Investigation of sleep quality and influencing factors in hospitalized patients with rheumatic diseases

Abstract

Objective To discuss the sleep quality of hospitalized patients with rheumatic diseases and the factors affecting the quality of sleep. Methods With Pittsburgh sleep quality index (PSQI) questionnaire and the self-designed questionnaire about the factors affecting sleep were used to survey 125 patients with rheumatic disease from November 2013 to October 2014 in a level three class A hospital in Beijing city. Results Rheumatoid disease inpatients PSQI scores between 7 to 12 points had 35 cases, accounted for 28.0%, more than 12 points having 6 cases, accounted for 4.8%, PSQI various dimensions of 93 patients with seven hours of sleep time and accounted for 74.4%, sleep efficiency more than 85% having 115 patients and accounted for 92.0%, but the poor quality of sleep group with 113 cases and accounted for 90.4%, sleep time group 101 cases of patients and accounted for 80.8%, patients with sleep disorders in 120 cases, accounted for 96%, 111 cases of patients with daytime dysfunction, accounted for 88.8%, and used hypnotic drugs in patients with only 13 cases, accounted for 10.4%, group of patients with rheumatic disease of the Pittsburgh sleep quality index was higher than normal group (P<0.01); there was no significant difference in the total score of PSQI and in patients with glucocorticoid (P<0.05). The percentage of poor sleep quality was in patients with more than sixty years old, not continue to work or study and poor sleep before hospitalization, and sleep quality of patients affected by physical discomfort (P<0.01); the primary factors affected patients′ sleep was psychological factors. Conclusions The hospitalized patients with rheumatoid disease sleep quality are poor, while psychological factors are the main factors affecting sleep and corticosteroids is not absolutely the influencing factors of sleep. The elderly, the length of sleep before good quality patients should attract the attention of nurses. Using your own sleep drugs can improve sleep quality. Evaluation and assessment of patients′ sleep quality can find out potential problems. Key words: Rheumatic diseases; Quality of sleep; Influence factor; Investigation