摘要
目的了解社区失眠老年患者合并焦虑、抑郁现状及与睡眠质量的相关性。方法选择北京市大兴区人民医院下辖7个社区卫生服务站2021年5月至2022年1月收治的65岁及以上失眠老年患者为调查对象,采用面对面问卷调查方式,收集社区失眠老年患者的一般资料,并协助失眠老年患者填写匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、焦虑自评量表(selfrating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)。根据是否合并焦虑、抑郁分为单纯失眠组及失眠合并焦虑、抑郁组,比较两组的一般资料,以及不同性别失眠老年患者合并焦虑症状、抑郁症状及SAS、SDS、PSQI评分。采用Spearman相关性分析法探讨PSQI评分与SAS、SDS评分的关系。结果单纯失眠老年患者有120例(单纯失眠组),失眠合并焦虑、抑郁有26例(失眠合并焦虑、抑郁组)。失眠合并焦虑、抑郁组与单纯失眠组比较,PSQI评分、女性比例、合并慢性疾病比例、联合用药比例更高,社会关系满意、运动比例更低,差异均有显著性(P<0.05)。社区失眠老年患者合并焦虑、抑郁症状的发生率分别为14.4%(21例)和12.3%(18例)。社区女性失眠老年患者合并焦虑、抑郁发生率以及SAS、SDS、PSQI评分均高于男性,差异有显著性(P<0.05)。Spearman相关性分析结果显示,PSQI总分与SAS(r=0.515,P<0.001)、SDS(r=0.586,P<0.001)评分呈正相关。PSQI的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍等维度评分与SAS、SDS评分均呈正相关,其中相关性较强的为睡眠质量与SAS(r=0.480,P<0.001)、SDS评分(r=0.540,P<0.001),睡眠障碍与SAS(r=0.514,P<0.001)、SDS(r=0.512,P<0.001)评分。结论社区失眠老年患者中合并焦虑、抑郁症状的比例较高,其焦虑、抑郁症状与睡眠质量相关,应增加对社区失眠老年患者的心理状态关注及干预,从而改善睡眠质量。
Objective To understand the status of insomnia,anxiety and depression and the correlation with sleep quality in the community.Method Insomnia patients over 65 years old who went to 7 community health service stations in a tertiary hospital from May 2021 to January 2022 were selected.Face-to-face questionnaire survey was adopted to collect the general situation of insomnia elderly in the community and Pittsburgh sleep quality index(PSQI),self-rating anxiety scale(SAS),and self-rating depression scale(SDS)filled by insomnia elderly were evaluated.Result There were 120 elderly patients with simple insomnia(simple insomnia group)and 26 patients with anxiety and depression(insomnia combined with anxiety and depression group).Compared with the insomnia group,the PSQI score,the proportion of female,the proportion of chronic diseases,the proportion of combined medication were higher,and the satisfaction of social relationship and the proportion of exercise were lower,with significant differences(P<0.05).The incidence of anxiety and depression were 14.4%(21 cases)and 12.3%(18 cases),respectively.The incidence of anxiety,depression and SAS,SDS and PSQI scores of elderly women with insomnia in community were higher than those of men,and the difference was significant(P<0.05).Spearman correlation analysis showed that PSQI total score was positively correlated with SAS(r=0.515,P<0.001)and SDS(r=0.586,P<0.001)scores.PSQI sleep quality,sleep time,sleep time,sleep efficiency,sleep disorders,hypnotic drugs,daytime dysfunction and other dimensions were positively correlated with SAS and SDS scores,among which sleep quality was strongly correlated with SAS scores(r=0.480,P<0.001)and SDS scores(r=0.540,P<0.001).Sleep disorders and SAS(r=0.514,P<0.001),SDS(r=0.512,P<0.001)scores.Conclusion The proportion of anxiety and depression in the community insomnia old people is high.The anxiety and depression of the community insomnia old people are related to the sleep quality.
作者
彭笑笑
杨昕晖
马秀华
刘铭忆
李严平
张琦
Peng Xiaoxiao;Yang Xinhui;Ma Xiuhua;Liu Mingyi;Li Yanping;Zhang Qi(Department of General Medicine,Daxing District People’s Hospital,Beijing 102600,China;Department of Gynaecology and Obstetrics,Daxing District People’s Hospital,Beijing 102600,China)
出处
《中国医刊》
CAS
2023年第12期1338-1341,共4页
Chinese Journal of Medicine
基金
北京市卫生健康科技成果和适宜技术推广项目(BHTPP202023)。
作者简介
通信作者:马秀华,E-mail:mxhdxqyy@126.com。
