Lima Agamenon Monteiro, Rocha Josiane Santos Brant, Reis Viviane Margareth Chaves Pereira, Silveira Marise Fagundes, Caldeira Antônio Prates, Freitas Ronilson Ferreira, Popoff Daniela Araújo Veloso
Programa de Pós-Graduação em Cuidado Primário em Saúde, Universidade Estadual de Montes Montes Claros (Unimontes). Av. Dr. Ruy Braga s/n, Vila Mauriceia. 39401-089 Montes Claros MG Brasil.
Faculdades Unidas do Norte de Minas. Montes Claros MG Brasil.
Cien Saude Colet. 2019 Jul 22;24(7):2667-2678. doi: 10.1590/1413-81232018247.19522017.
The scope of this article is to identify the prevalence of the loss of quality of sleep and associated factors among menopausal women. It is a quantitative, cross-sectional and analytical study, the variables of which were investigated by applying a structured/pre-tested questionnaire and the Pittsburgh Sleep Quality Index with 819 menopausal women cared for under the Family Health Strategy. Simple Poisson regression was used to screen the variables (p < 0.25). For multiple analysis, Poisson regression was used based on a hierarchical model, at a significance level of 5%. Loss of quality of sleep was identified in 67% of the sample. Variables such as advanced age (PR = 1.09; CI = 1.03-1.16), moderate and severe menopausal symptoms (PR = 1.18; CI = 1.10-1.27), moderate to severe anxiety (PR = 1.17; CI = 1.10-1.25), moderate to severe depression (PR = 1.08; CI = 1.01-1.15) and arthritis/arthrosis/rheumatism (PR = 1. 07; CI = 1.01 - 1.14) revealed statistically significant associations with loss of quality of sleep. The loss of quality of sleep was highly prevalent in the population studied. Factors associated with loss of quality of sleep were advanced age, moderate to severe menopausal symptoms, moderate to severe anxiety and depression, and the presence of arthritis/arthrosis/rheumatism.
本文的范围是确定绝经后女性睡眠质量下降的患病率及相关因素。这是一项定量、横断面分析研究，通过应用结构化/预测试问卷和匹兹堡睡眠质量指数对819名在家庭健康战略下接受护理的绝经后女性进行变量调查。采用简单泊松回归筛选变量（p<0.25）。对于多因素分析，基于分层模型使用泊松回归，显著性水平为5%。在67%的样本中发现了睡眠质量下降的情况。高龄（PR = 1.09；CI = 1.03 - 1.16）、中度和重度更年期症状（PR = 1.18；CI = 1.10 - 1.27）、中度至重度焦虑（PR = 1.17；CI = 1.10 - 1.25）、中度至重度抑郁（PR = 1.08；CI = 1.01 - 1.15）以及关节炎/关节病/风湿病（PR = 1.07；CI = 1.01 - 1.14）等变量显示出与睡眠质量下降具有统计学意义的关联。在所研究的人群中，睡眠质量下降非常普遍。与睡眠质量下降相关的因素包括高龄、中度至重度更年期症状、中度至重度焦虑和抑郁，以及关节炎/关节病/风湿病的存在。
