中国老年人睡眠质量与抑郁、焦虑相关性的Meta分析

发布时间：2018-05-16 15:21

本文选题：老年人 + 睡眠质量　；参考：《中华护理杂志》2016年04期

【摘要】：目的采用Meta分析的方法 ,评价基于Pearson相关系数的老年人睡眠质量与抑郁、焦虑的相关性。方法利用网络数据库检索Cochrane Library、Pub Med、Pro Quest、Medline、Springerlink、中国生物医学文献数据库(CBM)、中国知网全文数据库(CNKI)、中国科技期刊数据库(VIP)和万方数据库,检索时限均为2000年1月至2014年12月,查找关于老年人睡眠质量与抑郁、焦虑相关性的文献。按照纳入排除标准筛选文献、提取资料并评价纳入研究的质量后,采用Stata 11.0软件进行Meta分析。结果共纳入12篇文献,文献质量总体较好。总样本量为6224名,男2750名,女2947名,平均年龄为72.13岁。Meta分析显示,睡眠质量与抑郁合并相关系数及95%CI为0.420(0.330,0.510),睡眠质量与焦虑合并相关系数及95%CI为0.409(0.336,0.482)。老年人睡眠质量与抑郁、焦虑相关性随着时间、年龄不断增加,北方地区老年人相关系数大于南方地区。应用匹兹堡睡眠质量量表和老年人抑郁量表(PSQI+GDS)测出的结果高于匹兹堡睡眠质量量表和症状自评量表(PSQI+SCL-90)测出的结果,使用匹兹堡睡眠质量量表和焦虑自评量表(PSQI+SAS)测出的结果高于匹兹堡睡眠质量量表和症状自评量表(PSQI+SCL-90)与匹兹堡睡眠质量量表和贝克焦虑量表(PSQI+BAI)测出的结果。老年人睡眠质量与抑郁、焦虑相关性随样本量、抽样方法而有所不同,但不呈现规律性变化。结论老年人睡眠质量与抑郁、焦虑的患病风险存在中等程度相关,且不同年龄、地区存在差异。综合性护理干预将有助于改善老年人睡眠质量,增进身心健康。
[Abstract]:Objective to evaluate the correlation between sleep quality and depression and anxiety in elderly people based on Pearson correlation coefficient by Meta analysis. Methods Cochrane Library Pub MedQuesta Medline was used to search the Spring links, the Chinese Biomedical Literature Database (CBMN), the full text Database of China Journal of Science and Technology (Cochrane) and the Wanfang database were searched. The retrieval time was from January 2000 to December 2014. Search for literature on the correlation between sleep quality and depression and anxiety in the elderly. The literature was screened according to the inclusion exclusion criteria, the data was extracted and the quality of the study was evaluated. The Meta analysis was carried out with Stata 11.0 software. Results A total of 12 articles were included, and the quality of the literature was good on the whole. The total sample size was 6224, male 2750 and female 2947. The average age was 72.13 years old. Meta analysis showed that the correlation coefficient of sleep quality and depression and 95%CI were 0.420 ~ 0.330 ~ 0.510, the correlation coefficient between sleep quality and anxiety and 95%CI were 0.409 ~ 0.336 ~ (0.482g). The correlation between sleep quality and depression and anxiety increased with time and age, and the correlation coefficient of the elderly in the north was higher than that in the south. The results of Pittsburgh Sleep quality scale (Pittsburgh Sleep quality scale) and elderly Depression scale (PSQI GDSs) were higher than those of Pittsburgh Sleep quality scale (Pittsburgh Sleep quality scale) and symptom Checklist (SCL-90). The results of Pittsburgh Sleep quality scale (Pittsburgh Sleep quality scale) and Self-Rating anxiety scale (PSQI SAS) were higher than those of Pittsburgh Sleep quality scale (Pittsburgh Sleep quality scale) and symptom Checklist (SCL-90), Pittsburgh Sleep quality scale (Pittsburgh Sleep quality scale) and Baker anxiety scale (PSQI BAI). The correlation between sleep quality and depression and anxiety varies with sample size and sampling method, but does not show regular changes. Conclusion there is a moderate correlation between sleep quality and the risk of depression and anxiety in the elderly, and there are differences between different ages and regions. Comprehensive nursing intervention will help to improve the quality of sleep and improve physical and mental health of the elderly.
【作者单位】：中南大学公共卫生学院;福建省妇幼保健院;中南大学湘雅医院护理部;中南大学湘雅二医院;
【基金】：美国中华医学基金会(CMB)项目(08-892)
【分类号】：R740

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