中国老年人睡眠质量与抑郁、焦虑相关性的Meta分析  

Correlation between sleep quality and depression,anxiety of Chinese aged:a meta-analysis

作　　者：戴悦[1] 张宝泉[2] 李映兰[3] 舒怡[4] 姜彩肖[1] 孙虹[1] 

机构地区：[1]中南大学公共卫生学院,长沙市410078 [2]福建省妇幼保健院 [3]中南大学湘雅医院护理部 [4]中南大学湘雅二医院

出　　处：《中华护理杂志》2016年第4期488-493,共6页Chinese Journal of Nursing

基　　金：美国中华医学基金会(CMB)项目(08-892)

摘　　要：目的采用Meta分析的方法 ,评价基于Pearson相关系数的老年人睡眠质量与抑郁、焦虑的相关性。方法利用网络数据库检索Cochrane Library、Pub Med、Pro Quest、Medline、Springerlink、中国生物医学文献数据库(CBM)、中国知网全文数据库(CNKI)、中国科技期刊数据库(VIP)和万方数据库,检索时限均为2000年1月至2014年12月,查找关于老年人睡眠质量与抑郁、焦虑相关性的文献。按照纳入排除标准筛选文献、提取资料并评价纳入研究的质量后,采用Stata 11.0软件进行Meta分析。结果共纳入12篇文献,文献质量总体较好。总样本量为6224名,男2750名,女2947名,平均年龄为72.13岁。Meta分析显示,睡眠质量与抑郁合并相关系数及95%CI为0.420(0.330,0.510),睡眠质量与焦虑合并相关系数及95%CI为0.409(0.336,0.482)。老年人睡眠质量与抑郁、焦虑相关性随着时间、年龄不断增加,北方地区老年人相关系数大于南方地区。应用匹兹堡睡眠质量量表和老年人抑郁量表(PSQI+GDS)测出的结果高于匹兹堡睡眠质量量表和症状自评量表(PSQI+SCL-90)测出的结果,使用匹兹堡睡眠质量量表和焦虑自评量表(PSQI+SAS)测出的结果高于匹兹堡睡眠质量量表和症状自评量表(PSQI+SCL-90)与匹兹堡睡眠质量量表和贝克焦虑量表(PSQI+BAI)测出的结果。老年人睡眠质量与抑郁、焦虑相关性随样本量、抽样方法而有所不同,但不呈现规律性变化。结论老年人睡眠质量与抑郁、焦虑的患病风险存在中等程度相关,且不同年龄、地区存在差异。综合性护理干预将有助于改善老年人睡眠质量,增进身心健康。Objective To reflect the correlation between sleep quality and depression,anxiety of the aged through Pearson correlation coefficient. Methods Databases including Cochrane Library,PubMed,ProQuest,Medline, Springerlink,CMB,CNKI,VIP and Wan Fang Data were searched （from January 2000 to December 2014） to collect literature on the correlation between sleep quality and depression,anxiety of the aged. The included studies were screened according to the inclusion and exclusion criteria. After extracting data and appraising the quality of the included studies,meta-analysis was conducted using Stata 11.0 software. Results We identified 12 studies. The results showed that 12 studies were qualified. A total of 6224 older people were included（male：2750,female：2947）,and the average age was 72.13 years old. The summary correlation coefficient between sleep quality and depression was 0.420（0.330,0.510）,and was 0.409（0.336,0.482） between sleep quality and anxiety,which increased with time and age. The summary correlation coefficient of the elderly who was in northern region was higher than that in southern region. Using different scales would produce different summary correlation coefficients. Conclusion The correlation between sleep quality and depression,anxiety of the aged was relatively close,and there was a significant difference in age,geographic regions. Comprehensive nursing interventions will improve the sleeping quality of the older people and improve their physical and mental health.

关 键 词：老年人 睡眠质量 心理症状 META分析 护理干预 

分 类 号：R740[医药卫生—神经病学与精神病学]