Broström Anders, Wahlin Åke, Alehagen Urban, Ulander Martin, Johansson Peter
Department of Clinical Neurophysiology, University Hospital, Linköping, Sweden.
Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Scand J Caring Sci. 2018 Mar;32(1):290-298. doi: 10.1111/scs.12461. Epub 2017 Jun 2.
The purpose of this study was to explore whether associations between self-reported sleep duration, depressive symptoms, anxiety, fatigue and daytime sleepiness differed in older community-dwelling men and women.
Cross-sectional.
A community-dwelling sample of 675 older men and women (mean age 77.7 years, SD 3.8 years) was used. All participants underwent a clinical examination by a cardiologist. Validated questionnaires were used to investigate sleep duration, depressive symptoms, anxiety, fatigue and daytime sleepiness. Subjects were divided into short sleepers (≤6 hours), n = 231; normal sleepers (7-8 hours), n = 338; and long sleepers (≥9 hours), n = 61. ancovas were used to explore sex-specific effects.
Depressive symptoms were associated with short sleep in men, but not in women. Fatigue was associated with both short and long sleep duration in men. No sex-specific associations of sleep duration with daytime sleepiness or anxiety were found.
Nurses investigating sleep duration and its correlates, or effects, in clinical practice need to take sex into account, as some associations may be sex specific. Depressive symptoms and fatigue can be used as indicators to identify older men with sleep complaints.
本研究旨在探讨在社区居住的老年男性和女性中，自我报告的睡眠时间与抑郁症状、焦虑、疲劳和日间嗜睡之间的关联是否存在差异。
横断面研究。
采用了一个由675名老年男性和女性组成的社区居住样本（平均年龄77.7岁，标准差3.8岁）。所有参与者均接受了心脏病专家的临床检查。使用经过验证的问卷来调查睡眠时间、抑郁症状、焦虑、疲劳和日间嗜睡情况。受试者被分为短睡眠者（≤6小时），n = 231；正常睡眠者（7 - 8小时），n = 338；以及长睡眠者（≥9小时），n = 61。采用协方差分析来探讨性别特异性效应。
抑郁症状在男性中与短睡眠相关，但在女性中并非如此。疲劳在男性中与短睡眠和长睡眠持续时间均相关。未发现睡眠时间与日间嗜睡或焦虑存在性别特异性关联。
在临床实践中调查睡眠时间及其相关性或影响的护士需要考虑性别因素，因为一些关联可能具有性别特异性。抑郁症状和疲劳可作为识别有睡眠问题的老年男性的指标。
