冠心病患者睡眠障碍发生率及影响因素的Meta分析

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【中图分类号】R541.4 【文献标识码】A

【Abstract】 Objective To analyze the prevalence of sleep disorders among patients with coronary heart disease （CHD） and identify their associated influencing factors，thereby providing evidence to improve sleep quality in this patient population. Methods Systematic retrieval of Cochrane Library，PubMed， Webof Science，Embase， National Knowledge Infrastructure （CNKI），VIP Database，WanFang Database，and Chinese Biomedical Literature Database was conducted to obtain relevant research on the current situation and influencing factors of sleep disorders in patients with CHD， with the retrieval time from the inception of the database to March 2025.Meta-analysis was performed using R Studio 4.3.3 software. Results A total of 14 articles were included， with a total sample size of 3，252 cases. The incidence rate of sleep disorders in patients with CHD was 58% 一 95%CI （ 46% ， 69% ）]，amongwhich femaleOR .=1.76 ， 95%CI （1.55，

2.01）]， urban medical insurance coverage [OR ：=1.83 ， 95%CI （1.03，3.27）]， elderly [OR .=1.21 ， 95%CI （1.05，1.41）]， anxiety[OF ：=2.17 ， 95%CI （1.29，3.66）]， depression [OR .=3.23 ， 95%CI （1.53，6.80）]，and pain [OR =1.83 ， 95%CI （1.23，2.73）] were the main risk factors of sleep disorders in patients with CHD.In contrast，good social support [OR .=0.86 0 95%CI （0.84，0.89）] serves as a protective factor. Conclusion Sleep disorders are highly prevalent among patients with CHD. Being female， having urban health insurance， elderly，anxiety， depression， pain interference，and lack of social support are significant risk factors for sleep disturbances in this population.

【Keywords】Coronary heart disease; Sleep disorders; Influencing factors; Systematic review

冠状动脉粥样硬化性心脏病简称冠心病（coronaryheartdisease，CHD），是指由于冠状动脉发生粥样硬化，引发心肌缺血缺氧或坏死的一种心脏病[]。（剩余17709字）