CAJ | 학술논문

目的：探讨脑卒中对老年人睡眠质量的影响,为采取对策提供依据。方法采用多阶段分层整群抽样法选取2012年7月—2013年5月河北省3个地区符合标准的6173例老年人,采用匹兹堡睡眠质量指数( PSQI)进行睡眠评测。分析城乡老年人罹患脑卒中的情况、睡眠问题的现况及罹患脑卒中与否对城乡老年人睡眠的影响。结果城市老年人的患病率为12.4%,农村老年人为15.4%,差异有统计学意义(χ2=11.154,P<0.01)。共1641例老年人存在睡眠障碍,发生率为26.6%；其中患脑卒中老年人的睡眠障碍发生率为34.9%,未患脑卒中的老年人睡眠障碍发生率为25.2%,差异有统计学意义(χ2=35.473,P<0.01)。脑卒中老年人在睡眠质量、夜间睡眠时间、入睡时间、睡眠药物、催眠效率、日间功能障碍和睡眠障碍方面与未患病老年人比较,差异有统计学意义(P<0.05)。结论老年人睡眠障碍率较高,而罹患脑卒中是睡眠障碍的影响因素之一,应引起重视。
목적：탐토뇌졸중대노년인수면질량적영향,위채취대책제공의거。방법채용다계단분층정군추양법선취2012년7월—2013년5월하북성3개지구부합표준적6173례노년인,채용필자보수면질량지수( PSQI)진행수면평측。분석성향노년인리환뇌졸중적정황、수면문제적현황급리환뇌졸중여부대성향노년인수면적영향。결과성시노년인적환병솔위12.4%,농촌노년인위15.4%,차이유통계학의의(χ2=11.154,P<0.01)。공1641례노년인존재수면장애,발생솔위26.6%；기중환뇌졸중노년인적수면장애발생솔위34.9%,미환뇌졸중적노년인수면장애발생솔위25.2%,차이유통계학의의(χ2=35.473,P<0.01)。뇌졸중노년인재수면질량、야간수면시간、입수시간、수면약물、최면효솔、일간공능장애화수면장애방면여미환병노년인비교,차이유통계학의의(P<0.05)。결론노년인수면장애솔교고,이리환뇌졸중시수면장애적영향인소지일,응인기중시。
Objective To explore sleep state of urban and rural elderly stroke patients, and to provide the basis for countermeasures. Methods A total of 6 173 elder patients from July 2012 to May 2013 were selected by using the stratified cluster sampling method. The Pittsburgh Sleep Quality Index ( PSQI) was used for the sleep evaluation. Results The incidence of sleeping disorders was 12. 4% in the urban and 15. 4% in the rural elder patients, which was significantly different (χ2 =11. 154,P<0. 01). In addition, 1 641 patients had sleeping disorders, with an incidence of 26. 6%. Among them, the incidence of sleeping disorders was 34. 9% in the elder patients with stroke, and 25. 2%in the elder patients without stroke, which was significantly different (χ2 =35. 473, P<0. 01). There were significant differences in the sleep quality, sleep latency, terms of sleep time, sleep efficiency, the use of hypnotic drugs, daytime dysfunction, sleep disorders between patients with and without stroke (P <0. 05). Conclusions The incidence of sleeping disorders in elderly people is high, and stroke is one of the influential factors of sleep disorders, so we should pay more attention to it.