CAJ | 학술논문

目的：了解城乡社区老年人脑卒中与睡眠质量及抑郁的相关性，为进一步采取措施提供依据。方法采用多阶段分层整群抽样法，选取河北省3个地区60岁以上老年人进行一般问卷及匹兹堡睡眠质量指数（PSQI）调查，同时确定经由二级及以上医院诊断确定脑卒中和抑郁患病情况。结果社区老年人脑卒中发生率13.9％，农村高于城市；睡眠障碍率为26.6％，脑卒中出现睡眠障碍的比率高；老年人抑郁症发生率为5.73％，患脑卒中的老年人罹患抑郁症的比率高。上述均差异有统计学意义（ P＜0.01）。结论社区老年人患脑卒中与睡眠质量及抑郁的发生相关，应引起高度关注。
목적：료해성향사구노년인뇌졸중여수면질량급억욱적상관성，위진일보채취조시제공의거。방법채용다계단분층정군추양법，선취하북성3개지구60세이상노년인진행일반문권급필자보수면질량지수（PSQI）조사，동시학정경유이급급이상의원진단학정뇌졸중화억욱환병정황。결과사구노년인뇌졸중발생솔13.9％，농촌고우성시；수면장애솔위26.6％，뇌졸중출현수면장애적비솔고；노년인억욱증발생솔위5.73％，환뇌졸중적노년인리환억욱증적비솔고。상술균차이유통계학의의（ P＜0.01）。결론사구노년인환뇌졸중여수면질량급억욱적발생상관，응인기고도관주。
Objective To investigate the relationship between stroke ,sleep quality and depression ,and to provide reference for special intervention for post-stroke elderly .Methods The elderly(≥60 years) residents liv-ing in the community from three regions of Hebei province ,were selected according to a multi-stage stratified clus-ter sampling method .All of subjects were tested with the General Questionnaire and Pittsburgh Sleep Quality In-dex (PSQI) .Besides ,it was investigated that the sickness status of stroke or depression which dignosed by sec-ond-class or above hospitals .Results The prevalence of stroke in community elderly was 13 .9% ,and the rate in rural areas was higher than in urban areas (P<0.01) .26 .6% of the community elderly had sleep disorder ,and the rate of that in the stroke elderly was higher than those no stroke subjects (P<0.01) .5.73% of the commu-nity elderly had the depression ,and the rate of depression in stroke patients was significant higher than that with-out stroke (P<0.01) .Conclusion The community elderly with stroke had higher incidence of sleep disorder and depression than nomal elderly .So the problem should have been received high attention to decrease and delay the occurrence according to taking active measures immediately .