摘要
目的:调查社区老年人群睡眠状况及相关因素,为促进健康睡眠提供参考依据。方法:采用分层取样法募集无锡市社区≥50岁人群,用自制一般人口资料学调查表、匹兹堡睡眠质量指数量表(PSQI)进行调查,比较老年组(≥60岁)及老年前期组(50~59岁)睡眠障碍的发生率,并分析其影响因素。结果:无锡市社区老年组睡眠障碍发生率为47.34%,高于老年前期组34.90%(P<0.05)。60岁及以上人群PSQI总分及各因子分(除日间功能障碍外)均高于60岁以下人群,差异有统计学意义(P<0.05)。Logistic回归分析显示,女性(OR=1.371)、年龄70~79岁,≥80岁(OR=1.589、3.010)、独居(OR=1.943)或大家庭居住(OR=1.351)、家庭氛围差(OR=2.195)、住普通平房(OR=2.075)、不良睡眠习惯(OR=2.313)、BMI≤18.4(OR=2.224)或BMI≥28(OR=1.770)是发生睡眠障碍的危险因素;经常参加户外活动(OR=0.572)、无躯体疾病(OR=0.737)是发生睡眠障碍的保护因素。结论:社区老年人睡眠障碍发生率较高,女性、増龄、家庭状况差、偏瘦或肥胖是老年睡眠障碍的危险因素,户外活动、躯体健康是老年睡眠障碍的保护因素。
Objective： To investigate the sleep status and related factors of the elderly in the community,and to provide reference for the promotion of healthy sleep. Method： The stratified random sampling method was used to recruit the population aged 50 years and older in the community of Wuxi City. By using the homemade general demographic questionnaire and the Pittsburgh sleep quality index（ PSQI）,we investigated the incidence of sleep disorders and influencing factors among population with different demographic characteristics.Results： The incidence of sleep disorders was 47. 34% in the elderly in Wuxi. The PSQI score and the scores of all the factors（ except daytime dysfunction） were higher than those under 60 years old. Logistic regression result showed that female（ OR = 1. 371）,aged 70 ~ 79 years（ OR = 1. 589）,age 80 years and older（ OR =3. 010）,living alone（ OR = 1. 943） or large family（ OR = 1. 351）,poor family atmosphere（ OR = 2. 195）,housing for ordinary bungalow（ OR = 2. 075）,poor sleep habits（ OR = 2. 313）,BMI ≤18. 4（ OR = 2. 224） or BMI≥28（ OR = 1. 770） were risk factors for sleep disorders; And frequent participation in outdoor activities（ OR = 0. 572） and no somatic disease（ OR = 0. 737） were protective factors for sleep disorders.Conclusion： The incidence of sleep disorders in the elderly is higher. The risk factors of sleep disorders in the elderly include female,aging,poor family status,emaciation or obesity,and the protective factors include outdoor activities and physical health.
出处
《临床精神医学杂志》
2017年第5期317-319,共3页
Journal of Clinical Psychiatry
关键词
老年人
睡眠障碍
影响因素
the elderly
sleep disorders
influencing factors
