中国社区老年人睡眠质量影响因素的系统评价

A systematic review and Meta-analysis on influencing factors related to the quality of sleep among community population aged 60 and older, in China

目的 系统评价中国≥60岁社区老年人睡眠质量的影响因素。方法 计算机检索PubMed、EMbase、中国生物医学文献数据库（CBM）、中国知网（CNKI）及万方数据知识服务平台等数据库中与睡眠质量影响因素的相关研究，对符合纳入排除标准的文献进行定性和定量分析。结果 最终纳入16篇横断面研究。定性和定量分析发现，较为明确的有益于老年人睡眠质量的因素为已婚（OR=0.72，95%CI：0.52～0.98）和与他人同住（OR=0.78，95%CI：0.70～0.87），危险因素为患慢性疾病（OR=2.24，95%CI：1.39～3.61）。年龄和性别对老年人睡眠质量的影响尚不能定论。目前尚缺乏睡眠质量相关的生活方式、社会支持和心理等影响因素的研究。结论 已婚和与他人同住是我国≥60岁社区老年人睡眠质量的保护因素，患慢性疾病是其危险因素。

Objective To systematically evaluate the influencing factors on quality of sleep among community elderly population aged ≥60 years in China. Methods Literature review was conducted using databases of PubMed, EMbase, CBM, CNKI and Wanfang to collect data regarding influencing factors on quality of sleep. Both qualitative and quantitative analysis were performed to pool the eligible studies. Results Sixteen cross-sectional studies were included. Data from both qualitative and quantitative analysis showed that the elderly population who had ever married （OR=0.72, 95%CI：0.52-0.98） or lived with other people （OR=0.78, 95%CI：0.70-0.87） had better quality of sleep but it was worse when with chronic diseases （OR=2.24, 95%CI：1.39-3.61）. The effects of age and sex on the quality of sleep in the elderly was not yet conclusive. Studies on life style, social support and psychological factors appeared scarce. Conclusion The protective factors on quality of sleep among community elderly population aged ≥60 years in China appeared as：ever had married or lived with others while chronic diseases were risk factors in reducing the quality of sleep.