摘要
目的:评估老年慢阻肺患者睡眠质量,分析其相关影响因素及干预策略。方法:选取2021年12月至2024年12月山东大学齐鲁医院呼吸与危重症医学科收治的老年慢阻肺患者150例作为研究对象。采用匹兹堡睡眠质量指数(PSQI)评估其睡眠质量,PSQI总分≥7分表示睡眠质量差(睡眠障碍组),反之则为睡眠正常组,并收集患者一般资料,采用多因素分析影响老年慢阻肺患者睡眠质量的相关因素。结果:150例老年慢阻肺患者中,共有36例存在睡眠障碍(24.00%);一般资料显示,2组患者吸烟状态、营养不良、GOLD分级差异有统计学意义(P<0.05);多因素分析显示,吸烟、营养不良、GOLD分级Ⅲ~Ⅳ级均是影响老年慢阻肺患者睡眠质量的独立危险因素(P<0.05)。结论:老年慢阻肺患者睡眠质量与吸烟状态、营养不良、GOLD分级有关,临床需据此采取有效干预策略。
Objective:To evaluate sleep quality of elderly chronic obstructive pulmonary disease(COPD)patients,and to analyze its related influencing factors and intervention strategies.Methods:During the period of December 2021 to December 2024,a total of 150 elderly COPD patients admitted to our hospital were selected.Sleep quality was evaluated by Pittsburgh Sleep Quality Index(PSQI).A total PSQI score≥7 indicated poor sleep quality(sleep disorder group),and conversely,it was the normal sleep group.General data of the patients were collected.Multivariate analysis was adopted to analyze the related influencing factors of sleep quality in elderly COPD patients.Results:A total of 36 cases had sleep disorders(24.00%)among the 150 cases of elderly COPD patients.General data showed that there were statistically significant differences in smoking status,malnutrition,and GOLD classification between the two groups(P<0.05).Multivariate analysis showed that smoking,malnutrition,and GOLD classification gradesⅢ~Ⅳwere all independent risk factors affecting the sleep quality of elderly COPD patients(P<0.05).Conclusion:The sleep quality of elderly COPD patients is related to smoking status,malnutrition,and GOLD classification.Clinically,effective intervention strategies need to be adopted based on these findings.
作者
宋琦琦
SONG Qiqi(Department of Respiratory and Critical Care Medicine,Qilu Hospital,Shandong University,Jinan 250031,China)
出处
《世界睡眠医学杂志》
2025年第7期1488-1490,共3页
World Journal of Sleep Medicine
关键词
老年
慢阻肺
睡眠质量
吸烟
营养不良
GOLD分级
干预策略
Elderly
Chronic obstructive pulmonary disease
Sleep quality
Smoking
Malnutrition
GOLD classification
Intervention strategies