老年患者失眠与焦虑抑郁的相关性研究

Relativity study on sleep disturbance and anxiety, depression for elderly inpatients

目的研究干部病房老年住院患者的睡眠质量及其与焦虑、抑郁的相关性。方法选择2005年10月~2009年10月在海军总医院干部病房住院患者200例,采用匹兹堡睡眠质量指数（PSQI）评价老年住院患者的睡眠质量,以PSQI〉8分作为睡眠障碍的标准,将200例患者分为PSQI≤8分组（53例）和〉8分组（147例）,两组均采用焦虑自评量表（SAS）、抑郁自评量表（SDS）进行评定,并与国内常模比较。结果 PSQI〉8分组患者焦虑、抑郁发生率（54.42%、44.21%）明显高于PSQI≤8分组患者（18.86%、11.32%）,差异有统计学意义（P〈0.05）;PSQI〉8分组患者与PSQI≤8组的患者的SAS分值[（62.07±9.30）分、（49.16±10.23）分],SDS分值[（59.06±9.56）分、（51.69±11.46）分]均高于国内常模[SAS（33.80±5.90）分、SDS（41.88±10.57）分],差异有统计学意义（P〈0.01）。结论老年患者虽然无明显失眠,其焦虑、抑郁发生率也较正常人高,老年住院患者睡眠障碍程度越重,焦虑、抑郁发生率越高。

Objective To investigate the correlation between sleep disturbance and anxiety,depression in elderly inpatients. Methods A total of 200 elderly inpatients were selected from Navy General Hospital from October 2005 to October 2009. Pittsburgh sleep quality index（PSQI）was used to assess the sleep quality,and those with Pittsburgh sleep quality index more than 8 were considered having sleep disturbance. The 200 patients were divided into the group of PSQI more than 8（n=147）and the group of PSQI less than 8（n=53）. The total was assessed using the Self-rating Anxiety Scale（SAS）and Self-rating Depression Scale（SDS）and compared with national norm. Results Incidence of depression and anxiety（44.21%,54.42%）in the group of PSQI more than 8 were higher than those in the group of PSQI less than 8（11.32%,18.86%）,the differences were significant（P〈0.05）. The anxious and depressive symptoms in the two groups of patients were both higher than those in the national norm,the differences were statistically significant（P〈0.01）. Conclusions The elder inpatients without sleep disturbance had higher incidence of anxious and the depressive symptoms. The poorer the sleep quality in elder inpatients had the higher rate of anxiety and depression.