摘要

[摘要]
目的 探究踝关节骨折患者围术期睡眠质量及负性情绪观察。

方法 选取2022年6月～2025年6月本院踝关节骨折患者95例为研究对象，在术前1天（T1）、术后第3天（T2）及出院前1天（T3）采用匹兹堡睡眠质量指数（PSQI）、自评焦虑量表（SAS）、自评抑郁量表（SDS）评估患者睡眠质量及负性情绪，收集患者的一般资料，采用Pearson相关分析睡眠质量与负性情绪间的关系。

结果 95例患者根据睡眠质量评分分为睡眠障碍组（n=68）、睡眠正常组（n=27），睡眠障碍组患者VAS评分显著高于睡眠正常组（P＜0.05），其余无统计学意义（P＞0.05）；睡眠障碍组患者各时间点SAS、SDS评分均显著高于睡眠正常组（P＜0.05）；各时间点患者的PSQI总分与SAS、SDS评分均呈显著正相关（P＜0.01）。

结论 踝关节骨折患者围术期睡眠障碍与负性情绪密切相关且相互影响，临床应采取疼痛控制、心理支持和睡眠促进的综合干预策略，以改善患者预后。

关键词：[关键词] 踝关节骨折；睡眠质量；负性情绪；相关性

ABSTRACT

[Abstract]
Objective To investigate the sleep quality and negative emotions in patients with ankle fracture during the perioperative period.

Methods A total of 95 patients with ankle fracture in our hospital from June 2022 to June 2025 were selected as the study subjects. The Pittsburgh Sleep Quality Index (PSQI), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to assess sleep quality and negative emotions at three time points: one day before surgery (T1), three days after surgery (T2), and one day before discharge (T3). General patient data were collected, and the relationship between sleep quality and negative emotions was analyzed using Pearson correlation analysis.

Results Based on PSQI scores, the 95 patients were divided into a sleep disorder group (n=68) and a normal sleep group (n=27). The VAS score in the sleep disorder group was significantly higher than that in the normal sleep group (P<0.05), while no statistically significant differences were found in other general data (P>0.05). The SAS and SDS scores in the sleep disorder group were significantly higher than those in the normal sleep group at all time points (P<0.05). PSQI scores were significantly positively correlated with SAS and SDS scores at all time points (P<0.01).

Conclusion  s Sleep disorders and negative emotions are closely interrelated in patients with ankle fracture during the perioperative period. Clinical interventions should adopt integrated strategies focusing on pain management, psychological support, and sleep promotion to improve patient outcomes.

Key words: [Key words] Ankle Fracture; Sleep Quality; Negative Emotions; Correlation