云南省宁洱县农村老年人睡眠质量现状及与心血管疾病的关系研究
|
摘要
目的分析云南省农村老年人睡眠质量现状及与心血管疾病的关系。方法采用多阶段分层随机抽样方法,抽取1 629例宁洱县≥60岁农村老年人进行问卷调查和体检,采用多因素Logistic回归法分析睡眠质量与心血管疾病患病的关系。结果云南省宁洱县老年人匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)总分平均为(7. 48±3. 89)分,男性(6. 67±3. 69)分,女性(8. 07±3. 92)分;睡眠障碍、高血压、冠心病和脑卒中的患病率分别为56. 78%、52. 85%、8. 16%和8. 66%;女性睡眠障碍率高于男性(62. 81%和48. 55%,P <0. 001);家庭人均年收入越低和医疗服务可及性越差的老年人其睡眠障碍率越高(P <0. 001);有睡眠障碍的老年人其患高血压、冠心病和脑卒中的可能性越高(均有P <0. 05)。结论云南省农村老年人的睡眠障碍率较高,改善老年人的睡眠质量可能会在一定程度上预防和控制心血管疾病的发生。
Objective To analyze the sleep quality status and its relationship with cardiovascular disease in rural elderly in Yunnan Province. Methods Multistage stratified random sampling method was used to select 1629 residents aged 60 years and over from Ning Er County in Yunnan province. Each participant received questionnaire survey and physical examination. Multivariate logistic regression analysis was used to analyze the relationship between sleep quality status and cardiovascular disease. Results Among the study population,the overall Pittsburgh Sleep Quality Index( PSQI) score was 7. 48 ± 3. 89,and was 6. 67 ± 3. 69 for males and 8. 07 ± 3. 92 for females. The prevalence of sleep disorder,hypertension,coronary heart disease and stroke were 56. 78%,52. 85%,8. 16% and 8. 66%,respectively. Females had higher prevalence of sleep disorder than males( 62. 81% and 48. 55%,P < 0. 001). The elderly with lower annual average family per capital income and bad access to medical services had higher prevalence of sleep disorder than their counterparts( P < 0. 001). The elderly with sleep disorder was more likely to suffer from hypertension,coronary heart disease and stroke( P < 0. 05). Conclusion The prevalence of sleep disorder is high in rural elderly in Yunnan Province. Improving sleep quality among the elderly can prevent and control cardiovascular diseases to a certain degree.
Objective To analyze the sleep quality status and its relationship with cardiovascular disease in rural elderly in Yunnan Province. Methods Multistage stratified random sampling method was used to select 1629 residents aged 60 years and over from Ning Er County in Yunnan province. Each participant received questionnaire survey and physical examination. Multivariate logistic regression analysis was used to analyze the relationship between sleep quality status and cardiovascular disease. Results Among the study population,the overall Pittsburgh Sleep Quality Index( PSQI) score was 7. 48 ± 3. 89,and was 6. 67 ± 3. 69 for males and 8. 07 ± 3. 92 for females. The prevalence of sleep disorder,hypertension,coronary heart disease and stroke were 56. 78%,52. 85%,8. 16% and 8. 66%,respectively. Females had higher prevalence of sleep disorder than males( 62. 81% and 48. 55%,P < 0. 001). The elderly with lower annual average family per capital income and bad access to medical services had higher prevalence of sleep disorder than their counterparts( P < 0. 001). The elderly with sleep disorder was more likely to suffer from hypertension,coronary heart disease and stroke( P < 0. 05). Conclusion The prevalence of sleep disorder is high in rural elderly in Yunnan Province. Improving sleep quality among the elderly can prevent and control cardiovascular diseases to a certain degree.
引文
[1] Tel H. Sleep quality and quality of life among the elderly people[J]. Neurology Psychiatry&Brain Research,2013,19(1):48-52. DOI:org/10. 1016/j. npbr. 2012. 10. 002.
