中国老年人睡眠质量与社会支持相关性的Meta分析  

Correlation between sleep quality and social support for the elderly in China: a meta-analysis

作　　者：曾丽 王佳琳[1] 左敏[1] 金曼 唐萍 谢婉青 ZENG Li;WANG Jialin;ZUO Min;JIN Man;TANG Ping;XIE Wanqing(Nursing College of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,P.R.China)

机构地区：[1]成都中医药大学护理学院,成都610075

出　　处：《中国循证医学杂志》2021年第4期401-406,共6页Chinese Journal of Evidence-based Medicine

基　　金：四川省卫生和计划生育委员会项目(编号:17PJ374);四川省老龄事业与产业发展研究中心项目(编号:XJLL2019005);成都中医药大学“杏林学者”人才专项(编号:JSZX2018008)。

摘　　要：目的系统评价中国老年人睡眠质量与社会支持的相关性。方法计算机检索PubMed、MEDLINE、The Cochrane Library、Springerlink、ProQuest、CBM、CNKI、VIP和WanFang Data数据库,搜集中国老年人睡眠质量与社会支持相关性的研究,检索时限均从1996年1月至2020年1月。由2位评价员独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果共纳入9个研究,包括2427例老人。Meta分析结果显示:睡眠质量与社会支持的合并相关系数为-0.40[95%CI(-0.54,-0.26)]。老年人睡眠质量与社会支持的相关性随发表年份和样本量而有所不同,但不呈现规律性变化。调查的老年人群来源于机构(医疗或养老机构)的相关性高于社区(-0.33 vs.-0.26);有健康问题的老年人高于没有健康问题的老年人(-0.32 vs.-0.25);使用非随机抽样方法得出的相关性高于随机抽样方法(-0.37 vs.-0.23);使用匹兹堡睡眠质量指数量表与社会支持评定量表得出的相关性高于使用匹兹堡睡眠质量指数量表与领悟社会支持量表(-0.30vs.-0.13)。结论当前证据表明,中国老年人社会支持水平越高,睡眠质量指数得分越低,睡眠质量可能越好;但不同来源人群、身体状况、测量方法得出的睡眠质量与社会支持相关性不同。Objective To systematically review the correlation between sleep quality and social support of the elderly.Methods Databases including PubMed,MEDLINE,The Cochrane Library,Springerlink,ProQuest,CMB,CNKI,VIP,and WanFang Data were searched to collect studies on the correlation between sleep quality and social support of the elderly from January 1996 to January 2020.Two reviewers independently screened literature,extracted data and evaluated risk of bias of included studies.Meta-analysis was then performed using RevMan 5.3 software.Results A total of 9 studies involving 2427 elderly people were included.The meta-analysis showed that the combined correlation coefficient between sleep quality and social support was-0.40(95%CI-0.54 to-0.26).The correlation between sleep quality and social support of the elderly varied with the year of publication and sample size,however without regular change.The correlation coefficient of the elderly from institutions(hospital or pension institutions)was higher than that of the community(-0.33 vs.-0.26);the correlation coefficient of the elderly with health problems was higher than those without health problems(-0.32 vs.-0.25);the results measured by non-random sampling method were higher than those measured by random sampling(-0.37 vs.-0.23);and the results measured by Pittsburgh sleep quality index(PSQI)and social support rating scale(SSRS)were higher than those measured by PSQI and perceived social support scale(PSSS)(-0.30 vs.-0.13).Conclusions The higher the level of social support of the elderly in China,the lower the score of PSQI,and the better the sleep quality,in which there are differences in different sample sources and physical conditions.

关 键 词：老年人 睡眠质量 社会支持 META分析 系统评价 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]