隔代教养老年人睡眠质量及影响因素分析
|
摘要
目的了解隔代教养老年人的睡眠质量及影响因素。方法采用多阶段整群抽样方法,使用老年人抑郁量表(GDS)、匹兹堡睡眠质量指数(PSQI)及一般资料调查表,于2018年1—2月对山东省696名正在教养孙辈的老年人进行调查。结果隔代教养老年人PSQI得分为(5.94±3.63)分,共有236人(33.9%)睡眠质量差;相关分析结果显示, PSQI总分及各维度得分(除睡眠效率维度)与GDS总分均呈正相关关系,有统计学意义(r=0.126～0.326,均P <0.01);逐步多元回归分析结果显示,影响隔代教养老年人睡眠质量的因素有抑郁情绪(P <0.001,95%CI=0.118～0.196)、老年人健康状况(P <0.001,95%CI=–1.594～–0.751)、老年人父母健在情况(P <0.001,95%CI=0.479～1.520)、照顾强度(P <0.01,95%CI=0.304～1.499)、对父辈教养观念认可度(P <0.05,95%CI=–0.864～–0.099)。结论抑郁情绪、老年人健康状况、老年人父母健在情况、照顾强度、对父辈教养观念认可度是影响隔代教养老年人睡眠质量的主要因素。
Objective To investigate sleep quality and its impact factors among community elderly engaged in grandparenting. Methods Using multistage random cluster sampling in Shandong province, we enrolled 696 urban and rural residents aged≥60 years and taking care of at least one grandchild under 6 years old and conducted a questionnaire survey among them between January and February 2018. Geriatric Depression Scale(GDS), Pittsburgh Sleep Quality Index(PSQI)and a self-designed questionnaire on relevant information were used in the survey. Results For all the participants, the mean total PSQI score was 5.94 ± 3.63 and 33.9%(236) reported poor sleep quality(total PSQI score≥8). Correlation analysis demonstrated significant positive associations of total score and all dimension scores(except for sleep efficiency) of PSQI with total GDS score(r = 0.126 – 0.326, all P < 0.01). Multivariate stepwise regression analysis revealed that significant influencing factors of sleep quality included depression(95% confidence interval [CI] of β: 0.118 – 0.196, P < 0.001), selfreported health status(95% CI of β: 1.594 – 0.751, P < 0.001), with the parents being alive(95% CI of β: 0.479 – 1.520, P <0.001), strength of grandparenting-related housework(95% CI of β: 0.304 – 1.499, P < 0.01), and recognition on concept of grandparenting(95% CI of β: 0.864 – 0.099, P < 0.05). Conclusion Depression, health status of the elderly, whether with parents being alive, strength of grandparenting-related housework, and recognition on concept of grandparenting are main influencing factors for sleep quality among community elderly engaged in grandparenting.
Objective To investigate sleep quality and its impact factors among community elderly engaged in grandparenting. Methods Using multistage random cluster sampling in Shandong province, we enrolled 696 urban and rural residents aged≥60 years and taking care of at least one grandchild under 6 years old and conducted a questionnaire survey among them between January and February 2018. Geriatric Depression Scale(GDS), Pittsburgh Sleep Quality Index(PSQI)and a self-designed questionnaire on relevant information were used in the survey. Results For all the participants, the mean total PSQI score was 5.94 ± 3.63 and 33.9%(236) reported poor sleep quality(total PSQI score≥8). Correlation analysis demonstrated significant positive associations of total score and all dimension scores(except for sleep efficiency) of PSQI with total GDS score(r = 0.126 – 0.326, all P < 0.01). Multivariate stepwise regression analysis revealed that significant influencing factors of sleep quality included depression(95% confidence interval [CI] of β: 0.118 – 0.196, P < 0.001), selfreported health status(95% CI of β: 1.594 – 0.751, P < 0.001), with the parents being alive(95% CI of β: 0.479 – 1.520, P <0.001), strength of grandparenting-related housework(95% CI of β: 0.304 – 1.499, P < 0.01), and recognition on concept of grandparenting(95% CI of β: 0.864 – 0.099, P < 0.05). Conclusion Depression, health status of the elderly, whether with parents being alive, strength of grandparenting-related housework, and recognition on concept of grandparenting are main influencing factors for sleep quality among community elderly engaged in grandparenting.
引文
[1]宋璐,冯雪.隔代教养:以祖父母为视角的分析框架[J].陕西师范大学学报(哲学社会科学版),2018,47(1):83-89.
[2]Zhou J,Mao W,Lee Y,et al.The impact of caring for grandchildren on grandparents’physical health outcomes:the role of intergenerational support[J].Research on Aging,2017,39(5):612-634.
