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重度抑郁症患者的睡眠障碍:睡眠日志与活动记录仪之间的不一致

Sleep disturbances in patients with major depressive disorder: incongruence between sleep log and actigraphy.

作者信息

Kung Pei-Ying, Chou Kuei-Ru, Lin Kuan-Chia, Hsu Hsin-Wei, Chung Min-Huey

机构信息

Tri-Service General Hospital Songshan Branch, Taipei, Taiwan.

Graduate Institute of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.

出版信息

Arch Psychiatr Nurs. 2015 Feb;29(1):39-42. doi: 10.1016/j.apnu.2014.09.006. Epub 2014 Oct 22.

DOI:10.1016/j.apnu.2014.09.006
PMID:25634873
Abstract

OBJECTIVE

Depression has become a severe global health problem, and sleeping difficulties are typically associated with depression. The purpose of this study was to investigate the relationships among subjective sleep quality, objective sleep quality, and the sleep hygiene practices of hospitalized patients with major depressive disorder.

METHOD

Daily sleep logs and actigraphy were used to obtain subjective and objective sleep data. Thirty patients were recruited from a regional teaching hospital in Taipei and completed the Hamilton Rating Scale for Depression and the Sleep Hygiene Practice Scale.

RESULTS

Significant differences were found between subjective and objective sleep data in patients with major depressive disorder (MDD). For patients with more severe depression, subjective measurements obtained using sleep logs, such as total sleep time and sleep efficiency, were significantly lower than those obtained using actigraphy by controlling for demographics.

CONCLUSIONS

The results regarding the differences between subjective and objective sleep data can be a reference for care providers when comforting depression patients who complain of sleep disturbance.

摘要

目的

抑郁症已成为一个严重的全球健康问题,睡眠困难通常与抑郁症相关。本研究的目的是调查重度抑郁症住院患者的主观睡眠质量、客观睡眠质量和睡眠卫生习惯之间的关系。

方法

使用每日睡眠日志和活动记录仪获取主观和客观睡眠数据。从台北一家地区教学医院招募了30名患者,他们完成了汉密尔顿抑郁量表和睡眠卫生习惯量表。

结果

重度抑郁症(MDD)患者的主观和客观睡眠数据存在显著差异。对于抑郁症更严重的患者,通过控制人口统计学因素,使用睡眠日志获得的主观测量值,如总睡眠时间和睡眠效率,显著低于使用活动记录仪获得的值。

结论

主观和客观睡眠数据差异的结果可为护理人员安慰抱怨睡眠障碍的抑郁症患者时提供参考。

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