| 李霞,徐三平,贺明霞,张淑珍,辛杰,王倩,梁丽华,李慧,包春华,李彦,刘娜,朱元芳,王莉晴,曾强.慢性失眠患者未治疗行为及影响因素[J].中国临床保健杂志,2023,26(4):484-488. |
| 慢性失眠患者未治疗行为及影响因素 |
| Investigation the rate of never-treated among chronic insomnia patients who are not undertreating in 13 cities of China and analysis of influencing factors |
| 投稿时间：2023-04-06 |
| DOI：10.3969/J.issn.1672-6790.2023.04.010 |
| 中文关键词: 入睡和睡眠障碍 药物疗法 行为 影响因素分析 横断面研究 |
| 英文关键词: Sleep initiation and maintenance disorders Drug therapy Behavior Root cause analysis Cross-sectional studies 〖FL |
| 基金项目:国家自然科学基金项目(81561128020) |
|
| 摘要点击次数: 366 |
| 全文下载次数: 853 |
| 中文摘要: |
| 目的 调查未治疗的慢性失眠患者情况及其影响因素。方法 本研究为横断面调查,在全国13个城市招募有失眠症状的18~65岁成年人,对其中诊断为原发性慢性失眠且未治疗的患者,通过问卷获取年龄、性别、经济水平、治疗史等指标,以及匹兹堡睡眠质量指数问卷(PSQI)和失眠严重指数问卷(ISI)得分；通过单因素分析和进行多因素logistic回归,分析研究对象既往从未治疗的比例及其影响因素。结果 本研究在有失眠症状的4 189例个体中,筛选出符合标准的研究对象601例；研究对象既往从未接受治疗的比例高达86.02%；多因素logistic回归分析显示,经济水平、肥胖程度、病程是既往是否治疗的影响因素。与收入不足5 000元/月患者组相比,1万元/月～＜2万元/月患者组既往治疗是对照组的3.103倍(OR=3.103,95%CI:1.310~7.346)、≥2万元/月患者组既往治疗是对照组的4.966倍(OR=4.966,95%CI:1.353~18.228)。与超重和肥胖组[体重指数(BMI)≥24 kg/m2]相比,正常体重组(18.5 kg/m2≤BMI<24 kg/m2)的患者更倾向于既往接受治疗(OR=1.863,95%CI:1.030~3.370)。病程每增加1个月,既往接受治疗增加0.4%(OR=1.004,95%CI:1.001~1.007)。结论 当前未治疗的慢性失眠患者中,既往从未治疗的比例非常高；患者的经济水平差、体重超标和病程短是患者从未接受治疗的主要影响因素。 |
| 英文摘要: |
| Objective To investigate the rate of having not been treated before and influencing factors of chronic insomnia patients who are not undergoing treatment.Methods This study was a cross-sectional survey.18-65 years old adults with insomnia symptoms were recruited from 13 cities across the country.Among them,patients diagnosed as primary chronic insomnia and not undergoing treatment were investigated by questionnaire to obtain age,sex,economic level,treatment history and other indicators,as well as the scores of Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI).Through univariate analysis and multivariate logistic regression,the proportion of subjects who had never received treatment before and its influencing factors were analyzed.Results In this study,601 subjects who met the inclusion and exclusion criteria were selected from 4 189 intended people with insomnia symptoms;the proportion of subjects who had never received treatment before was as high as 86.02%;Multivariate logistic regression analysis showed that the economic level,obesity degree and course of disease were significant (P＜0.05).Compared with the patients with income less than 5 000 yuan/month,the risk of previous treatment in the patients with income between 10 000 and 20 000 yuan/month was 3.103 times that of the control group (OR=3.103,95%CI:1.310-7.346),and the risk of previous treatment in the patients with income more than 20 000 yuan/month was 4.966 times that of the control group (OR=4.966,95%CI:1.353-18.228).Compared with overweight and obesity groups (BMI≥ 24 kg/m2),patients in the normal weight group (18.5 kg/m2≤BMI<24 kg/m2) were more likely to receive treatment in the past(OR=1.863,95%CI:1.030-3.370).The risk of previous treatment increased by 0.4% (OR=1.004,95%CI:1.001-1.007) for each month of disease duration.Conclusions The proportion of having not been treated before of patients with chronic insomnia who are not undergoing treatment is very high;The poor economic level,overweight and short course of disease are the main influencing factors for patients who have never received treatment. |
|
查看全文
|
| 关闭 |
|
|
|