[3]宋璐,李亮,李树茁.照料孙子女对农村老年人认知功能的影响[J].社会学研究,2013,28(6):215-237,246.
[4]贾改珍,张晴晴,林林,等.农村老年人睡眠障碍与生活质量的现况调查[J].中国老年学杂志,2012,32(13):2824-2827.
[5]Brink TL,Yesavage JA,Lum O,et al.Screening tests for geriatric depression[J].Clinical Gerontologist,1982,1(1):37-43.
[6]Chiu HF,Lee HC,Wing YK,et al.Reliability,validity and structure of the Chinese Geriatric Depression Scale in a Hong Kong context:a preliminary report[J].Singapore Medical Journal,1994,35(5):477-480.
[7]Buysse DJ,Monk TH,Berman SR,et al.The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research[J].Psychiatry Research,1989,28(2):193-213.
[8]刘贤臣,唐茂芹,胡蕾,等.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,29(2):103-107.
[9]胡蕊,王华丽,于鲁璐,等.河北省城市社区老年人睡眠障碍的现况调查[J].中国心理卫生杂志,2013,27(05):369-373.
[10]肖华,王芳,张萍,等.家庭因素对居民睡眠质量的影响--基于湖北省城乡比较的实证研究[J].中国社会医学杂志,2017,34(2):138-142.
[11]Hayslip B,Kaminski P.Grandparents raising their grandchildren[J].Marriage and Family Review,2005,37(1-2):147-169.
[12]徐杰,郭浩年,吴晓华,等.老年人睡眠呼吸障碍和睡眠障碍调查分析[J].世界睡眠医学杂志,2015,2(3):144-147.
[13]李颖堃,王志稳,尹学.养老院老年人睡眠质量及其与抑郁情绪的关系[J].护理管理杂志,2012,12(10):697-699.
[14]赵玉娜,周立芝,陈长香.COPD老年人睡眠质量及影响因素分析[J].中国公共卫生,2017,33(6):950-954.
[15]程昭雯,叶徐婧子,陈功.中老年人隔代照顾、居住安排与抑郁状况关联研究[J].人口与发展,2017,23(2):70-79.
[16]张宝莹,韩布新.隔代教养老年人心理健康状况及影响因素研究[J].中国全科医学,2016,19(7):835-841.
[2]Zhou J,Mao W,Lee Y,et al.The impact of caring for grandchildren on grandparents’physical health outcomes:the role of intergenerational support[J].Research on Aging,2017,39(5):612-634.
[3]宋璐,李亮,李树茁.照料孙子女对农村老年人认知功能的影响[J].社会学研究,2013,28(6):215-237,246.
[4]贾改珍,张晴晴,林林,等.农村老年人睡眠障碍与生活质量的现况调查[J].中国老年学杂志,2012,32(13):2824-2827.
[5]Brink TL,Yesavage JA,Lum O,et al.Screening tests for geriatric depression[J].Clinical Gerontologist,1982,1(1):37-43.
[6]Chiu HF,Lee HC,Wing YK,et al.Reliability,validity and structure of the Chinese Geriatric Depression Scale in a Hong Kong context:a preliminary report[J].Singapore Medical Journal,1994,35(5):477-480.
[7]Buysse DJ,Monk TH,Berman SR,et al.The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research[J].Psychiatry Research,1989,28(2):193-213.
[8]刘贤臣,唐茂芹,胡蕾,等.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,29(2):103-107.
[9]胡蕊,王华丽,于鲁璐,等.河北省城市社区老年人睡眠障碍的现况调查[J].中国心理卫生杂志,2013,27(05):369-373.
[10]肖华,王芳,张萍,等.家庭因素对居民睡眠质量的影响--基于湖北省城乡比较的实证研究[J].中国社会医学杂志,2017,34(2):138-142.
[11]Hayslip B,Kaminski P.Grandparents raising their grandchildren[J].Marriage and Family Review,2005,37(1-2):147-169.
[12]徐杰,郭浩年,吴晓华,等.老年人睡眠呼吸障碍和睡眠障碍调查分析[J].世界睡眠医学杂志,2015,2(3):144-147.
[13]李颖堃,王志稳,尹学.养老院老年人睡眠质量及其与抑郁情绪的关系[J].护理管理杂志,2012,12(10):697-699.
[14]赵玉娜,周立芝,陈长香.COPD老年人睡眠质量及影响因素分析[J].中国公共卫生,2017,33(6):950-954.
[15]程昭雯,叶徐婧子,陈功.中老年人隔代照顾、居住安排与抑郁状况关联研究[J].人口与发展,2017,23(2):70-79.
[16]张宝莹,韩布新.隔代教养老年人心理健康状况及影响因素研究[J].中国全科医学,2016,19(7):835-841.