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失眠的患病率及相关影响。

Prevalence of insomnia and related impact.

作者信息

Manjavong Manchumad, Limpawattana Panita, Mairiang Pisaln, Anutrakulchai Sirirat

机构信息

1 Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Thailand.

2 Non-communicable Disease Research Group, Khon Kaen University, Thailand.

出版信息

Int J Psychiatry Med. 2016 Aug;51(6):544-553. doi: 10.1177/0091217417696731. Epub 2017 Mar 12.

DOI:10.1177/0091217417696731
PMID:28629294
Abstract

Background Sleep problem is a common geriatric condition that can result in various outcomes, both physical and mental, that reduce quality of life. The studies regarding the prevalence and impact of insomnia on daily activities in Thailand in pre-elderly and elderly adults are few. Objectives The primary objective of this study was to determine the prevalence of insomnia among pre-elderly and elderly populations and the secondary objective was to study the impact of insomnia on their daily lives. Methods This study included the participants from the urban middle class in the pre-retirement age of 50 years or older adults who worked for Khon Kaen University (KKU), Khon Kaen, Thailand, and their elderly relatives. Information on baseline characteristics, sleep problems, and outcomes were collected. Descriptive analytical statistics were used to analyze baseline data. Multivariate analysis was used to analyze associated factors of the impact of insomnia. Results A total of 491 participants were recruited. The prevalence of insomnia was 60%. The significant consequences related to insomnia were feeling unrefreshed (adjusted odds ratio (AOD) 2.22, 95% confidence interval (CI) 1.44-3.04), daytime sleepiness (AOD 2.04, 95% CI 1.29-3.22), need for a sedative drug (AOD 4.23, 95% CI 2.09-8.55), depression (AOD 4.74, 95% CI 1.73-13), and impaired attention (AOD 2.29, 95% CI 1.52-3.45). Conclusions Insomnia was found in the majority of pre-elderly and elderly participants and resulted in several poor outcomes. Early detection of insomnia may prevent some inevitable outcomes.

摘要

背景

睡眠问题是一种常见的老年疾病,可导致身体和心理方面的各种后果,进而降低生活质量。关于泰国中青年和老年人失眠症的患病率及其对日常活动影响的研究较少。

目的

本研究的主要目的是确定中青年和老年人群中失眠症的患病率,次要目的是研究失眠对他们日常生活的影响。

方法

本研究纳入了泰国孔敬市孔敬大学工作的50岁及以上处于退休前年龄的城市中产阶级参与者及其老年亲属。收集了有关基线特征、睡眠问题和结果的信息。采用描述性分析统计方法分析基线数据。采用多变量分析方法分析失眠影响的相关因素。

结果

共招募了491名参与者。失眠症的患病率为60%。与失眠相关的显著后果包括感觉不清醒(调整优势比[AOD]2.22,95%置信区间[CI]1.44 - 3.04)、白天嗜睡(AOD 2.04,95% CI 1.29 - 3.22)、需要使用镇静药物(AOD 4.23,95% CI 2.09 - 8.55)、抑郁(AOD 4.74,95% CI 1.73 - 13)和注意力受损(AOD 2.29,95% CI 1.52 - 3.45)。

结论

在大多数中青年和老年参与者中发现了失眠症,并导致了一些不良后果。早期发现失眠症可能会预防一些不可避免的后果。

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