[2]杨清风,崔红.睡眠障碍对老年人健康的影响[J].中华保健医学杂志,2015,17(2):157-159. DOI:10. 3969/. issn. 1674-3245. 2015. 02. 029.Yang QF,Cui H. The effect of sleep disorder on the health of the elderly[J]. Chin J Health Care Med. 2015,17(2):157-159.DOI:10. 3969/. issn. 1674-3245. 2015. 02. 029.
[3]中国心血管病报告编写组.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8. DOI:10. 3969/j. issn.1000-3614. 2018. 01. 001.China cardiovascular disease report writing group.《Summary of China Cardiovascular Disease Report 2017》[J]. Chinese Circulation Journal,2017,32(6):1-8. DOI:10. 3969/j. issn. 1000-3614. 2018. 01. 001.
[4]莫兴波,张永红.基于多组学的心血管疾病危险因素研究[J].中华疾病控制杂志,2018,22(9):873-879. DOI:10.16462/j. cnki. zhjbkz. 2018. 09. 001.Mo XB,Zhang YH. Identification of risk factors for cardiovascular diseases based on multi-omics studies[J]. Chin J Dis Contl Prev,2018,22(9):873-879. DOI:10. 16462/j. cnki. zhjbkz. 2018. 09.001.
[5] Buysse DJ,Reynolds III CF,Monk TH,et al. The pittsburgh sleep quality index:a new instrument for psychiatric practice and research.[J]. Psychiatry Research,1989,28(2):193-213.DOI:10. 1016/0165-1781(89)90047-4.
[6]李瑞杰.中国高血压防治指南(2010年修订版)重点内容介绍[J].中国临床医生杂志,2012,40(2):69-72. DOI:10. 3969/j. issn. 1008-1089. 2012. 02. 027.Li RJ. Introduction to the key contents of the guidelines for the prevention and treatment of hypertension in China(2010 revision)[J]. Chinese Journal For Clinicians. DOI:10. 3969/j. issn.1008-1089. 2012. 02. 027.
[7]陈春明.中国成人超重和肥胖症预防控制指南[M].人民卫生出版社,2006.Chen CM. Guidelines for prevention and control of overweight and obesity in Chinese adults[J]. ACTA NUTRIMENTA SINICA,2006. DOI:10. 13325/j. cnki. acta. nutr. sin. 2004. 01. 001.
[8]周孟孟,胡明军,杨雨薇,等.安徽省农村地区老年人睡眠质量现状及影响因素分析[J].中国卫生事业管理,2017,34(8):607-610.Zhou MM,Hu MJ,Yang YW,et al. Sleep quality status and influencing factors of the elderly in rural areas of Anhui province[J].The Chinese Health Service Management. 2017,34(8):607-610.
[9]侯云飞.云南少数民族地区老年人健康事业发展的理性思考[J].吉林省教育学院学报(中旬),2012(5):30-31. DOI:10.16083/j. cnki. jeijp. 2012. 05. 074.Hou YF. Rational thoughts on the development of health career for the elderly in Yunnan minority areas[J]. JOURNAL OF EDUCATIONAL INSTITUTE OF JILIN PROVINCE. 2012(5):30-31.DOI:10. 16083/j. cnki. jeijp. 2012. 05. 074.
[10]霍平,韩雷.农村老年人睡眠质量的调查分析[J].长江丛刊,2016(8):99-100.Huo P,Han L. Investigation and analysis of sleep quality of rural elderly people[J]. Yangtze River series,2016(8):99-100.
[11]赵路清,胡凤云.太原地区3173名老年人睡眠障碍现况调查[J].中华流行病学杂志,2011,32(3):260-263. DOI:10.3760/cma. j. issn. 0254-6450. 2011. 03. 013.Zhao LQ,Hu FY. Prevalence of sleep disorders among 3173 elderly in Taiyuan city:a cross—sectional study[J]. Chin J Epidemiology,2011,32(3):260-263. DOI:10. 3760/cma. j. issn. 0254-6450. 2011. 03. 013.
