Research on sleep quality and influential factors of patients with schizophrenia in rural areas in Ningxia Hui Autonomous Region / 中华行为医学与脑科学杂志

ABSTRACT

Objective To explore the sleep quality and its influencing factors among the patients with schizophrenia of Hui and Han populations in the rural areas in Ningxia Hui Autonomous Region.MethodsTotally 296 patients with schizophrenia of Hui and Han populations in the rural areas were selected from 2 counties of Wuzhong and Zhongwei in Ningxia Hui Autonomous Region by using cluster random sampling method.Self-made general information questionnaire was used to collect the demographic and clinical characteristics of the patients with schizophrenia.The Pittsburgh Sleep Quality Index(PSQI) was used to evaluate the sleep quality.Brief Psychiatric Rating Scale(BPRS),Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale(HAMA) were used to measure the psychotic symptoms,depressive symptoms and anxiety symptoms,respectively.ResultsIn the rural areas,the incidence of sleep disorder in the patients with schizophrenia of Hui and Han populations was 84.5%.The influencing factors of sleep disorder in the patients with schizophrenia in the rural areas were age(B=0.055,P=0.012,OR=1.057,95%CI1.012-1.103),nationality(B=2.250,P<0.01,OR=9.485,95%CI2.701-33.319),marital status(B=-1.506,P=0.003,OR=0.222,95%CI0.081-0.605),course of disease(B=-0.003,P=0.089,OR=0.997,95%CI0.993-1.001),the total score of HAMD(B=0.079,P=0.007,OR=1.083,95%CI1.021-1.148)and the total score of HAMA(B=0.060,P=0.036,OR=1.061,95%CI1.004-1.122).ConclusionSleep disorders are common and associated with multiple factors in patients with schizophrenia of Hui and Han populations in Ningxia rural area.In clinical practice,more attention should be paid to the identification and intervention of sleep disorders,so as to improve the sleep quality for the patients with schizophrenia.