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目的探讨支气管哮喘患者疲劳状况及与睡眠质量、自尊的关系与可能的影响路径。方法采用随机方便抽样方法,抽取新疆军区总医院呼吸内科门诊支气管哮喘患者384例作为研究对象,运用疲劳-14量表、自尊量表和睡眠状况自评量表进行调查分析。结果有领导职务患者脑力疲劳得分显著高于无领导职务患者(P<0.05)。年龄26~35岁患者疲劳总分及躯体疲劳得分显著高于≥46岁患者(P<0.05)。工龄4~6 a患者躯体疲劳得分显著高于工龄7~9 a患者(P<0.05)。硕士、博士研究生患者脑力疲劳得分显著高于大学专科患者(P<0.01)。睡眠、自尊对疲劳状况具有负向预测作用(P<0.01)。自尊在睡眠质量与疲劳状况之间的部分中介作用显著,其中介效应占总效应的11.15%。结论支气管哮喘患者疲劳状况与睡眠质量、自尊有密切的关系;自尊在睡眠与脑力疲劳间具有部分中介作用。
Objective To investigate the relationship between the fatigue status of asthma patients and the quality of sleep and self-esteem and the possible path of influence. Methods A total of 384 cases of asthmatic patients with respiratory medicine in Xinjiang General Hospital of Xinjiang Military Area were recruited by random sampling method. The fatigue-14 scale, self-esteem scale and sleep status self-rating scale were used to investigate and analyze the results. Results As a result, the mental fatigue scores of those with leadership positions were significantly higher than those without leadership positions (P <0.05). The total fatigue score and physical fatigue score of patients aged 26-35 years were significantly higher than those of patients aged ≥46 years (P <0.05). The body fatigue scores of patients with the length of 4 ~ 6 years were significantly higher than those of patients with the length of 7 ~ 9 years (P <0.05). The scores of mental fatigue of master and doctoral students were significantly higher than those of college specialties (P <0.01). Sleep, self-esteem had negative predictive value on fatigue (P <0.01). Self-esteem in part of mediation between sleep quality and fatigue status significantly, the mediation effect of the total effect of 11.15%. Conclusion The fatigue status of asthma patients is closely related to the quality of sleep and self-esteem. Self-esteem has partial mediation effect between sleep and mental fatigue.