[12]张绍宽,高经学,吴宝红,等.社区中老年人睡眠质量状况调查分析[J].深圳中西医结合杂志,2017,27(10):91-92.DOI:10. 164588. cnki. 1007-0893. 2017. 10. 044.Zhang SK,Gao JX,Wu BH,et al. Investigation and analysis of sleep quality of middle-aged and old people in community[J].Shenzhen Journal of Integrated Traditional Chinese and Western Medicine,2017,27(10):91-92. DOI:10. 164588. cnki. 1007-0893. 2017. 10. 044.
[13]马薇,王金凤,谢宇平,等.中老年人睡眠质量调查分析[J].中国临床研究,2016,29(1):142-144. DOI:10. 13429/j. cnki.cjcr. 2016. 01. 046.Ma W,Wang JF,Xie YP,et al. Investigation and analysis of sleep quality of middle-aged and old people[J]. Chin J Clin Res,2016,29(1):142-144. DOI:10. 13429/j. cnki. cjcr,2016. 01.046.
[14]李琳,李潇,孔虹倩,等.云南省农村老年人高血压患病、控制及自我管理现状[J].中国公共卫生,2018,34(5):690-692.DOI:10. 11847/zgggws1114798.Li L,Li X,Kong HQ,et al. Prevalence,control and self-management of hypertension among elderly residents in rural areas of Yunnan province[J]. Chin J Public Health,2018(5):690-692. DOI:10. 11847/zgggws1114798.
[15]王雪敏.晋城市农村老年人常见心脑血管疾病及高危患者管理[D].太原:山西医科大学,2012.Wang XM. Study on common cardio-cerebrovascular diseases and the management of high-risk patient among the rural aged in jincheng[D]. Taiyuan:Shanxi Medical University,2012.
[16]王祥,范依宁,王莎莎,等.“健康中国”战略下山东省老年冠心病患病现状及影响因素[J].中国老年学杂志. 2018,38(18):4538-4539. DOI:10. 3969/j. issn. 1005-9202. 2018. 18. 066.Wang X,Fan YN,Wang SS,et al. Current situation and influencing factors of senile coronary heart disease in Shandong Province under the strategy of “Healthy China”[J]. Chinese Journal of Gerontology. 2018,38(18):4538-4539. DOI:10. 3969/j. issn.1005-9202. 2018. 18. 066.
[17]马飞,陈涛,刘艳慧,等.海南省城乡居民脑卒中流行病学特征及高危因素调查分析[J].中国医药导报,2017,14(33):59-63.Ma F,Chen T,Liu YH,et al. Investigation and analysis of epidemiological characteristics and correlative risk factors of stroke in rural and urban communities of Hainan Province[J]. China Medical Herald,2017,14(33):59-63.
[18]吴超,王旭明,李潇,等.云南省景颇族与汉族农村居民心血管疾病流行现状及其与吸烟的关系[J].中华疾病控制杂志,2018,22(10):992-995. DOI:10. 16462/j. Cnki. zhjbkz. 2018.10. 003.Wu C,Wang XM,Li X,et al. Epidemiological status of cardiovascular disease and its relationship with smoking in rural residents of Jingpo and Han nationalities in Yunnan Province[J]. Chin J Dis Control Prev,2018,22(10):992-995. DOI:10. 16462/j.Cnki. zhjbkz. 2018. 10. 003.
[19]方志峰,朱婷,刘展华,等. 2010-2012年广西5市县≥18岁城乡居民心血管疾病危险因素及聚集状况分析[J].中华疾病控制杂志,2017,21(1):80-83. DOI:10. 16462/j. cnki.zhjbkz. 2017. 01. 019.Fang ZF,Zhu T,Liu ZH,et al. Analysis on risk factors and aggregation of cardiovascular diseases in urban and rural residents aged(≥18)in five cities and counties of Guangxi from 2010 to2012[J]. Chin J Dis Control Prev,2017,21(1):80-83. DOI:10. 16462/j. cnki. zhjbkz,2017. 01. 019.
[20]杨甫德,陈彦方.中国失眠防治指南[M].人民卫生出版社,2012.Yang FD,Chen YF. Guidelines for prevention and treatment of insomnia in China[M]. People’s Medical Publishing House,2012.
