安徽省农村老年人睡眠与生活质量现况调查  

Sleep and quality of life among rural elderly in Anhui province

作　　者：李杰[1] 董青[1] 刘娟娟[1] 董永海[1] 杨林胜[1] 叶冬青[1] 黄芬[1] 

机构地区：[1]安徽医科大学流行病与统计学教研室,合肥230032

出　　处：《中华流行病学杂志》2010年第4期405-408,共4页Chinese Journal of Epidemiology

基　　金：安徽医科大学七年制临床医学专业“早期接触科研”训练计划（2008-ZQKY-11）

摘　　要：目的了解安徽省农村老年人睡眠与生活质量的现状及两者的相关性，并探索睡眠异常的影响因素。方法分别应用匹兹堡睡眠质量指数量表、SF-36量表评价安徽省农村老年人的睡眠状况和生活质量。采用广义logistic回归分析模型筛选睡眠的影响因素。结果睡眠良好、一般、较差者分别占总人数的29．4％、24．3％、46．3％；生活质量各因子男性优于女性（P〈0．05），且睡眠质量各因子与生活质量各因子之间存在相关性（P〈0．05）。睡眠质量良好、一般、较差三者相比，以睡眠质量一般为参照，睡眠质量良好的保护因素有已婚、独居、经济独立、社会功能好、经常食肉、主食为面食；睡眠质量较差的危险因素有文化程度高、独居、精力差、一般健康差、慢性疾病（背部疼痛、冠心病、胃病）、偶尔食肉、主食为米饭。结论安徽省农村老年人睡眠质量较差者比例较高，需改善老年人身体健康状况，并对农村老年人进行必要的生理和心理治疗指导。Objective The primary purposes of this article were to examine the distributions and correlation between conditions of sleep and the quality of life, so as to explore the risk factors of abnormal sleep among elderly in the rural areas of Anhui province. Methods Elderly who aged 60 years or more （n= 1680） were randomly selected from rural areas in Anhui province. Conditions of sleep and quality of life of the subjects were assessed independently, using the pittsburgh sleep quality index （PSQI） scale and SF-36 scale. A generalized logistic model analysis was performed, using sleep-related factors as explanatory variables. Results The average PSQI score was 7.43 ± 4.13. Persons whose sleep conditions were graded as well, common or poor were accounted for 29.4%, 24.3%, 46.3%, respectively. Sex and sleep quality were different in terms of quality of life among all the factors （P〈0.05）. Men had better quality than women, and poor sleepers had poorer quality of life as compared to the one with better conditions. Factors as being married/living alone/economically independent, having better social function, often eating meat or wheat were significant predictors for having good sleep conditions. However, factors as better education received, living alone, with poor vitality/general health, having chronic diseases （back pain, coronary heart or stomach disease）, less meat intake, rice as major foods etc. were predictors for poorer sleeping condition. Conclusion Our data showed that it was unsatisfactory on the quality of sleep among the rural elderly in Anhui province. Conditions on general, health and nutrition should be improved in order to prevent the poor sleep condition.

关 键 词：睡眠 农村老年人 生活质量 影响因素 

分 类 号：R195[医药卫生—卫生统计学]