老年人睡眠质量及其影响因素

目的 调查老年人的睡眠质量现况及其影响因素,为提高其睡眠质量提供依据.方法 2009年3月至2010年7月,采用匹兹堡睡眠质量问卷,按男女、城乡比例分层抽样的方法对63岁以上的老年人进行2 500份问卷的调查及分析.结果 共回收有效问卷2 341份,PSQI平均得分为(7.24±3.25)分,睡眠障碍者1 173人,占50.11%.影响老年人睡眠质量的相关因素有很多,其中身体状况、睡前思考、患病情况、地理位置等因素差异显著(P＜0.01 或P＜0.05).结论 老年人睡眠质量差,且影响因素较多,应密切予以关注,尽量避免其影响老年人睡眠质量.     

老年人睡眠质量及其相关行为

目的探讨老年人睡眠质量及其影响睡眠相关行为的现状。方法采用自行设计量表及汤氏睡眠状况调查量表对228例老年人进行了问卷调查。结果老年人存在很多影响睡眠的不良行为习惯；老年人睡眠质量较差，尤其是女性。结论应重视老年群体的健康教育，帮助老年人改善睡眠状况，提高其睡眠质量。     

老年人睡眠质量及其影响因素的调查分析

睡眠质量是影响老年人生活质量的重要组分之一 〔1 ,2〕。我们在杭州市开展老年人睡眠质量及其影响因素的调查 ,以便掌握老年人睡眠障碍的发生率和影响老年睡眠质量的因素 ,为提高老年人睡眠质量的干预措施提供一线资料。1　材料与方法1.1　 研究对象　在杭州市 5个城区各抽取 12 0名 6 5岁以上的居民 ,总计 6 0 0名。实际收回有效调查问卷 5 81份 ,回收率为96 .8%。其中男性 4 8.7% (2 83人 ) ,女性 5 1.3% (2 98人 ) ,平均年龄 70 .12± 7.2 6岁。1.2 　 研究工具　 (1)老年人一般情况调查表 ,包括人口统计学资料、家庭关系、身体状况等 ;…     

长春市某三甲医院离退休老年人睡眠质量及其影响因素

目的探讨长春市某三甲医院离退休老年人睡眠质量状况及其影响因素。方法采用方便抽样的方法,利用匹兹堡睡眠指数量表(PSQI)、一般情况调查表对469名长春市某三甲医院离退休老年职工进行问卷调查。结果本研究中有27.3%的老年人存在睡眠质量不良问题。睡眠质量7个因子中,入睡时间存在问题的比例最高(30.5%),其次为日间功能障碍(24.3%)。多因素Logistic回归分析结果表明,荤素搭配与以荤食为主的饮食习惯是老年人睡眠质量的保护因素;自评健康状况差、患有脑血管疾病、患有慢性非传染疾病数量多、所患疾病对生活的影响程度重是老年人睡眠质量的危险因素。结论长春市医院离退休老年人睡眠质量较差,应采取综合措施提高其睡眠质量,既要保持良好的生活习惯,又要关注其身心健康,改善医院离退休老年人睡眠质量对提高其生活质量的至关重要。     

老年人睡眠障碍及其影响因素

目的 对22省老年人的睡眠障碍现况进行分析,发现老年人睡眠存在问题,为采取对策提供依据.方法 采用匹兹堡睡眠质量问卷,按比例男女、城乡分层抽样的方法对老年人进行问卷调查.结果 共回收有效问卷2 102份,PSQI平均得分为7.19±3.84,睡眠质量差者1 048人,占49.9%,总体分析南方、女性、农村、文化水平低者、目前正在工作者,老年人睡眠质量差.结论 老年人睡眠质量差,应该重视老年人的睡眠问题,改善其睡眠状况,提高睡眠质量.     

