北京地区军队离退休老年人睡眠质量状况及影响因素分析

AN EPIDEMIOLOGICAL INVESTIGATION ON THE SLEEP QUALITY AND ITS INFLUENCING FACTORS AMONG RETIRED ELDERLY IN BEIJING MILITARY AREA

目的调查北京地区部分军队离退休老年人睡眠质量现状,分析其相关影响因素。方法采用匹兹堡睡眠质量指数量表(PSQI)、自制一般情况调查表,对驻京6个部队干休所325例离退休老年人进行睡眠质量评估,并分析影响因素。结果参与调查的325例军队离退休老年人PSQI平均得分为(5.66±4.27)分,睡眠障碍发生率为27.1%。单因素分析显示高文化程度、近1年未参加体育锻炼,有精神创伤史、糖尿病、慢性阻塞性肺疾病、帕金森病老年人的睡眠障碍患病率差异有统计学意义(P<0.05)。非条件Logistc回归分析表明,年龄>85岁(OR=4.537)、大专及大专以上文化程度(OR=6.039)、有精神创伤史(OR=8.505)、糖尿病史(OR=10.436)、慢性阻塞性肺疾病史(OR=5.019)是影响老年人睡眠质量的危险因素。结论提高军队离退休老年人睡眠质量应采取综合保健措施,特别应关注高龄、文化程度较高、有精神创伤史及患有慢性疾病的老年人睡眠质量。

Objective To investigate the epidemic situation of the retired sleep quality and explore the influence factors among retired elderly in Beijing military area. Methods Totally 325 cases aged 60 and over of retied veteran from 6 military sanatorium in Beijing city were evaluated. The Pittsburgh Sleep Quality Index （PSQI） and a selfdesigned questionnaire were used and analyzed. Results The average PSQI score in 325 elderly was （5. 66 ± 4. 27） and 27. 1% had bad sleep quality among the subjects. Single factor analysis showed that the higher educational level, nearly one year did not take part in physical exercise, mental trauma, diabetes mellitus, chronic obstructive pulmonary disease, Parkinson＇s Disease of the elderly had significant difference in sleep disorder prevalence rate （P〈0.05）. Multiple factor non- conditional logistic regression analysis indicated that the risk factors for bad sleep quality were associated with aged over 85 years group（OR = 4. 537）, education level of a college or university （OR = 6. 039）, mental trauma history （OR= 8. 505）, diabetes mellitus （OR = 10. 436） and with chronic obstructive pulmonary disease （OR = 5. 019）. Conclusion Comprehensive health measures should be taken to improve the sleep quality of military retired elderly, especially for the aged, cultural level higher, spiritual trauma and with other chronic disease.