| 史秀莉,白海倩,雷江,等.心力衰竭住院病人日间嗜睡及其相关因素分析[J].安徽医药,2026,30(2):315-321. |
| 心力衰竭住院病人日间嗜睡及其相关因素分析 |
| Factors of daytime sleepiness in hospitalized patients with heart failure |
| |
| DOI：10.3969/j.issn.1009-6469.2026.02.020 |
| 中文关键词: 心力衰竭 日间嗜睡 睡眠质量 抑郁 焦虑 |
| 英文关键词: Heart failure Daytime sleepiness Nocturnal sleep quality Depression Anxiety |
| 基金项目:陕西省科技厅青年项目( 2024JC-YBQN-0817)；西安医学院青年科研基金资助项目( 2023QN03) |
|
| 摘要点击次数: 406 |
| 全文下载次数: 189 |
| 中文摘要: |
| 目的分析心力衰竭住院病人日间嗜睡的患病率及其相关因素。方法选取 2023年 3月至 2024年 1月西安医学院第一附属医院住院的心力衰竭病人 500例。收集病人临床资料，采用 Epworth嗜睡量表、匹兹堡睡眠质量指数量表、医院焦虑抑郁量表分别评估病人日间嗜睡、夜间睡眠及情绪状况。结果纳入的 500例心力衰竭病人中，存在日间嗜睡者 260例(52.0%)，夜间睡眠差者 398例( 79.6%)。单因素分析显示，抑郁状态、焦虑状态、经济情况差、近 1年心力衰竭住院次数 ≥3次、非缺血性心肌病、慢性阻塞性肺疾病( COPD)与心力衰竭住院病人日间嗜睡发生相关。多因素 logistic回归分析显示，在心力衰竭住院病人中，抑郁状态病人日间嗜睡发生的可能性是无抑郁病人的 2.37倍［ OR=2.37，95%CI:(1.56，3.61)P<0.001］，焦虑状态病人日间嗜睡发生的可能性是无焦虑病人的 1.86倍［ OR=1.86，95%CI:(1.15，3.01)P=0.011］竭住院次数 ≥ 3次的病人日间嗜睡发生的可能性是 1~2次病人的 1.69倍［ OR=1.69，95%CI:(1.07，2.68)P=0.024］结论心力衰竭住院病近1年心力衰。人中日间嗜睡发生率高，需及时辨别日间嗜睡高危病人。 |
| 英文摘要: |
| Objective To investigate the prevalence and risk factors of daytime sleepiness in hospitalized patients with heart failure. Methods A total of 300 patients with heart failure in the First Affiliated Hospital of Xi'an Medical University from March 2023 toJanuary 2024 were selected. Clinical data were collected, and daytime sleepiness, nocturnal sleep quality, and mood disorders were as-sessed using the Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), and Hospital Anxiety and Depression Scale(HADS), respectively.Results Of the 500 patients recruited, 260 (52.0%) exhibited daytime sleepiness, and 398 (79.6%) had poornocturnal sleep quality. Univariate analyses revealed that depression, anxiety, poor economic status, frequent hospital admissions forheart failure in the past year, non ischemic heart failure, and COPD were associated with daytime sleepiness in hospitalized heart fail-ure patients. Multinomial logistic regression showed that, compared to patients without depression, those with depression were 2.37times more likely to experience daytime sleepiness[OR=2.37, 95%CI:(1.56,3.61), P<0.001]. Patients with anxiety were 1.86 times more likely to have daytime sleepiness than those without anxiety[OR=1.86, 95%CI:(1.15,3.01), P=0.011]. Patients admitted for heart failurethree or more times in the past year were 1.69 times more likely to experience daytime sleepiness than those admitted 1-2 times[OR= 1.69, 95%CI:(1.07,2.68), P=0.024].Conclusions A high prevalence of daytime sleepiness was observed in hospitalized patients withheart failure. Therefore, it is crucial to identify daytime sleepiness in high-risk patients. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