维吾尔族离退休人员睡眠质量及其相关因素的分析

许多因素影响着老年人的睡眠。探讨维吾尔族老年人睡眠障碍的研究并不多见。本研究调查了新疆维吾尔族离退休人员的睡眠情况及其相关因素，旨为改善维吾尔族老年人的睡眠质量提供依据。     

长春市老年人睡眠质量及其影响因素

目的了解老年人睡眠质量状况及其影响因素。方法采用方便抽样的方法对369名长春市老年人进行问卷调查,调查工具包括匹兹堡睡眠指数量表(PSQI)和一般情况调查表。结果睡眠质量差的占28.5%,PSQI得分为(5.80±3.70)分。结论老年人的睡眠质量较差,与身体状况密切相关,老年人、家庭成员乃至社会应关注老年人身心健康,提高睡眠质量。     

潍坊市养老机构老年人睡眠质量及影响因素调查研究

目的 睡眠状况是关乎老年人身心健康的重要指标,本研究通过对潍坊市养老机构老年人的睡眠状况进行调查研究,并分析其影响因素,以期提高入住养老机构老年人的生活质量。方法 利用阿森斯失眠量表(AIS)、广泛性焦虑量表(简版)(GAD-2)对453名养老机构的老年人开展问卷调查。采用单因素分析和多因素分析的方法对影响养老机构老年人睡眠质量及影响因素进行分析。结果 104人(23.0%)得分为4～6分,疑似睡眠障碍;106人(23.4%)得分为7分及以上,为睡眠障碍。睡眠障碍诊出率为23.4%;GAD-2量表得分为3分及以上者有36人(7.9%),焦虑症状诊出率为7.9%。将单因素分析结果为阳性的变量纳入多元线性回归方程分析,得出焦虑、疼痛评分、有无吞咽困难、养老机构星级、是否患有慢性病及慢性病对日常生活影响等因素与养老机构老年人睡眠障碍显著相关。结论 缓解老年人的疼痛、积极应对慢性病、加大社会支持力度提升老年人的心理应对能力、规范养老机构管理等对提高老年人睡眠有帮助。     

影响老年住院病人睡眠的相关因素及对策

睡眠障碍是老年人常见的症状。睡眠影响人的精神和体力恢复及疾病的康复。我们通过对40例老年住院病人的睡眠情况进行调查分析,以探讨医疗对策。1　资料与方法11　一般资料　老年组40例,男24例,女16例,年龄60～80岁,平均67岁。非老年组29例,均为男性,年龄18～44岁,平均224岁。老年组同时患2种以上疾病者30例(75%),所患疾病主要为糖尿病(15例,375%)、高血压(13例,325%)、脑梗死(13例,325%)、冠心病(12例,30%)、肿瘤(5例,125%)、慢性支气管炎(4例,10%)。非老年组同时患2种以上疾病者2例(69%),所患疾病主要为感染性疾病(10例,345%)、胃及十二指…     

离退休老年人睡眠状况及其影响因素的研究

目的探讨老年人睡眠质量及其影响睡眠的不良习惯与睡眠质量之间的关系.方法采用汤氏睡眠状况量表及自行设计的调查表对228例老年人进行问卷调查.结果老年人存在很多影响睡眠的不良行为习惯;老年人睡眠质量较差,尤其是女性;影响睡眠的不良习惯与睡眠质量之间有一定相关性.结论应重视老年群体的健康教育,帮助老年人纠正影响睡眠的不良因素,提高其睡眠质量.     

Sleep quality among Chinese elderly people: A population-based study

Little was known about sleep quality among Chinese population. Using data from a population-based survey, we aimed to describe the prevalence of poor sleep quality among Chinese elderly people, to analyze factors associated with poor sleep quality, and to explore the relation between sleep quality and life quality as well as the risk for mental disorders. Data was derived from the Tianjin Mental Health Survey. The 19-item Pittsburg Sleep Quality Index was used to assess sleep quality. Life quality was evaluated using a Chinese version of Quality of Life Scale. To investigate the risk for mental disorders, the Chinese version of General Health Questionnaire was administered. Female gender, older age, low educational attainment, poor subject family economic status, and not having health insurance were significantly associated with elevated risk of poor sleep quality. Poor sleep quality was associated with poor life quality and increased odds of mental disorders. Further studies are warranted for the evaluation of effectiveness of screening tools for sleep problems and the generalization of early screening and diagnosing programs in the nation. Early screening is necessary and appropriate intervention programs should be conducted in the population with high risk.     