[2]杨清风,崔红.睡眠障碍对老年人健康的影响[J].中华保健医学杂志,2015,17(2):157-159. DOI:10. 3969/. issn. 1674-3245. 2015. 02. 029.Yang QF,Cui H. The effect of sleep disorder on the health of the elderly[J]. Chin J Health Care Med. 2015,17(2):157-159.DOI:10. 3969/. issn. 1674-3245. 2015. 02. 029.
[3]中国心血管病报告编写组.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8. DOI:10. 3969/j. issn.1000-3614. 2018. 01. 001.China cardiovascular disease report writing group.《Summary of China Cardiovascular Disease Report 2017》[J]. Chinese Circulation Journal,2017,32(6):1-8. DOI:10. 3969/j. issn. 1000-3614. 2018. 01. 001.
[4]莫兴波,张永红.基于多组学的心血管疾病危险因素研究[J].中华疾病控制杂志,2018,22(9):873-879. DOI:10.16462/j. cnki. zhjbkz. 2018. 09. 001.Mo XB,Zhang YH. Identification of risk factors for cardiovascular diseases based on multi-omics studies[J]. Chin J Dis Contl Prev,2018,22(9):873-879. DOI:10. 16462/j. cnki. zhjbkz. 2018. 09.001.
[5] Buysse DJ,Reynolds III CF,Monk TH,et al. The pittsburgh sleep quality index:a new instrument for psychiatric practice and research.[J]. Psychiatry Research,1989,28(2):193-213.DOI:10. 1016/0165-1781(89)90047-4.
[6]李瑞杰.中国高血压防治指南(2010年修订版)重点内容介绍[J].中国临床医生杂志,2012,40(2):69-72. DOI:10. 3969/j. issn. 1008-1089. 2012. 02. 027.Li RJ. Introduction to the key contents of the guidelines for the prevention and treatment of hypertension in China(2010 revision)[J]. Chinese Journal For Clinicians. DOI:10. 3969/j. issn.1008-1089. 2012. 02. 027.
[7]陈春明.中国成人超重和肥胖症预防控制指南[M].人民卫生出版社,2006.Chen CM. Guidelines for prevention and control of overweight and obesity in Chinese adults[J]. ACTA NUTRIMENTA SINICA,2006. DOI:10. 13325/j. cnki. acta. nutr. sin. 2004. 01. 001.
[8]周孟孟,胡明军,杨雨薇,等.安徽省农村地区老年人睡眠质量现状及影响因素分析[J].中国卫生事业管理,2017,34(8):607-610.Zhou MM,Hu MJ,Yang YW,et al. Sleep quality status and influencing factors of the elderly in rural areas of Anhui province[J].The Chinese Health Service Management. 2017,34(8):607-610.
[9]侯云飞.云南少数民族地区老年人健康事业发展的理性思考[J].吉林省教育学院学报(中旬),2012(5):30-31. DOI:10.16083/j. cnki. jeijp. 2012. 05. 074.Hou YF. Rational thoughts on the development of health career for the elderly in Yunnan minority areas[J]. JOURNAL OF EDUCATIONAL INSTITUTE OF JILIN PROVINCE. 2012(5):30-31.DOI:10. 16083/j. cnki. jeijp. 2012. 05. 074.
[10]霍平,韩雷.农村老年人睡眠质量的调查分析[J].长江丛刊,2016(8):99-100.Huo P,Han L. Investigation and analysis of sleep quality of rural elderly people[J]. Yangtze River series,2016(8):99-100.
[11]赵路清,胡凤云.太原地区3173名老年人睡眠障碍现况调查[J].中华流行病学杂志,2011,32(3):260-263. DOI:10.3760/cma. j. issn. 0254-6450. 2011. 03. 013.Zhao LQ,Hu FY. Prevalence of sleep disorders among 3173 elderly in Taiyuan city:a cross—sectional study[J]. Chin J Epidemiology,2011,32(3):260-263. DOI:10. 3760/cma. j. issn. 0254-6450. 2011. 03. 013.
