Relationship Between Sleep Status,positive Psychological Capital,Positive And Negative Emotions And Quality Of Life In Patients With Obstructive Sleep Apnea Syndrome

Objective To investigate the quality of life of patients with obstructive sleep apnea syndrome(OSAHS),and to explore the relationship between sleep status,positive psychological capital,positive and negative emotions and quality of life,and to provide a theoretical basis for improving the quality of life of patients.Methods This study used a cross-sectional study and a convenient sampling method.OSAHS patients who were monitored in the sleep monitoring center of a class Ⅲ class a hospital in Shandong Province from June 2020 to June 2021 were selected for a questionnaire survey.The survey tools used included general information questionnaire of OSAHS patients,Epworth Sleepiness Scale(ESS),insomnia index scale(ISI),positive and negative emotion scale(PANAS),positive psychological capital(PPQ)and sleep apnea quality of life index(SAQLI).After establishing the database,SPSS21.0 for mathematical statistics.The statistical methods mainly include independent sample t-test,Pearson correlation analysis and one-way ANOVA’Application Amos22.0 software to construct the structural equation model of quality of life and related factors.Results1.Demographic characteristics and disease data of OSAHS patientsThe age range of 218 patients with OSAHS was 20-75 years,and the average age was(41.53 ± 10.73)years;Male(84.4%);BMI index>24 accounted for 85.8%;The majority of those with education level and below(70.2%);Balance of payments accounted for 63.3%;Employed persons accounted for(64.7%);Patients with other chronic diseases accounted for 44.5%.2.Quality of life and differences in demographic and disease data among OSAHS patientsOSAHS patients’ SAQLI total score ranging from 2.02 to 6.6,with an average score of(4.4±1.85).The scores for each dimension from high to low are as follows:emotional function score is(5.08±1.11),social interaction score is(4.70± 1.17),daily activities score is(4.62 ±0.91)and symptoms score is(3.21 ± 1.28).There were significant differences in total saqli score,daily activity dimension,social interaction dimension and emotional dimension in exercise,snoring history and snoring degree(P<0.05).There were statistically significant differences in the degree of snoring and sleep position in the symptom dimension(P<0.05).3.The correlation between sleep disorders,positive and negative emotions,positive psychological capital and quality of life in patients with OSAHS.Among sleep disorders,the score of drowsiness was(8.83±5.06);The score of insomnia index was(10.47±5.63);The score of positive emotion was(27.85±6.97),and the score of negative emotion was(23.04±6.85);The total score of PPQ was 29.38.In Pearson correlation analysis:SAQLI total score,four dimension scores and positive psychological capital total score and each dimension score are positively correlated(r=0.080～0.506,P<0.01);and there was a negative correlation with the each dimension of sleepiness,insomnia and negative emotion(r=-0.108～-0.634,P<0.01).4.Structural equation model analysis of quality of life related factors in patients with OSAHSThe structural equation model was constructed using Amos22.0 statistical software,and the final model modified fitting indices were:χ2/df=1.602,RMSEA=0.053,GFI=0.951,AGFI=0.912,NFI=0.960,IFI=0.985,TLI=0.976,CFI=0.984,which shows that the model fits well.The analysis of the model path results shows that insomnia can directly affect the quality of life(direct effect coefficient is-0.258),and it can also indirectly affect the quality of life through negative emotions(indirect effect coefficient is-0.182);while psychological capital can indirectly affect the quality of life through negative emotions Quality of life(indirect effect coefficient is 0.358).Conclusions1.The quality of life of OSAHS patients is at a moderately low level2.Somnolence,insomnia,positive psychological capital,positive and negative emotions were correlated with quality of life in patients with OSAHS.3.Insomnia in patients with OSAHS has a direct impact on the quality of life,and also have an indirect impact on the quality of life through negative emotions.Positive psychological capital has an indirect impact on the quality of life through negative emotions.