围绝经期女性睡眠质量与家庭关怀度、焦虑及抑郁的相关性分析  

Analysis on the correlation between sleep quality and family care,anxiety,depression in perimenopausal women

作　　者：杜吉利 齐冲[1] 邵艳萍[2] 张秀敏[3] 

机构地区：[1]吉林大学护理学院,吉林长春130000 [2]吉林大学第二医院妇产科,吉林长春130000 [3]吉林大学公共卫生学院,吉林长春130000

出　　处：《中国妇幼保健》2017年第4期772-774,共3页Maternal and Child Health Care of China

基　　金：吉林省科技厅基金项目(20110682)

摘　　要：目的调查长春市围绝经期女性睡眠质量、家庭关怀度及心理健康现状,分析围绝经期女性睡眠质量与家庭关怀度、焦虑及抑郁的相关性。方法以长春市469名围绝经期女性为研究对象,采用匹茨堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及家庭关怀度量表(APGAR)进行问卷调查。结果长春市围绝经期女性PSQI总分(6.58±2.34)分,存在睡眠障碍者占37.31%;围绝经期女性家庭关怀度总分(6.75±1.99)分,处于中度障碍水平,严重障碍者占8.53%;围绝经期女性焦虑总分为(31.64±4.14)分,抑郁总分为(35.49±4.12)分,两者与国内常模得分比较差异有统计学意义(P<0.05);围绝经期女性PSQI各维度及总分与焦虑、抑郁得分呈正相关(P<0.05);围绝经期女性PSQI总分与家庭关怀度总分呈负相关(P<0.05),即家庭功能良好者,睡眠质量高。结论长春市围绝经期女性总体睡眠质量一般,家庭关怀度处于中度障碍水平,存在明显焦虑及抑郁情况。围绝经期女性可通过合理运动、营造良好睡眠环境、培养睡眠习惯来改善睡眠质量,家庭成员多给予围绝经期女性关心和照护,提高家庭关怀度,采取针对性措施可消除围绝经期女性焦虑及抑郁,促进围绝经期女性身心健康。Objective To investigate the current situations of sleep quality,family care and mental health of perimenopausal women in Changchun,analyze the correlation between sleep quality and family care,anxiety,depression in perimenopausal women. Methods A total of 469 perimenopausal women in Changchun were selected as research objects,Pittsburgh Sleep Quality Index（ PSQI）,Self-rating Anxiety Scale（ SAS）,Self-rating Depression Scale（ SDS）,and Family APGAR Index（ APGAR） questionnaire were used to survey these women.Results PSQI score of the perimenopausal women in Changchun was（ 6. 58± 2. 34）,the perimenopausal women with sleep disorders accounted for 37. 31%. APGAR score of the perimenopausal women was（ 6. 75 ± 1. 99）,which was at moderate level,the perimenopausal women with serious disorders accounted for 8. 53%. The total score of anxiety in the perimenopausal women was（ 31. 64± 4. 14）,the total score of depression was（ 35. 49±4. 12）,compared with the domestic norm scores,there were statistically significant differences（ P〈0. 05）.The total score of PSQI and scores of different dimensions of PSQI in the perimenopausal women were positively correlated with scores of anxiety and depression（ P〈0. 05）,the total score of PSQI in the perimenopausal women was negatively correlated with the total score of APGAR（ P〈0. 05）,which indicated that a good family function was helpful to quality of sleep. Conclusion The overall sleep quality of perimenopausal women in Changchun is general,the family care degree is at moderate level,and perimenopausal women have obvious anxiety and depression. Perimenopausal women can improve sleep quality by physical exercise,creating a good sleep environment,cultivating sleep habits. The family members should give more care to perimenopausal women,take specific measures to eliminate anxiety and depression,promote physical and mental health of perimenopausal women.

关 键 词：围绝经期 睡眠质量 家庭关怀度 

分 类 号：R173[医药卫生—妇幼卫生保健]