[12]张绍宽,高经学,吴宝红,等.社区中老年人睡眠质量状况调查分析[J].深圳中西医结合杂志,2017,27(10):91-92.DOI:10. 164588. cnki. 1007-0893. 2017. 10. 044.Zhang SK,Gao JX,Wu BH,et al. Investigation and analysis of sleep quality of middle-aged and old people in community[J].Shenzhen Journal of Integrated Traditional Chinese and Western Medicine,2017,27(10):91-92. DOI:10. 164588. cnki. 1007-0893. 2017. 10. 044.
[13]马薇,王金凤,谢宇平,等.中老年人睡眠质量调查分析[J].中国临床研究,2016,29(1):142-144. DOI:10. 13429/j. cnki.cjcr. 2016. 01. 046.Ma W,Wang JF,Xie YP,et al. Investigation and analysis of sleep quality of middle-aged and old people[J]. Chin J Clin Res,2016,29(1):142-144. DOI:10. 13429/j. cnki. cjcr,2016. 01.046.
[14]李琳,李潇,孔虹倩,等.云南省农村老年人高血压患病、控制及自我管理现状[J].中国公共卫生,2018,34(5):690-692.DOI:10. 11847/zgggws1114798.Li L,Li X,Kong HQ,et al. Prevalence,control and self-management of hypertension among elderly residents in rural areas of Yunnan province[J]. Chin J Public Health,2018(5):690-692. DOI:10. 11847/zgggws1114798.
[15]王雪敏.晋城市农村老年人常见心脑血管疾病及高危患者管理[D].太原:山西医科大学,2012.Wang XM. Study on common cardio-cerebrovascular diseases and the management of high-risk patient among the rural aged in jincheng[D]. Taiyuan:Shanxi Medical University,2012.
[16]王祥,范依宁,王莎莎,等.“健康中国”战略下山东省老年冠心病患病现状及影响因素[J].中国老年学杂志. 2018,38(18):4538-4539. DOI:10. 3969/j. issn. 1005-9202. 2018. 18. 066.Wang X,Fan YN,Wang SS,et al. Current situation and influencing factors of senile coronary heart disease in Shandong Province under the strategy of “Healthy China”[J]. Chinese Journal of Gerontology. 2018,38(18):4538-4539. DOI:10. 3969/j. issn.1005-9202. 2018. 18. 066.
[17]马飞,陈涛,刘艳慧,等.海南省城乡居民脑卒中流行病学特征及高危因素调查分析[J].中国医药导报,2017,14(33):59-63.Ma F,Chen T,Liu YH,et al. Investigation and analysis of epidemiological characteristics and correlative risk factors of stroke in rural and urban communities of Hainan Province[J]. China Medical Herald,2017,14(33):59-63.
[18]吴超,王旭明,李潇,等.云南省景颇族与汉族农村居民心血管疾病流行现状及其与吸烟的关系[J].中华疾病控制杂志,2018,22(10):992-995. DOI:10. 16462/j. Cnki. zhjbkz. 2018.10. 003.Wu C,Wang XM,Li X,et al. Epidemiological status of cardiovascular disease and its relationship with smoking in rural residents of Jingpo and Han nationalities in Yunnan Province[J]. Chin J Dis Control Prev,2018,22(10):992-995. DOI:10. 16462/j.Cnki. zhjbkz. 2018. 10. 003.
[19]方志峰,朱婷,刘展华,等. 2010-2012年广西5市县≥18岁城乡居民心血管疾病危险因素及聚集状况分析[J].中华疾病控制杂志,2017,21(1):80-83. DOI:10. 16462/j. cnki.zhjbkz. 2017. 01. 019.Fang ZF,Zhu T,Liu ZH,et al. Analysis on risk factors and aggregation of cardiovascular diseases in urban and rural residents aged(≥18)in five cities and counties of Guangxi from 2010 to2012[J]. Chin J Dis Control Prev,2017,21(1):80-83. DOI:10. 16462/j. cnki. zhjbkz,2017. 01. 019.
[20]杨甫德,陈彦方.中国失眠防治指南[M].人民卫生出版社,2012.Yang FD,Chen YF. Guidelines for prevention and treatment of insomnia in China[M]. People’s Medical Publishing House,2012.