河北省城市社区老年人睡眠障碍的现况调查

A cross-sectional study of sleep disorder among elderly population in urban community in Hebei Province

目的:了解城市社区老年人的睡眠障碍的流行病学特点,初步分析相关因素。方法:本研究为现况调查。选取河北省4市区3176例60岁以上社区老年被试者,采集一般人口学资料,采用匹兹堡睡眠质量指数量表(PQSI)、日常生活能力量表(ADL)评定睡眠状况及日常生活能力。结果:参与调查的3176例老人中有938例(29.5%)PQSI≥7分,其中男性286例,女性652例,男∶女=1∶2.3。ADL>26分者232例(7.3%),其中PQSI≥7分者132例(56.9%)。多因素logistic回归分析显示,ADL评分较高(OR=1.58)、需要生活照料(OR=1.49)、高龄(≥70岁)(OR=1.37)、女性(OR=1.69)、无业(OR=1.66)、脑力劳动(OR=1.92)、单身或丧偶(OR=1.33)、伴有躯体疾病(OR=2.18)者PQSI得分较高。居住地点固定(OR=0.81)、参加体育锻炼(OR=0.76)、参加读报纸/杂志/书籍(OR=0.82)、参加娱乐活动(OR=0.80)者PQSI得分较低。结论:城市社区老年人的睡眠障碍发生率较高,睡眠障碍的发生可能与较高年龄、女性、无职业及缺乏运动的生活方式有关。

Objective：To investigate the prevalence of sleep disorders and relative factors in the urban elderly population in Hebei Province. Methods： In this cross-sectional study,3,176 subjects aged over 60 were selected from 4 urban communities in Hebei Province.The demographic data was collected,and the Pittsburgh Sleep Quality Index Scale （PQSI） and Activities of Daily Living Scale （ADL） were used to assess their sleep status and activities of daily living. Results： Among the 3,176 subjects,938 cases （29.5%） got the PQSI scores of 〉7.Among these 938 cases,there were 286 male cases and 652 female cases,the ratio of male and female was 1∶2.3.Totally 232 cases （7.3%） got the ADL scores of 〉 26 and 132 （56.9%） cases of those the PQSI scores of 〉7.Multivariate logistic results showed that those with higher ADL scores （OR=1.58）,with life care need （OR=1.49）,with older age （OR=1.37）,being female （OR=1.69）,having never been employed （OR=1.66）,having be engaged in mental labor （OR=1.92）,being single or widowed （OR=1.33）,with somatic diseases （OR=2.18） got higher PQSI scores,while those who lived in current addresses for a long time （OR=0.81）,participated in physical exercises （OR=0.76）,read newspapers/ magazines and books （OR=0.82）,participated in playing cards and other games （OR=0.80） got lower PQSI scores. Conclusion： The incidence of sleep disorders is high among urban elderly population.Older age,female gender,being unemployed,lack of exercise may be related to the occurrence of sleep disorders.