【摘要】 目的:了解南京市围绝经期妇女的生活状态对其对睡眠状况的影响。方法:采用自制的围绝经期妇女睡眠影响因素调查表与匹兹堡睡眠指数量表(PSQI),对在南京市妇幼保健院进行妇女病普查的围绝经期386例患者进行问卷调查,数据采用SPSS18.0软件进行统计学分析。结果:研究对象PSQI总均分为4.88±3.42。19.2%的围绝经期门诊患者睡眠较差,不同年龄、文化组的围绝经期患者的睡眠异常发生率差异无统计学意义(χ2=5.893,P=0.207;χ2=4.972,P=0.286);婚龄、自身健康状况、丈夫健康状况、生活工作压力、体育锻炼与休息时间以及围绝经期的认知和精神因素等与其睡眠异常存在关联。多因素Logistic回归分析显示,不进行体育锻炼和焦虑状态的妇女发生睡眠异常的风险更高,而对围绝经期概念不知晓的妇女发生睡眠异常的风险较低。结论:南京围绝经期门诊患者睡眠异常的发生率较高,其影响是多方面的。加强体育锻炼、保持良好的生活状态可改善围绝经期门诊患者的睡眠状态。更多还原

【Abstract】 Objective: To explore the effects of living conditions on the sleep pattern in perimenopausal women.Methods: A total of 386 perimenopausal women which checked in Nanjing Maternal and Child Health Hospital were assessed by the questionnaires which investigate the sleep for the perimenopausal women and the questionnaire scale of Pittsburgh Sleep Quality Index( PSQI). The data were analyzed by the SPSS 18. 0. Results: The average score of PSQI was 4. 88 ± 3. 42. There were 19. 2% of perimenopausal women which had poor sleep. No significant differences were found in different age,education groups( χ2= 5. 893,P = 0. 207; χ2= 4. 972,P = 0. 286). The age of marriage,the self health condition,the husbands’ health condition,the life and work stress,the physical exercise,rest time,cognition and anxiety state were related with sleep pattern in the perimenopausal women. The multiple Logistic regression analysis showed the women which were lack of physical exercise and anxiety state were higher risk to have poor sleep,the women which have less acknowledge about perimenopausal period were less risk to have poor sleep than others. Conclusions: The incidence of sleep disorders in the perimenopausal women which checked in Nanjing Maternal and Child Health Hospital were relatively high. It were influenced by various aspects,to have more physical exercise and keep fit status may improve the conditions of sleep in the perimenopausal women.更多还原