infarction patients with type 2 diabetes mellitus was 55.92%. Logistic regression analysis showed that gender （ OR=1.816 ，95%CI=1.035-3.186 ） ，mRS score（ OR=1.495 ，95%CI=1.093-2.045 ） ，fourth dimension in psycholo-gical stress of score on anxiety or alertness（ OR=1.174 ，95%CI=1.117-1.234 ） ，and third dimension in resilience of score on optimism（OR=0.912 ，95%CI=0.842-0.989） were the influencing factors of sleep disorders in acute brain infarction patients with type 2 diabetes mellitus. Conclusion Patients with type 2 diabetes mellitus have a higher incidence of sleep disorders after acute cerebral infarction. Clinical attention should be given to patients with poorer limb function. Moreover，timely assessment of their anxiety and vigilance assessments are suggested. Medical staff needs to implement psychological interventions to patients with poor optimism to alleviate their psychological stress levels and improve sleep quality，which will be helpful in post-stroke rehabilitation.
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