社区老年人脑卒中与睡眠质量及抑郁的相关性研究

The relationship between stroke,sleep quality and depression,and to provide reference for special intervention for post-stroke elderly

目的了解城乡社区老年人脑卒中与睡眠质量及抑郁的相关性,为进一步采取措施提供依据。方法采用多阶段分层整群抽样法,选取河北省3个地区60岁以上老年人进行一般问卷及匹兹堡睡眠质量指数(PSQI)调查,同时确定经由二级及以上医院诊断确定脑卒中和抑郁患病情况。结果社区老年人脑卒中发生率13.9%,农村高于城市;睡眠障碍率为26.6%,脑卒中出现睡眠障碍的比率高;老年人抑郁症发生率为5.73%,患脑卒中的老年人罹患抑郁症的比率高。上述均差异有统计学意义(P<0.01)。结论社区老年人患脑卒中与睡眠质量及抑郁的发生相关,应引起高度关注。

Objective To investigate the relationship between stroke, sleep quality and depression, and to provide reference for special intervention for post-stroke elderly. Methods The elderly（≥60 years） residents living in the community from three regions of Hebei province, were selected according to a multi-stage stratified cluster sampling method. All of subjects were tested with the General Questionnaire and Pittsburgh Sleep Quality index （PSQI） . Besides, it was investigated that the sickness status of stroke or depression which dignosed by sec- ond-class or above hospitals. Results The prevalence of stroke in community elderly was 13.9%, and the rate in rural areas was higher than in urban areas （P〈0.01）. 26.6% of the community elderly had sleep disorder, and the rate of that in the stroke elderly was higher than those no stroke subiects （P〈0.01） . 5.73% of the community elderly had the depression, and the rate of depression in stroke patients was significant higher than that with- out stroke （P%0.01） . Conclusion The community elderly with stroke had higher incidence of sleep disorder and depression than nomal elderly. So the problem should have been received high attention to decrease and delay the occurrence according to taking active measures immediately.