住院高龄老年人睡眠质量与生活质量、心理状态的相关研究
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摘要
目的:研究住院老年患者睡眠质量、生活质量以及心理状态特点及相互关系。方法:对78名住院老年患者进行匹兹堡睡眠质量指数问卷(PSQI)、健康调查简表(SF36)、老年抑郁问卷(GDS)以及焦虑自评量表(SAS)的问卷调查。结果:PSQI总分与患者生理功能、生理职能、总体健康、精力负相关,与SAS标准分正相关,老年抑郁评分与除生理功能外的所有生活质量其他因子负相关,与SAS标准分正相关。SAS标准分与生活质量的生理功能、生理职能、躯体疼痛、总体健康以及情感职能几个因子负相关。存在睡眠障碍患者(PSQI总分>7)在生理功能、生理职能、总体健康、精力上低于睡眠正常患者(PSQI总分≤7),而在SAS标准分则更高。结论:老年住院患者其睡眠质量、生活质量和心理状态之间联系密切。应采取积极措施对睡眠、情绪问题进行干预,从而提高患者生活质量。
Objective:To investigate the relationships among sleep,quality of life and mental state in elder inpatients.Methods:Pittsburgh Sleep Quality Index(PSQI),Short Form Health Survey(SF-36),the Geriatric Depression Scale(GDS) and Self-rating Anxiety Scale(SAS) were adopted to investigate the sleep situation,life quality and mental states in inpatients older than 75 years in Zhejiang Hospital.Results:The score of PSQI was negatively correlated with physical functioning(PF),role-physical(RP),general health(GH)and vitality(VT),and positively with score of SAS.The score of GDS was negatively correlated with RP,GH,VT,bodily pain(BP),social functional(SF),role-emotional(RE) and mental health(MH).The score of SAS was negatively correlated with PF,RP,BP,GH and RE.The score of SAS was positively correlated with that of GDS.The scores of SF were significantly lower in patients with PSQI score>7than those with PSQI score≤7 in PF,RP,GH and VT,and higher in SAS.
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