[睡眠质量差有助于创伤患者出现创伤后应激障碍]
1Department of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi 563006, China.
概括
创伤前睡眠质量不佳显著增加患创伤后应激障碍 (PTSD) 的风险. 创伤患者有先前存在的睡眠问题更容易患上PTSD,强调睡眠是关键因素.
科学领域:
- 创伤护理 创伤护理
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 创伤后应激障碍 (PTSD) 是创伤幸存者的一个重大问题.
- 在创伤事件后,睡眠障碍很常见.
- 创伤前睡眠质量对PTSD发展的具体影响需要进一步调查.
研究的目的:
- 研究创伤前睡眠质量与创伤患者中PTSD发生率之间的关联.
- 为了评估睡眠质量,在创伤伤害之前和之后.
- 为了确定睡眠不足是否是PTSD发展的预测因素.
主要方法:
- 对256名创伤患者进行前性队列研究.
- 在创伤前使用匹兹堡睡眠质量指数 (PSQI) 评估睡眠质量.
- 住院后的睡眠通过智能手进行监测,并使用PTSD检查清单-民用版本 (PCL-C) 评估PTSD.
主要成果:
- 在1个月后,PTSD检测率为19.47%,在3个月后为17.61%.
- 患有PTSD的患者在创伤前睡眠质量明显降低 (PSQI得分更高,P<0.001).
- 在PTSD发作之前,72.73%的患者有睡眠异常;入院后,PTSD患者的睡眠状况较差,夜间觉醒较多 (P < 0.05).
结论:
- 创伤前的睡眠质量不佳是发展PTSD的一个重要危险因素.
- 早期睡眠评估和干预可能对于预防创伤幸存者的PTSD至关重要.
- 创伤后的睡眠监测也揭示了那些患有PTSD的人与那些没有PTSD的人之间的显著差异.
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