上海某社区老年人睡眠质量及其影响因素

发布时间：2018-03-19 08:22

本文选题：老年人　切入点：睡眠障碍　出处：《苏州大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:掌握上海市黄浦区打浦桥街道65岁及以上人群睡眠障碍的现患情况,探讨影响65岁及以上老年人睡眠质量的相关因素,为老年人睡眠障碍制定有效的社区干预措施提供依据。资料和方法:1.研究对象:本研究以上海市打浦桥街道参加2014年6月至2014年9月健康体检的65岁及以上老年人1053名作为研究对象。2.研究内容采用横断面调查的方法收集研究对象的人口学资料包括年龄、性别、吸烟、饮酒史,疾病史及服药情况等,测量研究对象的血压、腰围、臀围、身高、体重等。由4名经过培训的全科护士采用中文版的匹兹堡睡眠质量指数(PSQI)量表,收集研究对象的睡眠情况。3.统计分析采用Epidata 3.1建立数据库,由专人进行数据录入。采用SPSS17.0统计软件进行数据分析,采用率或构成比描述年龄构成、性别、吸烟、饮酒、每周活动量、现存症状、健康问题、健康状况自我评估等因素的分布,采用?2检验进行组间比较,并采用Logistic回归分析上述因素与睡眠障碍的关系。结果:1.参与问卷调查的老年人共1053名,回收有效问卷1000份,有效率94.97%。2.本研究老年人PSQI总分为4.64±4.60分;除催眠药物因子后,各因子中得分最低是睡眠障碍,0.43±0.50分:最高是睡眠时间,1.01±0.89分。以PSQI得分大于5分为界值,1000名老年人中342人(占34.2%)存在睡眠障碍,其中男性睡眠障碍患病率为27.48%,女性患病率为40.23%,女性患病率高于男性(P0.001)。3.老年女性人群中睡眠障碍组年龄处于80-92岁者的比例高于非睡眠障碍组(25.00%vs 17.14%)。睡眠障碍组从不运动、健康问题(包括各种心脑血管疾病)的数量?3的比例及使用催眠药物的比例均高于非睡眠障碍组,而女性超重率(BMI?24kg/m2)及中心肥胖率均低于非睡眠障碍组。老年男性人群中睡眠障碍组年龄处于80-92岁者的比例低于非睡眠障碍组(3.85%vs 19.24%)。从不运动、中心肥胖率及使用催眠药物的比例高于非睡眠障碍组,但吸烟率低于非睡眠障碍组,其他变量在两组间的差异未发现有统计学意义。4.逐步logistic回归分析结果显示,女性人群中,与年龄处于65-69岁者相比,70-79岁、80-92岁者患睡眠障碍的危险性分别增加0.948、1.774倍。腰围?80cm的女性、每天参加体育锻炼的女性患睡眠障碍的危险性更低。而男性人群中,与65-69岁者相比,80-92岁人群患睡眠障碍的危险性更低(OR=0.115,95%CI=0.043-0.307)。每天进行体育锻炼者患睡眠障碍的危险是从不进行体育锻炼者的0.512倍。结论:上海市打浦桥街道65岁及以上老年人睡眠障碍现患率为34.2%,女性睡眠障碍的现患率高于男性,并且在女性中随着年龄的增加睡眠障碍的患病危险性呈上升趋势,而在男性人群中高龄老人的患病危险反而是最低的。睡眠障碍的主要影响因素是性别及体育锻炼情况,因此,我们在制订社区干预措施时应重点关注老年女性人群,并倡导体育锻炼的健康生活方式,使其发挥改善睡眠质量的作用,从而改善老年人的睡眠状况,延长睡眠时间,提高睡眠质量。
[Abstract]:Objective: to master the prevalence of Shanghai city Huangpu District Dapuqiao Street population aged 65 and above for sleep disorders, discuss the influencing factors of sleep quality of elderly people aged 65 and above, provide the basis for sleep disorders in the elderly community to develop effective intervention measures. Materials and methods: 1. subjects: the object of this study in Shanghai City Dapuqiao street in the June 2014 to September 2014 health examination of the elderly aged 65 and above in 1053 as the research object to study the.2. cross-sectional survey method to collect the demographic data including age, sex, smoking, drinking history, history of disease and medication, the study measured the blood pressure, waist circumference, hip circumference, height Pittsburgh, weight and so on. The sleep quality index Chinese version by 4 trained nurse practitioner (PSQI) scale, using Epidata 3. sleep.3. statistics collected analysis 1 to establish the database, input the data by hand. Data were analyzed by SPSS17.0 statistical software, use rate or porpertion age, gender, smoking, alcohol consumption, weekly activity, existing symptoms, health problems, health self evaluation factors such as the distribution of the? 2 test were compared between the two groups, and the use of Logistic the relationship between these factors and the regression analysis of sleep disorders. Results: 1. in the questionnaire survey of the elderly were 1053, 1000 valid questionnaires, the study efficiency of 94.97%.2. aged PSQI score was 4.64 + 4.60; in addition to the hypnotic drug factor, the factor scores in the lowest sleep disorders, 0.43 + 0.50: the highest is the sleep time, 1.01 + 0.89. The PSQI score more than 5 points as the boundary value of 342 people, 1000 old people (34.2%) had sleep disorders, sleep disorders among the male prevalence rate was 27.48%, the prevalence rate of female was 40.23%, female The prevalence rate of male was higher than that of (P0.001).3. elderly women sleep disorder group adultsaged 80-92 are higher than those of the sleep disorder group (25.00%vs 17.14%). Sleep disorder group did not exercise, health problems (including cardiovascular disease) the number and proportion of the proportion of 3? The use of hypnotic drugs were higher than those of sleep obstacle group, female overweight rate (BMI? 24kg/m2) and central obesity rates were lower than those of the non sleep disorder group. In older men sleep disorder group at the age of 80-92 years of age the proportion is lower than the non sleep disorder group (3.85%vs 19.24%). No exercise, central obesity rate and proportion of the use of hypnotic drugs than non sleep disorder group but, the smoking rate is lower than the non sleep disorder group, the difference in other variables between the two groups were not found to be statistically significant.4. stepwise logistic regression analysis showed that the female population, and age at 65-69 years of age. At the age of 70-79, hazard ratio, 80-92 years old suffering from sleep disorders were increased by 0.948,1.774 times. The waist? 80cm women, exercise every day in women suffering from sleep disorders and lower risk. The male population, compared with 65-69 years of age, 80-92 year old people suffering from sleep disorders in lower risk (OR=0.115,95%CI=0.043-0.307) people suffering from sleep disorders. The risk is 0.512 times of not exercising the physical exercise every day. Conclusion: Shanghai Dapuqiao Street 65 years of age and older sleep disorder prevalence rate was 34.2%, the prevalence rate of sleep disorders in women than men, and in women with increasing age of sleep disorders the prevalence increased risk was, while men in the elderly at risk but the lowest. The main influencing factors of sleep disorders is sex and physical exercise, therefore, we in the development of community work We should pay attention to the elderly women in the pre measure, and advocate the healthy lifestyle of physical exercise to make them play the role of improving the sleep quality, so as to improve the sleep status, prolong the sleep time and improve the sleep quality of the elderly.

【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R740

【相似文献】