强直性脊柱炎患者睡眠质量及相关因素分析

目的 探讨强直性脊柱炎(AS)患者的睡眠质量及影响因素,为提高患者睡眠质量提供依据.方法 采用匹兹堡睡眠质量指数(PSQI)、Zung's抑郁自评量表(SDS)和焦虑自评量表(SAS)及自制-般情况调查表,对318例门诊AS患者进行问卷调查;全部资料使用SPSS 17.7软件包进行统计分析,采用t检验、x2检验、秩和检验及Pearson相关分析.结果 PSQI总分(6.6±3.6)分,睡眠质量差者占35.4％;PSQI得分及检出率均无性别差异;伴睡眠问题与不伴睡眠问题的AS患者之间,晨僵(Z=-3.077,P=0.002)、Bath AS功能指数(BASFI)(Z=-4.766,P=0.000)、Bath AS疾病活动指数(BASDAI)(Z=-6.880,P=0.000)、脊柱夜间痛视觉模拟评分法(VAS)(Z=-6.502,P=0.000)、总体痛VAS(Z=-6.675,P=0.000)、红细胞沉降率(ESR)(Z=-2.370,P=0.018)、C反应蛋白(CRP)(Z=-2.063,P=0.039)差异均有统计学意义(P＜0.05).PSQI总分仅与年龄呈正相关(r=0.165,P=0.003),与性别、年龄(28±8)岁和病程(6±5)年无相关关系(r=0.078,P=0.165;r=0.094,P=0.097).伴有抑郁、焦虑情绪与不伴抑郁、焦虑情绪AS患者的睡眠质量差异有统计学意义(t=-7.613,P=0.000;t=-7.287,P=0.000).结论 AS患者存在睡眠障碍的比例很高,与年龄、抑郁、焦虑情绪以及疾病活动性有密切关系;AS患者的睡眠问题需要引起风湿科医生的重视.     

福建地区围绝经期综合征患者睡眠质量及其影响因素

目的了解福建地区围绝经期综合征(PMS)患者睡眠质量并分析其影响因素。方法筛选福建地区698例PMS患者,采用神经心理学量表和自行研制的危险因素问卷开展调查,同时检测PMS患者血清雌二醇(E2)、卵泡刺激素(FSH)和促黄体生成素(LH)等性激素水平,应用多元logistic回归等统计学方法分析。结果 (1)福建地区PMS患者存在睡眠质量问题者占69.8%,其中重度失眠者占31.5%。失眠者伴有明显的抑郁焦虑状态(P<0.01),以重度失眠者尤为显著(P<0.01);(2)退休、独身、A型性格、优质蛋白及胆固醇摄入量低、生活、经济自评差、较少参加宗教活动、与邻居联系交往少、近两年亲人去世、血清性激素水平明显紊乱均是福建地区PMS患者出现失眠症的影响因素;(3)优质蛋白及胆固醇摄入量低、较少参加宗教活动、与邻居联系交往少、血清性激素水平明显紊乱是影响福建地区PMS患者失眠症轻重程度的危险因素。结论福建地区PMS患者存在睡眠质量问题比例较高,且受社会人口学特征、性激素水平等多因素影响,要多方位地采取干预措施。     

Effects of 16-weeks of Pilates on health perception and sleep quality among elderly women

