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山东省精神卫生中心临床二目的:探讨慢性前列腺患者的心理健康状况和睡眠质量及两者之间的相关性。方法:采用匹兹堡睡眠质量指数(PSQI)、症状自评量表(SCL-90)、自制的相关因素调查表,对200例慢性前列腺患者的心理健康状况与睡眠质量进行调查,并对影响睡眠的相关因素进行分析。结果:51.5%的患者有睡眠质量问题;PSQI≥8分的患者SCL-90各因子(人际关系、敌对性两因子除外)及总分、SAS,SDS总分显著高于PSQI≤7的患者,且PSQI得分越高,SCL-90各因子及总分、SAS,SDS得分越高(F=1.424～34.648,P<0.01～0.05);睡眠质量与SCL-90中躯体化、强迫、抑郁、焦虑、恐怖、精神病性,其他7个因子及总分与睡眠质量呈显著正相关(r=0.0097～0.6317,P<0.01～0.05);影响患者睡眠质量的因素是多方面的,按作用大小依次为:性功能改变、躯体局部不适、首次发病年龄、负性生活事件和夫妻感情差(偏回归系数=0.0092～0.0561)。结论:睡眠障碍是慢性前列腺患者的重要症状之一,与心理健康状态、焦虑、抑郁症状密切相关。
Objectives of Shandong Mental Health Center: To explore the relationship between mental health status and quality of sleep in patients with chronic prostatitis. Methods: The PSQI, SCL-90 and self-made questionnaire were used to investigate the mental health and quality of sleep in 200 patients with chronic prostatitis, and to investigate the relationship between sleep quality and sleep quality Related factors for analysis. Results: 51.5% of the patients had sleep quality problems. The scores of SCL-90 (except for interpersonal and hostile factors) and the scores of total score, SAS and SDS in patients with PSQI≥8 were significantly higher than those with PSQI≤7, The scores of SCL-90 and total score, SAS and SDS were higher (F = 1.424-34.648, P <0.01-0.05) with the higher PSQI score. The relationship between sleep quality and somatization, coercion, depression and anxiety in SCL- (R = 0.0097 ~ 0.6317, P <0.01 ~ 0.05). The factors influencing the quality of sleep in patients were multifaceted, and the order of effect size was : Changes in sexual function, physical discomfort, first-onset age, negative life events and poor marital relationship (partial regression coefficient = 0.0092 ~ 0.0561). Conclusion: Sleep disorders are one of the most important symptoms in patients with chronic prostate disease. They are closely related to mental health status, anxiety and depressive symptoms.