睡眠质量对高血压老人主观幸福感的影响

Effect of sleep quality on subjective well-being of elderly hypertensive patients

目的了解高血压老人主观幸福感现状及睡眠质量对主观幸福感的影响。方法选取乌鲁木齐市某三级甲等医院体检中心健康检查的60岁以上高血压老人392例作为调查对象,进行主观幸福感问卷和匹兹堡睡眠质量指数量表(PSQI)测评。结果单因素分析发现,年龄60~64岁高血压老人主观幸福感得分显著高于≥80岁高血压老人(P<0.01)。家庭关系较为融洽高血压老人主观幸福感得分显著高于家庭关系一般和隔阂多高血压老人(P<0.01)。已婚高血压老人主观幸福感得分显著高于丧偶高血压老人(P<0.05)。家庭月收入<4 000元高血压老人主观幸福感得分显著低于>7 000元家庭收入老人(P<0.05)。有睡眠障碍高血压老人的主观幸福感得分显著低于无睡眠障碍老人(t=2.500,P<0.01)。高血压老人主观幸福感得分与PSQI总分及主观睡眠质量、入睡时间、睡眠时间、睡眠效率和催眠药物得分呈显著负相关(r=-0.304、-0.216、-0.277、-0.129、-0.186和-0.188,均P<0.01)。PSQI总分进入主观幸福感得分的回归方程(β=-0.169,P<0.01)。结论 60岁以上高血压老人睡眠质量具有一定的人口学特征,低质量睡眠对高血压老人主观幸福感具有明显的消极影响。

[ObjectiveJ To investigate the status of subjective well-being, and to explore the effect of sleep quality on subjective well-being of elderly hypertensive patients. [Methods] Totally 392 elderly hypertensive patients over 60 years in the Physical examination center of a tertiary Hospital in Urumqi were selected as the subjects, who were investigated by the subjective well- being questionnaire and Pittsburgh sleep quality index （PSQI）. [Results] Univariate analysis showed that the subjective well- being score of elderly hypertensive patients aged 60-64 years old was significantly higher than that of elderly hypertensive patients I〉80 years old （P〈0.01）. The score of subjective well-being of the elderly hypertensive patients with harmonious family relationship was significantly higher than that of the elderly hypertensive patients with normal or disharmony family relationship （P〈0.01）. The subjective well-being score of married elderly hypertensive patients was significantly higher than that of widowed elderly hypertensive patients （P〈0.05）. The subjective well-being score of elderly hypertensive patients with monthly household income 〈4 000 yuan was significantly lower than that of elderly hypertensive patients with household income 〉7 000 yuan （P〈 0.05）. The subjective well-being score of the elderly hypertensive patients with sleep disorder was significantly lower than that of the elderly hypertensive patients without sleep disorder（t=-2.510, P=0.012）. There was a significant negative correlation between the score of subjective well-being and total PSQI, subjective sleep quality, falling asleep time, sleep time, sleep efficiency and hypnotic drug （r=-0.304, -0.216, -0.277, -0.129, -0.186, -0.188, P〈0.01）. The total PSQI score entered the regression equation of subjective well-being score（β=-0.169, P〈0.01）. [Conclusion] The sleep quality of the elderly hypertension patients over 60 years old has certain demographic characteristics, and poor sleep quality has a negative impact on subjective well-being.