中青年人群失眠发生率及影响因素的系统评价  

Systematic review of incidence and influencing factors of insomnia in young and middle-aged adults

作　　者：王欣琦 李雪梅 蔡梦怡 朱颖 张伟英[2] WANG Xinqi;LI Xuemei;CAI Mengyi(School of Medicine,Tongji University,Shanghai 200092,China)

机构地区：[1]同济大学医学院,上海200092 [2]同济大学附属东方医院护理部,上海200120 [3]苏州大学医学部护理学院,江苏苏州215000

出　　处：《中风与神经疾病杂志》2023年第3期222-228,共7页Journal of Apoplexy and Nervous Diseases

基　　金：上海市浦东新区卫生系统领先人才培养计划(PWRl2020-10);中国研究型医院学会科研课题(Y2022FH-HLJY05-04);上海市浦东新区卫生系统重要薄弱学科建设项目资助(PWZbr2022-04);上海市卫健委上海市健康科普专项(JKKPZX-2022-A09)。

摘　　要：目的系统评价中青年人群失眠的发生率及影响因素,为临床早期预防和干预提供参考。方法系统检索知网、万方、维普、中国生物医药数据库、Web of Science、PubMed、The Cochrane Library、Embase、Medline数据库,收集中青年人群失眠发生率及影响因素的相关研究,检索时限为建库至2022年5月12日。应用Stata 16.0进行Meta分析。结果共纳入13篇文献,涉及255313例研究对象。结果显示,中青年人群失眠的总体发生率为21%[95%CI(16.9%,37.6%)],影响因素包括性别(女性)、失业、年收入低(<10万)、焦虑、抑郁、吸烟、饮酒、肥胖、运动时间<1 h/周及使用电子用品时间≥2 h/d。结论中青年人群失眠发生率较高,临床医护人员不仅要加强对失眠影响因素的识别,更要采取有效的预防措施或干预策略改善中青年人群的睡眠,提高生活质量。Objective To investigate the incidence of insomnia in young and middle-aged adults and the influencing factors through a systematic review,and to provide a reference for early clinical prevention and intervention.Methods We searched CNKI,WanFang Data,VIP,CBM,Web of Science,PubMed,The Cochrane Library,and Embase,and Medline for relevant studies on the incidence and influencing factors of insomnia in young and middle-aged adults(published between database construction and May 12,2022).Stata16.0 was used for meta-analysis.Results Thirteen pieces of literature were included,involving a total of 255313 subjects.The overall incidence of insomnia in young and middle-aged adults was 21%(95%confidence interval:16.9%to 37.6%).The influencing factors included female,unemployment,low annual income less than 100000,anxiety,depression,smoking,alcohol consumption,obesity,exercise time less than 1 hour/week,and electronic product use more than 2 hour/day.Conclusion The incidence of insomnia is high in young and middle-aged adults.Medical professionals should improve the identification of factors affecting insomnia,and take effective measures to improve sleep and quality of life for young and middle-aged people.

关 键 词：失眠症 青年人 中年人 影响因素分析 系统评价 

分 类 号：R338.63[医药卫生—人体生理学]