帕金森病病人睡眠障碍与生活质量的相关性研究

摘要

Obj ective:To know about the clinical characteristics of sleep disorders and the level of quality of life (QOL)in patients with Parkinson’s disease (PD),so as to probe into the correlation between sleep disorders and QOL.Methods:A descriptive and correlative re-search method was used in this study.A total of 82 cases of PD pa-tients were surveyed by using Parkinson ’s disease sleep scale (PDSS)and QOL.Results:Suffered from incidence of sleep disorders in PD patients was 95.1%,total PDSS score was 96.91±24.48.The total PDQ39 score was 42.95±14.71.The main type of sleep disor-ders was “sleep maintenance insomnia”(84.1%)and “daytime do-zing”(82.9%).“Getting up at night to pass urine”was main factor that affected the sleep quality of the patients (86.8%).Spearman correlation analysis showed that the severity level of sleep disorders in PD patients was negatively correlated with their quality of life (rs=-0.481,P<0.01 ).Conclusion:Different types of sleep disorders could be found in PD patients.The more serious the sleep disorder in PD patients is,the worse their quality of life is.%[目的]了解帕金森病(PD)病人睡眠障碍的临床特征及生活质量水平并探讨两者之间的相关性。[方法]采用描述性相关性研究方法,应用帕金森病睡眠量表(PDSS)和帕金森病生活质量调查表(PDQ39)对82例 PD病人进行问卷调查。[结果]PD 病人睡眠障碍的发生率为95.1%(78/82),PDSS总分为96.91分±24.48分,PDQ39总分为42.95分±14.71分；睡眠障碍的类型主要表现为“睡眠破碎”(84.1%),其次为“日间嗜睡”(82.9%)；影响 PD 病人睡眠质量的因素以“夜间频繁起床排尿”最为常见(占86.6%)。Spearman相关性分析结果显示,P D 病人睡眠障碍的严重程度与其生活质量水平呈负相关(秩相关系数为-0.481,P<0.01)。[结论]PD病人存在不同类型的睡眠障碍,病人的睡眠障碍越严重,其生活质量越差。