肖筠

摘要  目的：研究择期手术患者术前睡眠状态及影响因素。方法：选取2017年3月至2018年3月攀枝花市中心医院收治的择期手术患者260例为研究对象，将其采用ISI量表进行评估，比较不同性别、年龄、文化程度、手术方式、合并其他基础疾病情况、职业、社会支持程度、情绪状态及希望水平者的ISI量表评估结果，并采用多因素Logistic回归分析处理上述因素与择期手术患者术前睡眠状态的关系。结果：260例患者中失眠者181例，占69.62%，不同性别、手术方式及职业者的失眠率比较，差异无统计学意义（ P >0.05），不同年龄、文化程度、合并其他基础疾病情况、社会支持程度、情绪状态及希望水平者的失眠率比较，差异有统计学意义（ P <0.05），多因素Logistic回归分析显示，年龄、文化程度、合并其他基础疾病情况、社会支持程度、情绪状态及希望水平均是择期手术患者术前失眠的影响因素。结论：择期手术患者术前睡眠状态较差，且影响因素较多，可作为患者术前干预措施的指导依据。

关键词  择期手术;术前睡眠状态;影响因素

中图分类号：R619+.9 文献标识码：A  doi： 10.3969/j.issn.2095-7130.2018.10.047

Study on the Preoperative Sleep State and Influence Factors of Patients with Selective Operation

Xiao Yun

（Operating Room，Panzhihua Central Hospital，Sichuan Province，Panzhihua，617067）

Abstract Objective： To study the preoperative sleep state and influence factors of patients with selective operation. Methods： 260 patients with selective operation in our hospital from March 2017 to March 2018 were selected as the research subjects，and they were all evaluated with ISI scale，then the ISI scale evaluation results of patients with different gender，ages，education degree，operation methods，other basic disease，occupation，social support degree，emotion state and hope level were compared，and the relationship between those factors and preoperative sleep state of patients with selective operation were analyzed with multivariate Logistic regression analysis. Results： A total of 181 cases of 262 patients had insomnia，the rate was 69.08%，the insomnia rates of patients with different gender，operation methods and occupation were compared，the differences were not statistically significant（ P >0.05），the insomnia rates of patients with different ages，education degree，other basic disease，social support degree，emotion state and hope level were compared（ P <0.05），and the differences were statistically significant（ P <0.05）.The multivariate Logistic regression analysis showed the ages，education degree，other basic disease，social support degree，emotion state and hope level were the influence factors of preoperative insomnia of patients with selective operation. Conclusion： The preoperative sleep state of patients with selective operation are worse，and there are many influence factors that affect the result，so they can be as the guidance of preoperative intervention measures.

Key Words  Selective operation;Preoperative sleep state;Influence factors

擇期手术在临床应用率较高，而与择期手术相关的研究也多见，其中不乏手术效果及顺利程度影响因素的研究，而术前睡眠状态是对患者休息状态具有直观反应作用的方面，其对患者的机体状态影响较大，因此临床重视程度较高[1-2]。临床中关于手术患者术前睡眠状态的研究可见的同时，对其影响因素的研究少见。故本研究就择期手术患者术前睡眠状态及影响因素进行研究与分析，现将结果报道如下。

1 资料与方法

1.1 一般资料 选取2017年3月至2018年3月期间本院收治的择期手术患者260例为研究对象，均为良性疾病手术患者，且患者均在入院前无睡眠方面的问题。所有患者中男142例，女118例;年龄<60岁者152例，≥60岁者108例;文化程度：小学者45例，初中与中专者152例，大专与以上者63例;手术方式：微创手术者110例，常规开放式手术者150例;合并其他基础疾病情况：是者62例，否者198例：职业：工人110例，农民95例，个体55例;社会支持程度：较高者169例，一般者60例，较低者31例;情绪状态：焦虑和（或）抑郁者88例，无焦虑抑郁者172例;希望水平：较高者113例，一般者80例，较低者67例。所有患者及家属均对研究知情同意。

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