关键词: 高原地区, 外科术前患者, 睡眠质量, 横断面调查

Abstract:

Objective To understand the current situation of preoperative sleep quality of surgical patients in a tertiary a hospital in Xizang and analyze its influencing factors, so as to provide basis for improving preoperative sleep quality of patients. Method A convenient sampling method was used to select 256 preoperative patients who planned to undergo surgery in the Xizang Autonomous Region People's Hospital from April to July 2022. The self-designed demographic sociological questionnaire and the Athens Insomnia Scale were used to investigate the sleep quality, and the influencing factors of sleep quality were analyzed. Result The rate of sleep disorder before surgery was 43.75% in a tertiary hospital in Xizang. The results of multiple linear regression analysis showed that

non-permanent high-altitude population, marriage, high surgical risk grade and high disease understanding were the main factors leading to sleep disorders before surgery (P ＜ 0.05), which could jointly explain 13.4% variance variation of sleep quality before surgery (F ＝ 9.689, R2 ＝ 0.134, P ＜ 0.001). Conclusion The sleep quality of patients before surgery was poor, patients with non-permanent high-altitude population, who were married, who had a high surgical risk rating and who knew more about the disease had worse sleep quality. Health care workers should actively take measures to improve sleep quality and promote wound healing and early recovery.

Key words: Plateau areas, Pre-surgical patients, Sleep quality, A cross-sectional survey