摘要
目的 调查北京某社区老年慢性病患者打鼾现状及阻塞性睡眠呼吸暂停综合征(OSA)相关知识知晓情况,并分析OSA高危的相关影响因素。方法 选择2021年9月至12月在北京交通大学社区卫生服务中心体检的786例退休教职工作者为研究对象,对既往有高血压、糖尿病、冠心病、脑血管病任一病史者采用STOP-Bang问卷(SBQ)进行OSA高危筛查,并依据结果分为OSA高危组和OSA低危组。采用自行设计的OSA相关知识认知度问卷调查慢性病老人一般情况和相关知识的认知度。结果 最终入选101例老年慢性病患者,患有高血压65例(64.3%),糖尿病46例(45.5%),冠心病29例(28.7%),脑卒中12例(11.8%)。其中患有2种疾病51例(50.5%),患有3种疾病11例(10.9%)。明确有睡眠打鼾症状55例(54.4%),被同住人发现呼吸暂停18例(17.8%),66例(65.3%)老年慢性病患者认为自己没有睡眠障碍,应用SBQ调查OSA高危为77例(76.2%)。OSA高危组和低危组间在性别、身高、体重、体重指数、颈围、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇方面均差异有统计学意义(P<0.05)。入组患者认为OSA是一种病67例(66.3%),认为OSA会对身体有害61例(60.4%),愿意接受检查80例(79.2%),接受持续正压通气治疗者20例(19.8%)。老年慢性病患者在危险因素、主要症状、并发症、治疗方法、诊断“金标准”五个方面记为全知道及大部分知道分别占总人数的29.7%、45.5%、11.9%、19.8%、6.9%。结论 老年慢性病患者对OSA的认知度有待提高,应加强宣传力度,提高OSA的就诊率。
Objective To investigate the snoring status and the awareness of obstructive sleep apnea(OSA)in elderly patients with chronic diseases in a community in Beijing,and analyze the relevant influencing factors of high risk of OSA.Methods A total of 786 retired faculty and staff who received physical examination in Community Health Service Center of Beijing Jiaotong University from September to December 2021 were selected as the study subjects.Patients with any previous history of hypertension,diabetes,coronary heart disease or cerebrovascular disease were subjected to STOP-Bang questionnaire(SBQ)for OSA high risk screening,and according to the results,OSA high risk group and OSA low risk group.The self-designed OSA knowledge awareness questionnaire was used to investigate the general situation and knowledge awareness of the elderly with chronic diseases.Results A total 101 elderly patients with chronic diseases were enrolled,including 65 patients with hypertension(64.3%),46 patients with diabetes(45.5%),29 patients with coronary heart disease(28.7%),and 12 patients with stroke(11.8%).Among them,51 cases(50.5%)suffered from 2 diseases and 11 cases(10.9%)suffered from 3 diseases.It was clear that 55 cases(54.4%)had sleep snoring symptoms,18 cases(17.8%)were found to have apnea by cohabitants,66 cases(65.3%)of elderly patients with chronic diseases thought they had no sleep disorder,and 77 cases(76.2%)were at high risk of OSA by using SBQ.There were significant differences in sex,height,weight,BMI,neck circumference,LDL-C and HDL-C between OSA high-risk group and low-risk group(P<0.05).Among the enrolled patients,67 cases(66.3%)thought OSA was a disease,61 cases(60.4%)thought OSA would be harmful to health,80 cases(79.2%)were willing to undergo examination,and 20 cases(19.8%)received continuous positive pressure ventilation therapy(CPAP).The elderly patients with chronic diseases recorded that they knew all and most of the risk factors,main symptoms,complications,treatment methods,and diagnostic"gold standard",accountin
作者
白雪
郭婧滢
聂颖
王一飞
李姣
王露
夏蓉晖
罗士欢
张新焕
Bai Xue*;Guo Jingying;Nie Ying;Wang Yifei;Li Jiao;Wang Lu;Xia Ronghui;Luo Shihuan;Zhang Xinhuan(Community Health Center,Beijing Jiaotong University,Beijing 100044,China;不详)
出处
《中国临床保健杂志》
CAS
2023年第6期778-781,共4页
Chinese Journal of Clinical Healthcare
基金
中央高校基本科研业务费专项资金资助项目(2021JBM442)。
关键词
慢性病
打鼾
睡眠呼吸暂停
阻塞性
认知
调查和问卷
老年人
Chronic disease
Snoring
Sleep apnea,Obstructive
Cognition
Surveys and questionnaires
Aged