The objective of this study was to determine the effect of 16 weeks of mat-based Pilates training on health perception and sleep quality among elderly women. A randomized and controlled trial was conducted in Caxias do Sul, Brazil, in 2015, in which 61 healthy older women were divided into two groups: experimental group (EG; n = 31, average of 64.25 years old, SD 0.14) and control group (CG; n = 30, average of 63.75 years old, SD 0.08). The EG participants performed mat-based Pilates exercises twice a week in 60-min sessions, whereas the CG did not train. All participants completed Brazilian-adapted and validated versions of the Pittsburgh Sleep Quality Index (PSQI-BR) and General Health Questionnaire (GHQ-12) at baseline and after 16 weeks. Significant time x group interaction effects were found for the GHQ-12 total score (p < 0.001, η² = 0.19), and the depression (p = 0.002, η² = 0.15) and social dysfunction subscales (p = 0.001, η² = 0.18), as well as the PSQI-BR total score (p = 0.017, η² = 0.09), and the sleep latency (p = 0.023, η² = 0.09) and use of sleeping medication subscales (p = 0.019, η² = 0.09), indicating better improvements (reductions) in these outcome variables for the Pilates EG when compared to the CG. All significant effects were classified as moderate to high. These results indicate that 16 weeks of mat-based Pilates training significantly improves the perceived health status and some sleep quality indices among elderly women. However, more studies are needed to assess the effectiveness of equipment-based Pilates exercises among this population.     

The prevalence and related factors of restless leg syndrome in the community dwelling elderly; in Kayseri,Turkey: A cross-sectional study

AimThe aim of this study is to determine the prevalence and related factors of restless leg syndrome (RLS) in the community-dwelling elderly living in Kayseri.MethodsThis is a cross-sectional population based study in 960 community-dwelling elderly living in an urban area. We sampled 1/100 of elderly people aged 60 years and older. The diagnosis of RLS was made according to the criteria of the International RLS Study Group. The demographic data were collected by face-to-face interviews. Additionally, the Mini-Mental State Examination, Geriatric Depression Scale and anthropometric measurements were used. Logistic regression analyses were performed to define risk factors for RLS.ResultsWe excluded elderly people with cognitive impairment (295). One hundred and five (15.8%) of the remaining 665 elderly subjects met the criteria to diagnose RLS. There was female predominance (3/1). Gender, length of education, employment status, smoking, hypertension, diabetes mellitus, depressive mood, high body mass index, and high waist circumferences, sleep quality, sleep duration, and difficulty in falling asleep in the first 30 min were all detected as risk factors for RLS. However in logistic regression analysis, being a housewife, sleeping less than 6 h a day and having diabetes was found as significantly related risk factors for RLS.ConclusionThis is the first epidemiologic study of RLS conducted in the Turkish community-dwelling elderly in an urban area. RLS is a common but underestimated disease in the elderly. Although RLS is prevalent we found very few risk factors for RLS.     

Sleep quality,sleep duration and sexual health among older people: Findings from the English Longitudinal Study of Ageing

ContextHow sleep quality and sexual health are associated among community-dwelling individuals remains largely unknown.ObjectiveWe examined the association of sleep disturbance and sleep duration with a range of measures assessing sexual activities, functioning and concerns in a representative sample of older people.MethodsParticipants were community-dwelling adults aged 50-90+ years from wave 6 (2012/2013) of the English Longitudinal Study of Ageing (ELSA) who reported any sexual activity in the last year. Sleep disturbance, sleep duration and sexual health were measured by self-report at wave 6. Retrospective reports of restless sleep (waves 1–6 [2002–2013]) were also examined. The association between sleep measures and sexual health was assessed using logistic regressions stratified by gender and adjusted for demographic, health and lifestyle factors with results expressed as odds ratios (OR) and 95% confidence intervals (CI).ResultsAmong both men and women disturbed sleep was associated with reported declines in sexual activity and function over the last year, and increased concern about their sexual desire, frequency of sexual activity and sexual functioning. Robust associations between high sleep disturbance and vaginal pain (OR = 1.67, 95% CI = 1.21, 2.31) and vaginal dryness (OR = 1.69, 95% CI = 1.24, 2.30) were also observed among women. Retrospective reports of restless sleep showed a dose-response relationship with reported declines in sexual health over the last year, and increased concerns about sexual expression and functioning.ConclusionsSelf-reported sleep disturbance and retrospective restless sleep were mainly associated with subjective assessments of recent declines in sexual activity and functioning, and higher levels of sexual concerns.     

