内科理论与实践 ›› 2023, Vol. 18 ›› Issue (06): 410-415.doi: 10.16138/j.1673-6087.2023.06.007
收稿日期:
2023-06-27
出版日期:
2023-12-18
发布日期:
2024-03-18
通讯作者:
钱珠萍 E-mail: 基金资助:
JIANG Pingmeia, XIANG Xiaogangb, CAI Xiaolana, XUE Mina, QIAN Zhupinga()
Received:
2023-06-27
Online:
2023-12-18
Published:
2024-03-18
摘要:
目的:对肝硬化患者的睡眠质量进行潜在类别分析,探讨不同睡眠质量类别患者的生活质量差异。方法:采用便利抽样法,选取2020年6月至2021年6月入住本院感染科的肝硬化患者221例,采用匹兹堡睡眠质量指数和慢性肝病问卷进行调查,使用Mplus 8.0对肝硬化患者睡眠质量进行潜在类别分析。结果:肝硬化患者的睡眠质量分为低质量-低效率睡眠(24.4%)、睡眠良好(43.9%)、睡眠时长不足(12.7%)和入睡困难-日间困乏(19.0%) 4个潜在类别,睡眠障碍发生率分别为98.2%、4.1%、60.7%和76.2%;以睡眠良好组为参照,各潜在类别患者的生活质量存在差异(P<0.05);多元线性逐步回归提示日间功能障碍、主观睡眠质量差和睡眠紊乱是影响生活质量的主要睡眠问题(P<0.05)。结论:肝硬化患者的睡眠质量存在异质性,生活质量下降与睡眠质量不佳总体一致,应对不同睡眠质量类别的特点和差异加强关注,通过针对性的干预措施改善睡眠和生活质量。
中图分类号:
蒋萍梅, 项晓刚, 蔡晓兰, 薛敏, 钱珠萍. 肝硬化患者睡眠质量的潜在类别分析及生活质量的差异研究[J]. 内科理论与实践, 2023, 18(06): 410-415.
JIANG Pingmei, XIANG Xiaogang, CAI Xiaolan, XUE Min, QIAN Zhuping. Identification of latent class of sleep quality and analysis of differences of quality of life in liver cirrhosis patients with different sleep quality[J]. Journal of Internal Medicine Concepts & Practice, 2023, 18(06): 410-415.
表1
患者睡眠质量潜在类别模型拟合指标
模型 | Log L | AIC | BIC | aBIC | P | 熵值 | 类别概率 | |
---|---|---|---|---|---|---|---|---|
LMR | BLRT | |||||||
1 | -903.513 | 1821.026 | 1844.814 | 1822.630 | - | - | - | - |
2 | -780.176 | 1590.351 | 1641.324 | 1593.788 | 0.000 | 0.000 | 0.803 | 0.45/0.54 |
3 | -756.231 | 1558.462 | 1636.620 | 1563.731 | 0.398 | 0.000 | 0.791 | 0.35/0.16/0.49 |
4 | -742.213 | 1546.427 | 1651.770 | 1553.530 | 0.001 | 0.000 | 0.838 | 0.24/0.44/0.13/0.19 |
5 | -738.921 | 1555.842 | 1688.370 | 1564.777 | 0.344 | 1.000 | 0.793 | 0.41/0.14/0.19/0.13/0.13 |
6 | -735.512 | 1565.025 | 1724.739 | 1575.794 | 0.382 | 1.000 | 0.822 | 0.01/0.16/0.14/0.10/0.18/0.41 |
表2
不同睡眠质量类别患者的生活质量比较($\bar{x}±s$,分)
项目 | 低质量-低效率 睡眠组(n=54) | 睡眠良好组 (n=97) | 睡眠时长不足组 (n=28) | 入睡困难-日间 困乏组(n=42) | F | P |
---|---|---|---|---|---|---|
CLDQ总分 | 30.25±5.702) | 35.95±4.35 | 34.90±4.16 | 31.99±4.292) | 19.58 | 0.000 |
腹部症状 | 5.22±1.442) | 6.16±1.01 | 6.14±1.01 | 5.74±1.191) | 8.21 | 0.000 |
困乏 | 4.64±1.372) | 5.59±1.24 | 5.59±1.18 | 4.64±1.162) | 10.50 | 0.000 |
系统症状 | 5.42±0.842) | 6.06±0.68 | 6.08±0.84 | 5.66±0.792) | 9.85 | 0.000 |
活动能力 | 5.12±1.382) | 5.96±1.18 | 5.86±1.23 | 5.19±1.382) | 6.94 | 0.000 |
情感功能 | 4.69±1.172) | 6.20±0.82 | 5.68±0.842) | 5.39±0.972) | 29.98 | 0.000 |
焦虑 | 5.17±1.632) | 5.98±1.13 | 5.55±0.99 | 5.37±1.092) | 5.56 | 0.001 |
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