安徽省农村老年人睡眠质量和认知功能相关性分析  

Correlation analysis of sleeping quality and cognitive function in the rural elderly in Anhui Province

作　　者：汪燕 王丽[1] 陈任[1] 张燕[1] 程静[1] 赵林海[1] 王丽丹[1] 方桂霞[1] 陈贵梅[1] 白忠良 梁函 郭梦杰 李建安 WANG Yan;WANG Li;CHEN Ren;ZHANG Yan;CHENG Jing;ZHAO Linhai;WANG Lidan;FANG Guixia;CHEN Guimei;BAI Zhongliang;LIANG Han;GUO Mengjie;LI Jian'an(School of Public Health Manage,Anhui Medical University,Hefei,Anhui Province 230032,China)

机构地区：[1]安徽医科大学卫生管理学院,安徽省合肥230032

出　　处：《中国慢性病预防与控制》2023年第9期647-650,654,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：安徽省2020年度高校优秀拔尖人才培育项目(gxyq2020153);国家自然科学基金项目(72004003);国家自然科学基金项目(71874002);安徽省老年人口疾病经济负担及行为可控性研究项目。

摘　　要：目的分析安徽省农村老年人睡眠质量和认知功能之间的关系,为防止老年人认知功能减退提供科学依据。方法数据来自安徽省健康长寿调查(AHLS),该调查于2021年7—8月采用典型抽样策略抽取调查对象,共纳入1516名60岁以上的农村老年人进行简易精神状态检查量表(MMSE)和匹兹堡睡眠质量指数量表(PSQI)调查,测量老年人的睡眠质量及认知状况。采用SPSS 17.0和Stata 12.0软件进行χ^(2)检验,多因素logistic回归分析和Pearson相关性分析。结果多因素logistic回归分析结果显示,女性(OR=1.53,95%CI:1.18~1.97)、70~<80岁(OR=1.49,95%CI:1.16~1.92)、80岁及以上(OR=2.77,95%CI:2.00~3.83)、文盲(OR=1.53,95%CI:1.19~1.96)、睡眠质量差(OR=2.21,95%CI:1.42~3.42)与安徽省农村老年人认知功能障碍发生高风险相关。在MMSE 5个维度中,定向力(r=-0.06)、记忆力(r=-0.06)、计算力(r=-0.14)以及语言能力(r=-0.06)得分均与主观睡眠质量得分呈负相关,记忆力(r=-0.06)与计算力(r=-0.08)得分与入睡时间得分呈负相关,语言能力(r=0.06)得分与睡眠时长得分呈正相关,计算力(r=-0.05)得分与睡眠效率得分呈负相关,均有统计学意义(P<0.05,P<0.01)。结论安徽省农村老年人认知功能与睡眠质量存在相关性,应提升睡眠质量,预防老年人认知功能减退。Objective To analyze the relationship between sleeping quality and cognitive function in the rural elderly of Anhui Province,and provide the scientific basis for preventing cognitive function decline in the elderly.Methods The data were from the Anhui Province Health and Longevity Survey(AHLS),from July to August 2021,the typical sampling method was used to select 1516 rural elderly residents(≥60 years old)as the subjects.The investigation was performed with mini-mental state examination(MMSE)and the Pittsburgh Sleep Quality Index Scale(PSQI)to measure the sleeping quality and cognitive status in elderly.Theχ^(2) test,multivariate logistic regression analysis,Pearson correlation analysis were used to analyze the data.The used software was SPSS 17.0 and State 12.Results The results of multivariate logistic regression analysis showed that female(OR=1.53,95%CI:1.18-1.97),70~<80 years old(OR=1.49,95%CI:1.16-1.92),≥80 years old(OR=2.77,95%CI:2.00-3.83),illiterate(OR=1.53,95%CI:1.19-1.96),poor sleeping quality(OR=2.21,95%CI:1.42-3.42)correlated with a high risk of cognitive dysfunction in the rural elderly in Anhui Province.Among the five dimensions of MMSE,the scores of orientation(r=-0.06),memory(r=-0.06),numeracy(r=-0.14)and language ability(r=-0.06)negatively correlated with subjective sleeping quality score;the memory(r=-0.06)and calculation(r=-0.08)scores negatively correlated with sleeping onset time scores;the language ability(r=0.06)score positively correlated with sleeping duration score,and numeracy(r=-0.05)score negatively correlated with sleeping efficiency score(P<0.05,P<0.01).Conclusion There is a correlation between cognitive function and sleeping quality in rural elderly of Anhui Province.Sleeping quality should be improved to prevent cognitive decline in the elderly.

关 键 词：老年人 睡眠质量 认知功能 

分 类 号：R749[医药卫生—神经病学与精神病学]