2019年潍坊市60岁及以上老年人睡眠质量调查  

Investigation of sleep quality of the elderly in Weifang City in 2019

作　　者：王建芳[1] 林艳[1] 陈海梅[1] 刘希华[1] 杨玉涛[1] WANG Jian-fang;LIN Yan;CHEN Hai-mei;LIU Xi-hua;YANG Yu-tao(Wejfang Mental Health Center,Weifang,Shandong 261000,China)

机构地区：[1]潍坊市精神卫生中心,山东潍坊261000

出　　处：《中国公共卫生管理》2022年第5期677-680,共4页Chinese Journal of Public Health Management

基　　金：潍坊市科技发展计划项目(2019YX068)。

摘　　要：目的 了解潍坊市60岁及以上老年人睡眠质量现状,探讨睡眠质量与身心健康、生命质量及精神障碍之间的关系。方法 采用多阶段分层整群随机抽样方法,选取潍坊市3 000名60岁及以上老年人进行睡眠质量调查。主要研究工具为匹斯堡睡眠质量指数量表(PSQI)、一般健康问卷(GHQ-12)、生活质量量表(WHOQOL)、简易应对方式问卷(SCSQ)、《美国精神障碍诊断与统计手册(第4版)》(DSM-IV)。结果 共完成有效调查2 764人,平均PSQI评分为(5.46±3.12)分,睡眠障碍检出率为28.04%。不同年龄(χ^(2)=17.66,P<0.01)、性别(χ^(2)=22.18,P<0.01)、职业(χ^(2)=12.98,P<0.05)、婚姻状况(χ^(2)=10.22,P<0.05)、受教育年限(χ^(2)=14.76,P<0.01)的老年人睡眠障碍检出率比较差异有统计学意义,城乡间的老年人睡眠障碍检出率差异无统计学意义(χ^(2)=1.45,P>0.05)。睡眠障碍组与无睡眠障碍组老年人的GHQ-12、生命质量、消极应对方式、躯体健康均有显著性差异。精神障碍患者与正常人群睡眠障碍检出率、不同种类精神障碍患者睡眠障碍检出率差异均有统计学意义(χ^(2)=368.91、17.55,均P<0.01)。结论 潍坊市老年人睡眠障碍检出率较高,应采取有针对性的措施进一步改善老年人的睡眠质量。ObjectiveTo investigate the sleep quality of the elderly under 60 years old and above, and explore the relationship between sleep quality, and physical health, the quality of life, mental disorders.MethodsStratified multistage cluster randomization were adapted to investigate 3 000 individuals aged 60 years and above in Weifang City.The main research tools were PSQI, GHQ-12, WHOQOL, SCSQ and DSM-IV.Results2 764 individuals completed the survey. The average score of PSQI was(5.46 ± 3.12), and the prevalence of sleep disorder was 28.04%. There were statistically significant difference among persons of different ages(χ^(2)=17.66,P<0.01), genders (χ^(2)=22.18,P<0.01),occupations (χ^(2)=12.98,P<0.05), marital status (χ^(2)=10.22,P<0.05) and years of education (χ^(2)=14.76,P<0.01).However, there was no statistically significant difference between urban and rural residents (χ^(2)=1.45,P>0.05). There were significant difference in GHQ-12, quality of life, negative coping style and physical health between the sleep disorder group and the non-sleep disorder group. There were statistically significant differences in the detection rate of sleep disorders between patients with mental disorders and normal people, and the patients with different diagnoses of mental disorders (χ^(2)=368.91, 17.55, P<0.01).ConclusionThe detection rate of sleep disorder of the elderly is higher. It is suggested to improve the quality of sleep of the elderly.

关 键 词：老年人 睡眠质量 睡眠障碍 精神障碍 生命质量 潍坊 

分 类 号：R195.4[医药卫生—卫生统计学]