社区老年人睡眠障碍与社会衰弱的相关性

Relationship between sleep disorder and social frailty among community-dwelling elderly

目的探讨社区老年人睡眠障碍与社会衰弱的关系,为预防及改善社会衰弱提供依据。方法采用一般资料调查问卷、匹兹堡睡眠质量指数(PSQI)量表、社会衰弱量表对汾阳市社区老年人进行入户调查,分析睡眠障碍与社会衰弱的关系。结果最终回收有效问卷516份。社区老年人睡眠障碍及社会衰弱的发生率分别为42.05%、12.79%;社会衰弱组与非社会衰弱组合并慢性病种数、体育锻炼、智力活动、睡眠障碍差异有统计学意义(P<0.05或P<0.01)。进一步行Logistic回归分析结果显示,睡眠障碍是影响社会衰弱的独立危险因素(OR=1.904,95%CI:1.095~3.311,P=0.022)。睡眠障碍组与非睡眠障碍组社会衰弱总分与各条目得分比较,差异均有统计学意义(P<0.05或P<0.01);相关性分析结果显示,PSQI总分与社会衰弱呈中度正相关关系(r=0.429,P<0.001),7个因子的得分均与社会衰弱呈正相关(P<0.05)。结论社区老年人睡眠障碍与社会衰弱的发生率偏高,睡眠障碍是社区老年人发生社会衰弱的独立危险因素,睡眠障碍与社会衰弱相关。需提高对老年人睡眠质量的重视,从多个维度对老年人的睡眠障碍进行预防及干预,以进一步提高老年人群的健康水平和生活质量。

Objective To explore the relationship between sleep disorder and social frailty of the elderly in community,so as to provide reference for prevention and improvement of social frailty in the elderly.Methods The general data questionnaire,Social Frailty Assessing Tool and Pittsburgh Sleep Quality Index(PSQI)scale were surveyed through face-to-face interview with participants at their houses.And the relationship between sleep disorder and social frailty was analyzed.Results A total of 516 valid questionnaires were finally included in this research.The incidence rate of sleep disorder was 42.05%,and the incidence rate of social frailty was 12.79%in the elderly.There were significant differences in the number of chronic diseases,physical exercise,intellectual activities and sleep disorders between the social frailty group and the non-social frailty group(P<0.05 or P<0.01).Logistic regression analysis showed that sleep disorder was an independent risk factor of social frailty(OR=1.904,95%CI:1.095-3.311,P=0.022).There were significant differences in the total score of social frailty and the score of each item between the sleep disorder group and the non-sleep disorder group(P<0.05 or P<0.01).Correlation analysis results showed that the total score of PSQI was moderately positively correlated with social frailty(r=0.429,P<0.001),and the scores of 7 factors of PSQI were positively correlated with social frailty(P<0.05).Conclusions The incidence rates of sleep disorder and social frailty are high in the elderly.Sleep disorder is an independent risk factor of social frailty in the elderly in the community.It is necessary to pay more attention to the sleep quality of the elderly,and to prevent and intervene the sleep disorder of the elderly from multiple dimensions,so as to further improve the health level and quality of life of the elderly population.