焦虑、抑郁及社会支持情况对短暂性脑缺血发作患者睡眠的影响

目的:讨论焦虑、抑郁和社会支持情况对短暂性脑缺血患者睡眠的影响情况。方法:将2012年1月至2014年1月于我院治疗的164名短暂性脑缺血患者为研究对象,采用社会支持评定量表SSRS、自评焦虑量表SAS、匹兹堡睡眠指数PSQI及自评抑郁量表SDS评估病人的抑郁、焦虑与社会支持情况对患者的影响,并分析相关性。在对患者进行一个月的治疗过程中,对伴有焦虑及抑郁症状的患者给予盐酸舍曲林片,并考察药物治疗对患者睡眠质量的影响情况。结果:164名患者中出现焦虑的几率为37.4%,出现抑郁的几率为18.9%,二者同时出现的几率为12.8%,存在睡眠障碍的患者约占68.4%,匹兹堡睡眠指数与自评焦虑量指数、自评抑郁量指数与社会支持评定量的主观支持与患者对支持和利用得分均存在相关性(r=0.66、0.53、-0.39,-0.40,P0.05),且差异有统计学意义。对采集的数据进行多因素回归分析,结果显示,焦虑、抑郁、社会主观支持和患者对支持的利用度是影响睡眠的重要因素。通过Logistic回归分析,结果显示患者对支持利用度的增加及自评焦虑量指数、自评抑郁量指数与发作次数的减少有利于改善患者的睡眠障碍(OR=0.221、2.412、1.938、0.321,P0.05)。结论:抑郁、焦虑和社会支持是导致短暂性脑缺血患者存在睡眠障碍的重要因素,对三者情况进行改善可辅助药物治疗,改善患者睡眠质量。

The Influence of Anxiety, Depression and Social Support on the Sleep Quality of Patients with Transient Ischemic Attack

Objective:To study the influence of anxiety, depression and social support on the sleep quality of patients with transient ischemic attack.Methods:164 patients with transient ischemic attack in our hospital from January 2012 to January 2014 were selected and studied. The effect of anxiety, depression and social support on the sleep quality of patients was analyzed via Social Support Review Scale, Self anxiety Scale, Pittsburgh, Sleep quality Index and Self Depression Scale. In the course of treatment of patients for one month, the symptoms of anxiety and depression were treated with Sertraline Hydrochloride Tablets, and the influence of the drug therapy on the sleep quality of patients were observed.Results:In 164 patients, the incidence was 37.4% for anxiety and 18.9% for depression. The incidence for an combination of anxiety and depression was 12.8%. There were 68.4% of the total patients having sleep disorder. There was correlation between PSQI and anxiety, depression, social support (r=0.66, 0.53, -0.39, -0.40, P<0.05). Subjective support, the application of the support, anxiety and depression were found to be important factors affecting sleep quality via the multiple-factors analysis. With the Logistic analysis, it presented that reduction of anxiety and depression, less ischemic attack, and better use of support were beneficial to sleep quality (OR=0.221, 2.412, 1.938, 0.321, P<0.05).Conclusion:Depression, anxiety and social support are important factors that could affect sleep quality in patients with transient ischemic attack, and corresponding measures can be taken to improve the sleep quality.