COPD老年人睡眠质量及影响因素分析  

Sleeping quality and its influential factors among elderly chronic obstructive pulmonary disease patients

作　　者：赵玉娜 周立芝[2] 陈长香 

机构地区：[1]华北理工大学护理与康复学院,河北唐山063000 [2]唐山市人民医院

出　　处：《中国公共卫生》2017年第6期950-954,共5页Chinese Journal of Public Health

基　　金：国家社会科学基金(12BRK017)

摘　　要：目的了解慢性阻塞性肺疾病(COPD)老年人睡眠质量状况及其影响因素,为提高生存质量采取措施提供依据。方法应用自行设计的一般人口学调查表、匹兹堡睡眠质量指数量表(PSQI)、简明健康调查量表(SF-36)、社会支持评定量表(SSRS)及成年人健康自我管理能力测评量表于2012年7月—2013年5月对河北省唐山、石家庄、张家口市的6 173名≥60岁居家老年人进行调查。结果调查的6 173名城乡老年人中,有睡眠障碍者1 641人,占26.6%,患COPD 567人,其中有睡眠障碍者204人,占36.0%,PSQI得分(5.75±3.321)分;多因素分析结果显示,长期用药、长期卧床、健康状况、自我健康管理能力是影响COPD老年人睡眠质量的主要因素(P<0.05)。结论COPD老年人睡眠质量影响因素较为复杂,老年人应注意减少卧床时间和用药量、提高健康状况和自我管理水平,以便改善老年人的睡眠质量。Objective To exploore sleeping quality and its influential factors among the elderly with chronic obstructive pulmonary disease （COPD） and to provide bases for improvement of quality of life of the patients.Methods Using stratified multistage random cluster sampling,6 173 urban and rural community residents aged 60 years old and above were recruited from three municipal regions of Hebei province and face-to-face household questionnaire interviews were conducted among the elderly with a self-designed general demography questionnaire,Pittsburgh Sleeping Quality Index （PSQI）,the Medical Outcomes Study 36-Item Short-Form Health Survey（SF-36）,Social Support Rating Scale （SSRS）,and Adult Health Self-Management Skills Assessment Scale （AHSMSRS） from July 2012 through May 2013.Results Of the elderly,1 641（26.6%）had sleep disorders and 567 were COPD patients.The average PSQI score was 5.75±3.321 for the 567 COPD patients,of them,204 （36.0%）had sleep disorders （with the PSQI score of 〉7）.Multi-variate analysis showed that long-term medication,prolonged bed rest,health status,self-health management capability were the main influencing factors of sleeping quality among the elderly COPD patients （P〈0.05 for all）.Conclusion Sleeping quality is influenced by multiple factors among community elderly COPD patients;reducing time of bed rest and duration of medication and promoting general health and self-health management capability may improve sleeping quality of the elderly COPD patients.

关 键 词：慢性阻塞性肺疾病(COPD) 老年人 睡眠质量 影响因素 

分 类 号：R163[医药卫生—公共卫生与预防医学]