上海市大场社区老年居民睡眠质量调查及影响因素分析

Investigation and influencing factors of sleep quality of elderly residents in Dachang community of Shanghai

目的调查349例大场社区老年居民睡眠质量并分析其影响因素。方法筛选2022年11月大场社区60岁以上常住居民349例,采用匹兹堡睡眠质量指数开展睡眠评估。结果349例大场社区老年居民中,117例(33.52%)存在失眠问题,其中有53例(45.30%)日常服用助眠药物;有147例(42.12%)存在睡眠紊乱。是否合并其他疾病、是否有失眠/神经衰弱/心理问题家族史、是否存在慢性疼痛3个变量对老年居民睡眠质量的影响差异有统计学意义(P<0.05)。其中,合并其他疾病、存在失眠/神经衰弱/心理问题家族史、存在慢性疼痛的老年居民更容易出现睡眠紊乱的情况。结论社区老年居民睡眠质量令人担忧,全科医生在临床工作中,对于存在高危因素的老年居民,及时发现并干预,改善其睡眠质量。

Objective To investigate the sleep quality of 349 elderly residents in Dachang community and analyze its influencing factors.Methods A total of 349 residents aged 60 years and older were selected by the Pittsburgh sleep quality index(PSQI)at the end of November 2022.Results Among 349 elderly residents in Dachang community,117 cases(33.52%)had insomnia problems,of which 53 cases(45.30%)took sleep AIDS daily.There were 147 patients(42.12%)with sleep disorder.The three variables of whether there are other diseases combined,whether there is a family history of insomnia/neurasthenia/psychological problems and whether there is chronic pain had statistical significance on the sleep quality of elderly residents(P<0.05).Among them,elderly residents with other diseases,family history of insomnia/neurasthenia/psychological problems,and chronic pain were more likely to have sleep disorders.Conclusion The sleep quality of elderly residents in the community is worrying.In clinical work,general practitioners should timely detect and intervene the elderly residents with high risk factors to improve their sleep quality.