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上海市斜土社区老年人睡眠障碍现状及影响因素调查分析

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目的:了解影响上海市斜土社区老年人睡眠质量的因素,为改善其睡眠质量提供参考.方法:采用完全随机抽样方法选取 2023 年 7-9 月在上海市徐汇区斜土街道社区卫生服务中心参加健康体检的 1 600 余名老年人中的10%,共 160名作为调查对象开展问卷调查,问卷内容包括一般资料、匹兹堡睡眠质量指数量表和睡眠质量问卷.结果:148 名老年人的匹兹堡睡眠质量指数平均得分为(8.09±4.54)分,其中睡眠障碍组 78名(52.7%),正常组 70名(47.3%).在Logistic回归模型中,模型 1提示,当调节变量设为高脂血症时,高脂血症是睡眠障碍发生的危险因素;模型 2提示,当调节变量设为高脂血症、年龄、性别时,高脂血症和年龄是睡眠障碍发生的危险因素;模型 3 提示,当调节变量设为高脂血症、年龄、性别、BMI体质指数、脑梗、糖尿病、婚姻状况、学历时,高脂血症、高龄和脑梗是睡眠障碍发生的危险因素.结论:社区老年人睡眠障碍就诊率低,高龄、合并高脂血症或脑梗是影响老年患者睡眠质量的危险因素,新冠感染疫情也可能进一步加重老年睡眠障碍患者的症状.
Investigation and analysis of the current situation and influencing factors of sleep disorders among elderly people in Xietu Community of Shanghai
Objective:To understand the factors affecting the sleep quality of the elderly in Xietu Community,Shanghai,and to provide reference for improving their sleep quality.Methods:The complete random sampling method was used to select 10%of the more than 1 600 elderly people who participated in the health examination in Community Health Service Center of Xuhui District,Shanghai from July to September 2023,a total of 160 were the research objects for the questionnaire,and the questionnaire contents included general information,Pittsburgh sleep quality refers to the quantity table and sleep quality questionnaire.Results:The average score of Pittsburgh sleep quality index was(8.09±4.54),including 78 cases(52.7%)in the sleep disorder group and 70 cases(47.3%)in the normal group.In the Logistic regression model,model 1 suggested that hyperlipidemia was a risk factor for sleep disorders when the regulatory variable was set as hyperlipidemia;model 2 suggested that hyperlipidemia,and age were the risk factors when the regulatory variables were set to hyperlipidemia,age,and gender;model 3 suggested that when the regulatory variables were set as hyperlipidemia,age,sex,BMI constitution index,cerebral infarction,diabetes,marital status,and education level,hyperlipidemia,advanced age and cerebral infarction were risk factors for sleep disorders.Conclusion:The rate of sleep disorders among the elderly in the community is low,advanced age,complication with hyperlipidemia or cerebral infarction are the risk factors affecting the sleep quality of elderly patients.COVID-19 infection may further aggravate the symptoms of the elderly patients with sleep disorders.

elderly peoplesleep disorderhyperlipidemiacerebral infarctionCOVID-19

赵侃洁、郑亮

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上海市徐汇区斜土街道社区卫生服务中心精神科,上海 200032

同济大学附属东方医院上海市心衰研究所,上海 200120

老年人 睡眠障碍 高脂血症 脑梗 新冠感染疫情

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(6)
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