屏幕时间对35岁及以上多重慢病患者睡眠质量的影响研究  

Influence of Screen Time on Sleep Quality among Patients with Multimorbidity Aged 35 and Above

作　　者：方莹莹 林伟权[1] 孙敏英[2] 利耀辉[1] 刘览[3] 杨韵鸥 陈嘉敏[1] 罗丽楹 石磊 刘慧[1] FANG Yingying;LIN Weiquan;SUN Minying;LI Yaohui;LIU Lan;YANG Yunou;CHEN Jiamin;LUO Liying;SHI Lei;LIU Hui(Department of Basic Public Health,Guangzhou Center for Disease Control and Prevention(Guangzhou Health Supervision Institute),Guangzhou 510440,China;Department of Research Administration,Guangzhou Center for Disease Control and Prevention(Guangzhou Health Supervision Institute),Guangzhou 510440,China;Department of Food Safety and Nutrition,Guangzhou Center for Disease Control and Prevention(Guangzhou Health Supervision Institute),Guangzhou 510440,China;School of Health Management,Guangzhou Medical University,Guangzhou 511436,China;Social Science Key Laboratory of Guangdong Higher Education Institutes for Health Management Policy and Precision Health Services,Southern Medical University,Guangzhou 510515,China;Social Science Key Laboratory of Guangdong Higher Education Institutes for Health Governance Based on Big Data Utilization,Guangzhou Medical University,Guangzhou 511436,China)

机构地区：[1]广东省广州市疾病预防控制中心(广州市卫生监督所)基本公共卫生服务部,510440 [2]广东省广州市疾病预防控制中心(广州市卫生监督所)科研管理部,510440 [3]广东省广州市疾病预防控制中心(广州市卫生监督所)食品安全与营养部,510440 [4]广州医科大学卫生管理学院,广东省广州市511436 [5]广东省高校健康管理政策与精准健康服务协同创新研究哲学社会科学重点实验室,广东省广州市510515 [6]广东省高校基于大数据利用的卫生健康治理哲学社会科学重点实验室,广东省广州市511436

出　　处：《中国全科医学》2025年第20期2501-2507,共7页Chinese General Practice

基　　金：广州市卫生健康科技项目重大项目(2024A031007);国家自然科学基金资助项目(72104061,72104098);广州市卫生健康科技一般引导项目(20251A011053)。

摘　　要：背景随着数字媒体的普及,基于屏幕的电子产品在为生活增添便利的同时也会给睡眠带来不利影响。睡眠与健康密切相关,目前较为缺乏屏幕时间对多重慢病患者睡眠质量影响的研究。目的探讨屏幕时间对多重慢病患者睡眠质量的影响,以寻求改善其睡眠状况的措施。方法利用2018年广州市第四次成人慢性病及其危险因素监测数据,本研究选取年龄≥35岁的6177例多重慢病患者为研究对象。采用匹兹堡睡眠质量指数量表评估研究对象的睡眠质量。统计研究对象平均每日看电视、使用电脑和手机的时间,本研究调查对象每日屏幕时间的均值为4 h。利用倾向性评分匹配法将每日屏幕时间≤4 h和每日屏幕时间>4 h的多重慢病患者进行匹配,并用匹配后的数据进行单因素和多因素Logistic回归分析,探究多重慢病患者屏幕时间与睡眠质量的关系。结果6177例研究对象中,睡眠质量差者占20.64%(1275/6177),每日屏幕时间>4 h者占39.40%(2434/6177)。倾向性评分匹配后,共匹配到每日屏幕时间≤4 h与每日屏幕时间>4 h的多重慢病患者2123对,共4246例。多因素Logistic回归分析结果显示,每日屏幕时间>4 h的多重慢病患者出现睡眠质量差的风险更高(OR=1.233,95%CI=1.057~1.438);同时,女性(OR=1.648,95%CI=1.352~2.014)、55~64岁(OR=1.617,95%CI=1.171~2.270)、≥65岁(OR=1.979,95%CI=1.412~2.815)、已婚/同居(OR=0.683,95%CI=0.540~0.866)、离退休或无业人员(OR=1.205,95%CI=1.005~1.446)、饮酒(OR=1.318,95%CI=1.103~1.574)、患3~4种慢性病数量(OR=1.612,95%CI=1.363~1.907)、患≥5种慢性病数量(OR=2.314,95%CI=1.799~2.967)也是多重慢病患者睡眠质量的影响因素(P<0.05)。结论每日屏幕时间>4 h与多重慢病患者的不良睡眠质量有关,减少每日屏幕时间对多重慢病患者的睡眠质量具有积极作用。Background With the popularization of digital media,screen-based electronics not only add convenience to life but also have adverse effects on sleep.Sleep is closely related to health,but there is a lack of research on the impact of screen time on sleep quality among patients with multimorbidity.Objective To explore the effect of screen time on sleep quality among patients with multimorbidity and seek measures to improve their sleep quality.Methods Using the data from the Fourth Adult Chronic Disease and Risk Factor Surveillance in Guangzhou in 2018,6177 patients with multimorbidity aged 35 and above were selected as study subjects.The Pittsburgh Sleep Quality Index scale was used to assess sleep quality.Calculated the average daily usage time of television,computers,and mobile phones among survey respondents.The average daily screen time of the respondents in this study was 4 h.Propensity score matching was used to match patients with multimorbidity who had≤4 hours of daily screen time and>4 hours of daily screen time,and the matched data were analyzed by univariate and multivariate Logistic regression analyses to explore the relationship between screen time and sleep quality among patients with multimorbidity.Results Among 6177 study subjects,20.64%had poor sleep quality(1275/6177),and 39.40%(2434/6177)had screen time>4 hours per day.After propensity score matching,a total of 2123 pairs of patients with multimorbidity who had daily screen time≤4 hours and daily screen time>4 hours were matched,totaling 4246 cases.The results of multivariate Logistic regression analysis showed that the risk of poor sleep quality was higher in patients with>4 hours of daily screen time(OR=1.233,95%CI=1.057-1.438).At the same time,females(OR=1.648,95%CI=1.352-2.014),55-64 years old(OR=1.617,95%CI=1.171-2.270),≥65 years old(OR=1.979,95%CI=1.412-2.815),married/cohabiting(OR=0.683,95%CI=0.540-0.866),retirees or unemployed individuals(OR=1.205,95%CI=1.005-1.446),alcohol consumption(OR=1.318,95%CI=1.103-1.574),having 3-4 kinds of

关 键 词：多重慢病 睡眠质量 屏幕时间 健康管理 倾向性评分匹配 

分 类 号：R36[医药卫生—病理学]