河南省≥60岁老年人睡眠质量与抑郁的相关性分析
Correlation analysis between quality and depressive symptoms in people aged ≥ 60 years
戚敏杰 1李卉 1张寒雪 1杨淑显 1高焱 1常亮 1范雷 1康锴1
作者信息
- 1. 河南省疾病预防控制中心慢性非传染性防治研究所,河南郑州 450016
- 折叠
摘要
目的 探讨老年人睡眠质量与抑郁的相关性,为制定预防老年人睡眠障碍和抑郁策略提供依据.方法 以2019-2022年河南省"老年期重点疾病预防和干预"项目基线调查的≥60岁老年人作为研究对象,应用匹兹堡睡眠质量指数量表(pittsburgh sleep quality index,PSQI)中文版评估老年人睡眠质量和国际上公认的患者健康问卷-9(patient health questionnaire-9,PHQ-9)抑郁筛查量表评估老年人抑郁的发生情况.采用二元多因素logistic回归分析老年人睡眠质量与抑郁之间的相关性.结果 共调查≥60岁老年人3 157名,睡眠质量差1 595人(50.52％),睡眠时间＜6 h者672人(21.29％),抑郁594人(18.82％).PSQI得分(8.06±3.24)分,主要的睡眠问题为睡眠效率低2930人(92.81％)、睡眠障碍886人(28.06％)、入睡时间长874人(27.68％)和日间功能障碍751人(23.79％).logistic回归分析显示,睡眠质量差(OR=3.310,95％CI:2.707～4.048)、睡眠时间 6 h(OR=1.482,95％CI:1.115～1.971)及＜6 h(OR=2.621,95％CI:1.990～3.451)与抑郁症状存在相关性(P均＜0.05).结论 睡眠质量差及睡眠时间不足与老年人抑郁的发生存在关联,在今后的防控工作中应重点关注该类型老年群体,早发现并采取相应的干预措施,降低抑郁症的发生.
Abstract
Objective To investigate the relationship between quality and depressive symptoms in the elderly,so as to provide a basis for developing strategies to prevent sleep disorders and depression in the elderly.Methods People aged ≥60 years who participated in baseline survey of the project of Prevention and Intervention on Neurodegenerative Disease for Elderly in Henan from 2019 to 2022 as the research objects.The quality and duration of sleep were measured by the Chinese version of the Pittsburgh Sleep Quality Index(PSQI).The subjects with depressive symptoms were screened with patient health questionnaire-9(PHQ-9).Binary logistics regression was used to analyze the correlations between both quality and duration of sleep and depressive symptoms in elderly people.Results In the elderly people,1 595(50.52％)reported sleep quality poorer,672(21.29％)reported sleep duration less than 6 hours,and the detection rate of depression symptoms was 18.82％(594 cases).The average score of PSQI was(8.06±3.24),with the most common sleep issues being sleep inefficiency(2 930,92.81％),sleep disorders(886,28.06％),sleep latency(874,27.68％),and daytime dysfunction(751,23.79％).After adjusting for factors such as age,gender,region,the results of multivariate logistic regression analysis showed that both poor sleep quality(OR=3.310,95％CI:2.707-4.048)and short sleep duration(6 h:OR=1.482,95％CI:1.115-1.971;＜6 h:OR=2.621,95％CI:1.990-3.451)significantly increased the risk of depressive symptoms(All P＜0.05).Conclusions Both poor sleep quality and short sleep duration were associated with the risk of depressive symptoms in elderly people.Medical professionals should pay attention to elderly people with poor sleep quality and short sleep duration,and take effective interventions to reduce the occurrence of depressive symptoms.
关键词
睡眠质量/睡眠时间/抑郁/相关性Key words
Sleep quality/Sleep duration/Depressive symptoms/Correlation引用本文复制引用
出版年
2024
NETL
NSTL
万方数据