Abstract: Background　The prevalence of peptic ulcer（PU） ranks tenth among the common chronic non-communicable diseases in China.The lengthy course of the disease and the changes in patients' life mode make patients have an urgent need for community/home care.However，the current community/home care management mode for chronic non-communicable diseases such as PU is not completed in China.Objective　To understand the sleep quality of PU patients and analyze its influencing factors，so as to provide a theoretical basis for improving the relevant community health service system.Methods　Twenty-three PU patients who were treated in four tertiary hospitals in Qingdao were selected from May in 2018 to February in 2019，and 213 PU patients were also included through the social platform from December in 2018 to February in 2019.The patients were investigated online and offline.The questionnaires mainly included General Information Questionnaire，Occupational Stress Analogue Scale，Pittsburgh Sleep Quality Index（PSQI），Social Support Rating Scale（SSRS），Self-rating Anxiety Scale（SAS），Self-rating Depression Scale（SDS），and pain Numerical Rating Scale（NRS）.Results　A total of 223（94.5%） questionnaires were received effectively.The average PSQI score of PU patients was（8.04±2.77），and 53.8%（120/223） patients had poor sleep quality.There were significant differences in PSQI scores among PU patients with different age，education level，family per capita monthly income，personality type，presence of negative emotions，occupational stress，anxiety level and depression level（P<0.05）.Spearman rank correlation analysis showed that there was a negative correlation between the score of use of support in SSRS and the PSQI score among PU patients（P<0.05）.The results of multiple linear stepwise regression analysis showed that personality type，negative emotions，the score of use of support in SSRS and anxiety level were the influencing factors of sleep quality in PU patients（P<0.05）.Conclusion　The sleep quality of PU patients is not good.It is important to pay attention to the sleep quality of PU patients with depressive character，negative emotions，low social support and high anxiety level.Community medical staff should provide more individualized and multi-dimensional nursing interventions for PU patients，such as body-psycho-social nursing including understanding the social support of PU patients in depth，establishing healthy social relations，and conducting psychological guidance.

Key words: Peptic ulcer, Sleep disorders, Root cause analysis, Community health services

摘要： 背景　消化性溃疡（PU）患病率在我国常见慢性非传染性疾病中居第十位。其冗长的病程及对患者生活模式的改变，使得患者对社区/居家护理有着迫切的需求，而我国目前针对PU一类慢性非传染性疾病的社区/居家护理管理模式尚不完善。目的　了解PU患者的睡眠质量并分析其影响因素，为完善社区卫生服务体系提供理论依据。方法　选取2018年5月—2019年2月就诊于青岛市4家三级甲等医院的PU患者23例，于2018年12月—2019年2月通过社交平台病友群纳入PU患者213例。分别对患者进行线上、线下调查，问卷主要包括：一般资料调查表、职业压力模拟评分尺、匹兹堡睡眠质量指数量表（PSQI）、社会支持评定量表（SSRS）、焦虑自评量表（SAS）、抑郁自评量表（SDS）、疼痛数字评分法（NRS）。结果　共223例（94.5%）患者的问卷得到有效回收。PU患者的平均PSQI得分为（8.04±2.77）分，其中53.8%（120/223）的患者睡眠质量不佳。不同年龄、文化程度、家庭人均月收入、性格类型、负性情绪存在情况、职业压力、焦虑程度、抑郁程度的PU患者，PSQI得分比较，差异有统计学意义（P<0.05）。Spearman秩相关结果显示，PU患者SSRS中对支持的利用度维度得分与PSQI得分呈负相关（P<0.05）。多元线性逐步回归分析结果显示，性格类型、是否存在负性情绪、SSRS中对支持的利用度维度得分、焦虑程度是PU患者睡眠质量的影响因素（P<0.05）。结论　PU患者的睡眠状况不佳，应着重关注抑郁质性格、对患病有负性情绪、社会支持程度低、焦虑程度高PU患者的睡眠质量。社区医务人员应为PU患者提供更个体化、多角度的护理干预，如通过深入了解患者社会支持情况、建立健康社会关系、开展心理指导等进行躯体-心理-社会多角度护理。

关键词: 消化性溃疡, 睡眠障碍, 影响因素分析, 社区卫生服务