社区就诊中老年人群持续性失眠患病率及其影响因素研究  

Study on the Prevalence of Persistent Insomnia and its Influencing Factors among Middle-aged and Old People in Community

作　　者：王苹 胡玉坤 姜悦[4] 刘世军 陈明俊 李颖 马力[4] 王晨[4] WANG Ping;HU Yu-kun;JIANG Yue;LIU Shi-jun;CHEN Ming-jun;LI Ying;MA Li;WANG Chen(College of General Medicine and Continuing Education,Capital Medical University,Beijing 100000,China;Youanmen Community Health Service Center,Fengtai District,Beijing 100069,China;Community Health Service Center of Dougezhuang,Chaoyang District,Beijing 00000,China;Temple of Heaven Hospital,Affiliated to Capital Medical University,Beijing 100000,China)

机构地区：[1]首都医科大学全科医学与继续教育学院,北京100000 [2]北京市丰台区右安门社区卫生服务中心,北京100069 [3]北京市朝阳区豆各庄社区卫生服务中心,北京100000 [4]首都医科大学附属北京天坛医院,北京100000

出　　处：《医学信息》2018年第6期61-65,共5页Journal of Medical Information

基　　金：北京市属医院科研培育计划项目(编号:PX2016021)

摘　　要：目的研究社区就诊中老年人群持续性失眠患病率及其影响因素。方法采用横断面研究,对2016年10月~12月就诊于右安门社区卫生服务中心门诊的所有符合入选标准的患者进行问卷调查,并评定匹兹堡睡眠质量指数问卷(PSQI)、欧洲五维健康量表(EQ-5D)、焦虑症筛查量表(GAD-7)和抑郁症筛查量表(PHQ-9)。结果本次研究共纳入患者934例,其中持续性失眠患病率为21.84%,高龄、独居、饮食无规律、光线影响、焦虑症、抑郁症为持续性失眠的危险因素,抑郁症的影响程度最大。冠心病、脑血管病、焦虑症、抑郁症与持续性失眠明显相关并相互影响,加重患者病情。持续性失眠明显影响到患者疼痛/不舒服、焦虑/沮丧和健康状况满意度,进而影响患者生活质量。结论社区就诊中老年人群持续性失眠的患病率较高,与高龄、独居、饮食无规律、光线影响、焦虑症、抑郁症有关。Objective To study the prevalence of persistent insomnia and its influencing factors in elderly people in community visits.Methods A cross-sectional study was conducted to investigate all the patients who met the criteria for admission to the Youanmen Community Health Service Center from October to December 2016.The Pittsburgh Sleep quality Index(PSQI),the European five dimensional Health scale(EQ-5D),the anxiety screening scale(GAD-7)and the Depression screening scale(PHQ-9)were evaluated.Results A total of 934 patients were included in the study.The prevalence rate of persistent insomnia was 21.84%.Elderly patients,solitary living,irregular diet,light effects,anxiety disorders and depression were risk factors for persistent insomnia.The greatest degree of depression was.Coronary heart disease,cerebrovascular disease,anxiety disorder,depression and persistent insomnia are related and interact with each other,aggravating the patient's condition.Persistent insomnia significantly affects the patient's pain/discomfort,anxiety/depression and health satisfaction,and then affects the quality of life of the patient.Conclusion The prevalence rate of persistent insomnia in middle-aged and elderly patients in the community is relatively high,which is related to old age,living alone,irregular diet,light,anxiety and depression.

关 键 词：持续性失眠 患病率 横断面研究 

分 类 号：R195[医药卫生—卫生统计学]