华南预防医学 ›› 2024, Vol. 50 ›› Issue (1): 30-34.doi: 10.12183/j.scjpm.2024.0030

• 论著 • 上一篇    下一篇

职业性尘肺病患者睡眠障碍状况及其影响因素分析

杨道宇1,2, 韩宇浩2, 顾倚岑2, 全宁斌2, 王雨浩2, 黄淑玲1, 徐璐瑶2, 卢锦意2, 张昭2, 李旭东1,2   

  1. 1.广州医科大学公共卫生学院,广东 广州 511495;
    2.广东省职业病防治院,广东省职业健康工程技术研究中心,广东省职业病防治重点实验室
  • 收稿日期:2023-12-11 出版日期:2024-01-20 发布日期:2024-03-13
  • 通讯作者: 李旭东,E-mail:lixd116@126.com
  • 作者简介:杨道宇(1997—),男,在读硕士研究生,主要从事职业流行病学研究工作
  • 基金资助:
    国家重点研发计划项目(2022YFC2503205); 西部绿色建筑国家重点实验室项目(202302030510030008); 广东省自然科学基 金(231405005166); 广东省职业健康工程技术研究中心建设项目(D:2019A069); 广州市基础研究计划项目(202002030396)

Analysis of sleep disorders and their influencing factors in occupational pneumoconiosis patients

YANG Daoyu1,2, HAN Yuhao2, GU Yicen2, QUAN Ningbin2, WANG Yuhao2, HUANG Shuling1, XU Luyao2, LU Jinyi2, ZHANG Zhao2, LI Xudong1,2   

  1. 1. School of Public Health,Guangzhou Medical University,Guangzhou 511495,China;
    2. Guangdong Provincial Key Laboratory of Occupational Disease Prevention and Control,Guangdong Occupational Health Engineering Technology Research Center,Guangdong Provincial Institute of Occupational Disease Prevention and Control
  • Received:2023-12-11 Online:2024-01-20 Published:2024-03-13

摘要: 目的 分析职业性尘肺病患者睡眠障碍情况及其影响因素。方法 采用方便抽样方法,选择1 176例职业性尘肺病患者,调查其用工单位信息、患者本人信息和尘肺病相关情况,采用多因素logistic回归模型探讨睡眠障碍的影响因素。结果 994(84.52%)例职业性尘肺病患者存在睡眠障碍,PSQI总得分中位数水平为12(10,14)分,其中睡眠障碍组患者中位数水平为13(11,15)分,无睡眠障碍组为4(3,5)分(P<0.01)。与无睡眠障碍职业性尘肺病患者相比,睡眠障碍职业性尘肺病患者的主观睡眠质量、睡眠潜伏期、睡眠持续时间、习惯性睡眠效率、睡眠障碍、睡眠药物使用、日间功能障碍这7个维度的得分均明显较高(均P<0.01)。多因素logistic回归分析结果显示,婚姻(OR其他=1.553)、健康状况(OR一般=0.473、OR满意=0.759)、生活质量(OR较好=0.110、OR良好=0.085)及用工单位企业类型(OR私营=1.205)与职业性尘肺病患者睡眠障碍发生有关。结论 职业性尘肺病患者发生睡眠障碍较高,睡眠障碍与婚姻、健康状况、生命质量及用工单位企业类型有关。

关键词: 尘肺, 睡眠障碍, 职业病, 影响因素

Abstract: Objective To investigate the sleep disorders and their influencing factors in occupational pneumoconiosis patients. Methods A total of 1 176 occupational pneumoconiosis patients were selected by convenient sampling method to investigate their employer information, individual information, and pneumoconiosis related situation. Multivariate Logistic regression was used to explore the influencing factors of sleep disorders. Results A total of 994 (84.52%) patients with occupational pneumoconiosis had sleep disorders, and the median PSQI score was 12 (10, 14) points, including 13 (11, 15) points in the group with sleep disorders and 4 (3, 5) points in the group without sleep disorders (P < 0.01). Compared with occupational pneumoconiosis patients without sleep disorders, the scores of subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disorders, sleep medication use, and daytime dysfunction in occupational pneumoconiosis patients with sleep disorders were significantly higher (all P < 0.01). The results of multivariate Logistic regression analysis showed that marital status (OR other =1.553), health status (OR general =0.473, OR satisfactory =0.759), quality of life (OR better =0.110, OR good =0.085), and type of employer (OR private enterprise =1.205) were associated with sleep disorders in occupational pneumoconiosis patients. Conclusions Occupational pneumoconiosis patients have high incidence of sleep disorders, which are related to marital status, health status, quality of life, and the type of employer.

Key words: Pneumoconiosis, Sleep disorder, Occupational disease, Influencing factor

中图分类号: 

  • R135