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目的:了解南京市围绝经期妇女的生活状态对其对睡眠状况的影响。方法:采用自制的围绝经期妇女睡眠影响因素调查表与匹兹堡睡眠指数量表(PSQI),对在南京市妇幼保健院进行妇女病普查的围绝经期386例患者进行问卷调查,数据采用SPSS18.0软件进行统计学分析。结果:研究对象PSQI总均分为4.88±3.42。19.2%的围绝经期门诊患者睡眠较差,不同年龄、文化组的围绝经期患者的睡眠异常发生率差异无统计学意义(χ2=5.893,P=0.207;χ2=4.972,P=0.286);婚龄、自身健康状况、丈夫健康状况、生活工作压力、体育锻炼与休息时间以及围绝经期的认知和精神因素等与其睡眠异常存在关联。多因素Logistic回归分析显示,不进行体育锻炼和焦虑状态的妇女发生睡眠异常的风险更高,而对围绝经期概念不知晓的妇女发生睡眠异常的风险较低。结论:南京围绝经期门诊患者睡眠异常的发生率较高,其影响是多方面的。加强体育锻炼、保持良好的生活状态可改善围绝经期门诊患者的睡眠状态。
Objective: To understand the influence of the life status of perimenopausal women in Nanjing on their sleep status. Methods: A questionnaire survey was conducted on 386 patients during the perimenopausal period in which women’s diseases were surveyed in Nanjing Maternal and Child Health Hospital using the Self-made Questionnaire on Sleep Disorders and Pittsburgh Sleep Index (PSQI) of the perimenopausal women. The data were analyzed by SPSS18.0 Software for statistical analysis. Results: The overall mean PSQI score of the study subjects was 4.88 ± 3.42.19.2%. The incidence of sleep abnormalities in perimenopausal patients with different age and culture groups was not significantly different (χ2 = 5.893, P = 0.207; χ2 = 4.972, P = 0.286). There was a correlation between their age of marriage, their own health status, their husband’s health status, their daily work stress, physical exercise and rest time, and cognitive and mental factors during perimenopause. Multivariate logistic regression analysis showed that women without physical exercise and anxiety had a higher risk of developing sleep abnormalities and women with unknown concepts of peri-menopausal women had a lower risk of developing sleep disorders. Conclusion: The incidence of sleep abnormalities in peri-menopausal clinic patients in Nanjing is high, and its impact is multifaceted. Strengthening physical activity and maintaining a good living condition can improve the sleeping status of perimenopausal patients.