家庭动力对代际养育家庭中老年人睡眠质量的影响

Effects of family dynamics on sleep quality of the elderly in intergenerational parenting families

目的探讨代际养育家庭中的家庭动力结构及其对老年人睡眠质量的影响。方法采用一般信息问卷、系统家庭动力学自评量表、匹兹堡睡眠质量指数量表对140名代际养育家庭和285名非代际养育家庭的老年人进行调查。结果分别计算家庭动力结构的四个维度(家庭氛围、系统逻辑、个体化、疾病观念)得分。两组老年人家庭动力维度得分与匹兹堡睡眠质量指数量表总分比较,差异无统计学意义(P>0.05)。Logistic多因素分析显示,家庭氛围维度与老年人匹兹堡睡眠质量指数总分无统计学显著相关;系统逻辑维度与匹兹堡睡眠质量指数总分呈负相关;个体化维度及疾病观念维度分别与匹兹堡睡眠质量指数量表得分呈统计学显著正相关。结论两种家庭类型中老年人在家庭动力结构和睡眠质量风险方面无显著差异。家庭动力结构中的系统逻辑、个性化、疾病观念维度与睡眠质量相关。

Objective To explore the family dynamic structure in intergenerational parenting families and its impact on sleep quality of the elderly.Methods General information questionnaire,Self-Rating Scale of Systemic Family Dynamics(SSFD)and the Pittsburgh Sleep Quality Index(PSQI)were conducted on 140 older adults in intergenerational and 285 non-intergenerational households.Results The scores of four dimensions of family dynamic structure were calculated respectively.There was no significant difference between the score of family dynamics and the total score of Pittsburgh Sleep Quality Index between the two groups(P>0.05).Logistic multivariate analysis showed that there was no significant correlation between the family atmosphere dimension and the total score of Pittsburgh sleep quality index.The system logic dimension was negatively correlated with the total score of Pittsburgh sleep quality index.The individualization dimension and the disease perception dimension were positively correlated with the score of Pittsburgh sleep Quality Index.Conclusion There is no significant difference in family dynamic structure and sleep quality risk between the two family types.The dimensions of system logic,individuation and disease concept were related to sleep quality.