摘要
目的:探讨睡眠障碍患者认知功能的影响因素。方法:选取2022年10月至2023年10月兴义市人民医院心身中心收治的睡眠障碍患者214例作为研究对象,借助简易精神状态量表(MMSE)评估患者认知功能,按照评估结果分为认知功能正常组和认知功能障碍组,记录患者性别、年龄、文化程度、吸烟史、酗酒史、家庭年收入、入睡时间、睡眠时间、职业情况、是否抑郁、是否焦虑,通过单因素分析睡眠障碍患者认知功能的影响因素,并使用Logistics多因素回归分析睡眠障碍患者认知功能的独立影响因素。结果:经量表调查,正常组纳入143例,障碍组纳入71例。经单因素分析,家庭年收入、入睡时间、睡眠时间、职业情况、是否抑郁、是否焦虑是睡眠障碍患者认知功能的影响因素。经多因素Logistics多因素回归分析发现,家庭年收入<30000元(OR=2.884,95%CI为2.214~3.885)、睡眠时间<8 h(OR=3.715,95%CI为3.571~4.309)、焦虑(OR=3.121,95%CI为2.811~3.490)、抑郁(OR=3.416,95%CI为2.910~4.012)是睡眠障碍患者认知功能的独立影响因素(P<0.05)。结论:对于睡眠障碍患者来说,认知功能与焦虑情绪、抑郁情绪具有明显相关性,在临床上需要引起重视。
Objective:Explore the influencing factors of cognitive function in patients with sleep disorders.Methods:A total of 214 patients with sleep disorders admitted to the Psychosomatic Center of Xingyi People′s Hospital from October 2022 to October 2023 were selected as the study subjects.The cognitive function of the patients was evaluated using the Mini-mental State Examination(MMSE)scale,and they were divided into a normal group and a cognitive impairment group according to the evaluation results.The patients′gender,age,education level,smoking history,alcohol abuse history,annual family income,bedtime,sleep duration,occupational status,presence of depression,and presence of anxiety were recorded.The influencing factors of cognitive function in sleep disorder patients were analyzed by univariate analysis,and the independent influencing factors of cognitive function in sleep disorder patients were analyzed by logistic multivariate regression analysis.Results:A total of 143 participants were included in the normal group and 71 in the disorder group based on scale surveys.Through univariate analysis,it was found that annual family income,bedtime,sleep duration,occupational status,depression,and anxiety are the influencing factors of cognitive function in patients with sleep disorders.Multivariate logistic regression analysis identified that an annual family income of less than 30000 yuan(OR=2.884,95%CI 2.214 to 3.885),sleep duration of less than 8 hours(OR=3.715,95%CI 3.571 to 4.309),anxiety(OR=3.121,95%CI 2.811 to 3.490),and depression(OR=3.416,95%CI 2.910 to 4.012)were independent influencing factors on cognitive function in patients with sleep disorders(P<0.05).Conclusion:For patients with sleep disorders,their cognitive function is significantly correlated with anxiety and depression,which needs to be taken seriously in clinical practice.
作者
李太银
普天文
龙汉春
杨乙
LI Taiyin;PU Tianwen;LONG Hanchun;YANG Yi(Xingyi People′s Hospital,Qianxinan Buyei and Miao Autonomous Prefecture,Xingyi 562400,China)
出处
《世界睡眠医学杂志》
2025年第1期21-24,共4页
World Journal of Sleep Medicine
基金
黔西南州基础研究计划项目(2022-2-73)。
关键词
睡眠障碍
焦虑
抑郁
认知功能
相关性
影响因素
神经
睡眠时间
Sleep disorders
Anxiety
Depression
Cognitive function
Correlation
Influencing factors
Nerves
Sleep duration