Association of sleep quality and dementia among long-lived Chinese older adults

In this study, we examined the existence of relationship between sleep quality and dementia in subjects aged 90 years and above. The sample included 216 men and 444 women. Dementia and sleep quality were measured with 30-item mini-mental state examination (MMSE) and the Pittsburgh sleep quality index, respectively. Subjects with dementia had higher sleep quality score (7.83 ± 2.15 vs. 5.22 ± 2.49; P < 0.0001), longer sleep latency (50.97 ± 21.33 vs. 37.61 ± 12.53; P < 0.0001), and a lower sleep efficiency percentage (73.95 ± 8.783 vs. 81.32 ± 10.21; P < 0.0001) and more likely to report poor sleep quality (25.42 vs.17.13 %; P = 0.035). Subjects with poor sleep quality had significantly lower MMSE scores (P = 0.007) and higher prevalence of dementia (P = 0.042). Multiple logistic regressions were performed by adjusting clinical factors that are thought to be associated with dementia or sleep quality. We found that poor sleep quality was a risk factor for dementia (unadjusted odds ratio (OR) 1.719, 95 % confidence interval (CI) 1.138–2.597; adjusted OR 1.759, 95 % CI 1.012–3.057). There was no significant difference in MMSE scores (11.25 ± 3.40, 16.26 ± 5.14, and 15.43 ± 5.51; P = 0.105) among participants with daily average sleep durations of <5, 5–9, and >9 h, respectively. Among Chinese nonagenarians and centenarians, dementia was correlated with poor sleep quality, longer sleep latency, and lower sleep efficiency percentage.     

北京市社区老年人衰弱状况及其相关因素分析

目的了解北京市社区老年人的衰弱状况及其影响因素,为采取相应措施延缓老年人衰弱进程提供科学依据。方法2015年11月至2016年1月采用分层整群抽样方法,选取北京市东城区(原北京市崇文区)龙潭街道办事处所管辖社区的60岁及以上老年人为研究对象,以面对面询问的方式进行入户调查,应用衰弱指数(FI)评价老年人的衰弱状况,采用多元线性回归分析影响老年人衰弱的相关因素。结果共调查1557名老年人,老年人FI值中位数(四分位间距)为0.09(0.08),其中男性为0.08(0.07)、女性为0.10(0.08),女性FI值明显高于男性(Z=5.376,P=0.000),随增龄老年人FI值增大(H=329.698,P=0.000);多元线性回归结果显示,女性、增龄、生理失能越严重、过去1年住过院、近3年住过院、对目前生活状态不满意的老年人FI值相对高(β’=0.082、0.236、0.336、0.065、0.089、0.193,均P<0.05),而文化程度越高、家庭和睦、可支持和帮助的朋友数多、参加集体组织活动的频率高、定期体检及经常参加体育锻炼的老年人FI值相对低(β’=-0.049、-0.052、-0.089、-0.047、-0.045、-0.219,均P<0.05),且生理失能对FI值的影响最大,其次为年龄及是否经常参加体育锻炼。结论以FI的方法评价中国老年人的衰弱情况及特性与国外研究类似,对于评价中国老年人的衰弱情况也适用;老年人衰弱状况除与自身的生理与疾病等内在因素有关外,同时与社会、心理、行为等这些可干预因素均有关,应采取针对相关因素的综合性措施延缓老年人衰弱的进程。     

Social and psychologic factors related to falls among the elderly

Studies on falls are reviewed. Little information exists on which social or psychologic factors predispose an older person to fall or to sustain a fall-related injury. Risk of falling appears to be greater among females, the cognitively impaired, and those who use hypnotics, tranquilizers, and diuretics. The potential significance of depression and senile dementia of the Alzheimer's type on the risk of falling is explored. It is suggested that because of the associated impaired judgment, distraction, and psychomotor retardation, the presence of either clinical condition may increase an individual's risk of falling. In the final section of the article, directions for future research are discussed. Development of a systematic research program is suggested including epidemiologic studies of all falls and of medically treated falls. Such studies should be multidisciplinary and include assessment of social and psychologic factors as well as physical and functional health status, ambulatory function, perceptual acuity, and the circumstances surrounding the fall. The psychologic consequences of falling, particularly in the absence of a serious fall-related injury, is identified as an important research area.