山东省老年人群睡眠质量的流行病学研究  

A sleep quality investigation of the people aged 60 and above of Shandong province

作　　者：张敬悬[1] 卢传华[1] 唐济生[1] 邱惠敏[1] 刘兰芬[1] 王松波[1] 王爱祯[1] 张天亮[1] 张韶东 江永华 赵长英[4] 胡伯文 曹学义[6] 

机构地区：[1]山东省精神卫生中心,济南250014 [2]烟台市心理康复医院 [3]枣庄市第二人民医院 [4]济南市精神卫生中心 [5]聊城市第四人民医院 [6]潍坊市精神卫生中心

出　　处：《中国行为医学科学》2008年第1期41-44,共4页Chinese Journal of Behavioral Medical Science

基　　金：山东省医学科研基金资助项目（2005HZ074）;美国中华医学基金会资助项目（Small Grants Program,NO.02-777）

摘　　要：目的 调查山东省60岁及60岁以上城乡人口睡眠质量现状及睡眠障碍的发生率。探讨睡眠质量与生命质量、心身健康水平和精神疾病之间的关系。方法 采用多阶段分层整群随机抽样方法进行抽样，实际完成60岁及以上人口问卷调查4456人，资料完整者4435例。主要研究工具有兹堡睡眠指数（PSQI）、一般健康问卷（GHQ-12）、生命质量量表、简易应对方式问卷（SCSQ）。24名精神科护士和60名精神科医生培训4周后参加调查，并进行一致性测验，现场调查3个月完成。结果60岁及以上城乡人群的PSQI评分为（5．27±4．16）分，女性高于男性，城乡之间差异无显著性。以PSQI总分〉7为有睡眠障碍，4435人中有1189人有睡眠障碍，发生率为26．81％。无睡眠障碍组与睡眠障碍组的GHQ-12、生命质量、消极应对因子、躯体健康差异有显著性。1238例完成了SCID—P的检查，649例有精神疾病诊断。无精神疾病者中睡眠障碍的发生率21．59％，精神疾病组为57．63％（X^2=363．45，P〈0．01）。结论 山东省老年人中睡眠障碍的发生率较高；有睡眠障碍者其生命质量、心理健康水平较差，精神疾病患者中睡眠障碍的发生率更高。Objective To investigate the sleep quality, prevalence of sleep disorders of the people aged 60 and above of Shandong province, and to analyze the relationship between sleep disorders and the quality of life, general body health levels and mental disorders. Methods 4456 persons aged 60 and above were sampled from Shandong province by muhi-stage cluster random sampling. 4435 persons completed the survey questionnaires. The main survey instruments were PSQI, GHQ-12, Life Quality Questionnaire, SCSQ, DSM-Ⅳ and SCID-P. Results The average score of PSQI was 5.27 ± 4.16. There were 1189 persons meeting sleep disorder criteria according to the scores of PSQI more than 7. The prevalence of sleep disorder was 26.81%. 649 cases met different mental diseases diagnostic criteria of DSM-Ⅳ/SCID-P. The prevalence of sleep disorders of the people with mental diseases was 57.63%. Conclusion The sleep disorders is more common in the people aged 60 and above of Shandong province. There were significant relationship between sleep disorders and mental diseases, quality life, coping style and body health levels.

关 键 词：睡眠质量 睡眠障碍 精神疾病 生活质量 流行病学 

分 类 号：R686[医药卫生—骨科学]