急诊胸痛留院观察患者睡眠质量影响因素调查研究

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Investigation and Study on Factors Influencing Sleep Quality of Patients Underwent Observation for Emergency Chest Pain

JIANXiaohua

（Xingpu Hospital，Suzhou 215126，China）

AbstractObjective：To exploretheinfluencing factors influencing sleepqualityinpatientsunderwentobservation withchest painin emergencydepartmentMethods：Atotalof8OchestpaipatientsadmitedtotheemergencydepartmentofXingpu Hospitalin SuzhouIndustrial Park from January2023to December 2O23 wereselectedastheresearch subjects.The Pitsburgh Sleep Index（PSQI） was used to evaluate the sleep quality of patients. A PSQI score >7 was classified as poor sleep quality（ n=32 ） and included in the poor sleep quality group. A PSQI score ⩽7 was classified as good sleep quality and included in the good sleep quality group（ n=48 ）. Using multiple logistic regression analysis to explore the influencing factors of sleep quality in emergencycestpain patients underobservation.Results：Theproportionof patientswithpoorslepqualitywhohadahistoryof coronaryheartdisease，hypertension，nightimeawakeninghabits，anddrinkingstrong teaorcoffeewas higherthanthatofthegroup withgoodsleepquality.Therevisedlifeorientationtest（LOT-R）scores werelowerthanthoseofthegroupwithgodslepquality （ P<0.05 ）.The results of multiple logistic regression analysis showed that a history of coronary heart disease（ OR=1.455 ），a history of hypertension（ OR=1.364 ），a habit of nighttime awakening（ OR=1.203 ），a habit of drinking strong tea or coffee （ OR=1 . 163），and LOT-R（ OR=0.717 ） were the influencing factors on the sleep quality of emergency chest pain patients who were hospitalized for observation（ P<0.05 ）. Conclusion： A history of coronary heart disease，hypertension，nighttime awakening habits，consumptionofstrong teaorcofeeandLOT-Rscoresareinfluencing factorsonthesleepqualityof patientswithmergency chest pain who are hospitalized for observation.

KeywordsChestpain;Emergencytreatment;Hospitalizedforbservation；Sleepquality；Analysisofinfluencingfactors；itsburgh Sleep Index Scale；Revised version of life orientation test；Coronary heart disease

中图分类号：R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.02.057

急性胸痛构成了急诊科接诊病例的 20% 至30% [1]，其成因多样，可能涉及心血管疾病、呼吸系统问题，以及胸部骨骼、肌肉或神经方面的疾病。（剩余5045字）