摘要
目的调查广州市社区围绝经期妇女睡眠质量及影响因素,为制定干预策略和措施提供依据。方法采用随机与整群抽样相结合的方法 ,以广州某社区为流调现场,抽取40~55岁721例围绝经期女性为研究对象,采用匹兹堡睡眠质量指数量袁(PSQI)、生活事件量表(LES)、社会支持评定量表(SSRS)、应对方式问卷(CSQ)和艾森克个性问卷(EPQ)进行调查,以PSQI≥7分作为界值,判断睡眠质量差;运用Spearman相关及多元回归分析,对各因素之间的相关关系进行分析。结果 721名调查者PSQI总分为6.38±2.82,睡眠质量差检出率为22.61%,51~55岁组睡眠质量差检出率为31.78%,显著高于40~45岁组的14.29%(x^2=20.856,P<0.01)和46~50岁组的22.08%,(x^2=5.691,P<0.05),46~50岁组也显著高于40~45岁组(x^2=4.963,P<0.05)。PSQI与负性事件、消极应对和N分显著正相关,与支持利用度、客观支持和E分显著负相关。年龄、负性事件、E量表分、支持利用度和积极应对能预测睡眠质量。结论就围绝经期妇女睡眠质量而言,多因素既有直接影响又存在交互作用,应采取多层次和有针对性的干预措施。
Objective To investigate the sleep quality and its influencing factors in perimenopausal women in Guangzhou community so as to provide scientific basis for prevention and intervention.Methods It was a stratified randomized sampling investigation.Totally 721 perimenopausal women aged 40-55 years, from Guangzhou community, were investigated with Pittsburgh sleep quality index （PSQI）, life events self-rating scale （ LES ） , social support revalued scale （ SSRS ） , coping style questionnaire （ CSQ ） and Eysenck personality questionnaire （EPQ）.PSQI ≥7 was defined as the cutoffvalue for sleep quality.Correlation among each factor of sleep quality was ascertained with Spearman correlation and multiple stepwise regression analysis.Results The total PSQI score was 6.38 ±2.82 and 22.61%of perimenopausal women in the study showed poor sleep quality.The proportion of women with poor sleep in the group aged 51-55 years （31.78%） was significantly higher than that in the group aged 40-45 years （14.29%） （χ2 =20.856,P〈0.01） and the group aged 46-50 years （22.08%） （χ2 =5.691, P〈0.05）.The proportion of women with poor sleep in the group aged 46-50 years was significantly higher than that in the group aged 40-45 years （χ2 =4.963,P〈0.05）.PSQI was positively correlated with negative life events, negative support and N score, but negatively correlated with utilization of support, objective support and E score.Age, negative life events, E score, utilization of support and positive coping were significant predictors of sleep quality.Conclusion Sleep quality is closely related with multi-impacting factors.Targeted and multi-faceted prevention and treatment should be given to perimenopausal women.
出处
《中国妇幼健康研究》
2014年第5期752-754,769,共4页
Chinese Journal of Woman and Child Health Research
基金
2012年广州市南沙区公共服务研究资助项目(编号:2001203003)
关键词
围绝经期女性
睡眠质量
影响因素
社区
perimenopausal women sleep quality influencing factors community
