Das Soumyaneel, Roy Rabindra Nath, Das Dilip Kumar, Chakraborty Amitava, Mondal Raston
Department of Community Medicine, Burdwan Medical College, Burdwan, Purba Barddhaman, West Bengal, India.
J Family Med Prim Care. 2020 Mar 26;9(3):1510-1516. doi: 10.4103/jfmpc.jfmpc_1021_19. eCollection 2020 Mar.
In the elderly population, sleep problems are prevalent and have known to be associated with many factors. There are many adverse consequences of decreased sleep such as heart disease, diabetes, depression, accidents, impaired cognition, and poor quality of life. Correlates of poor sleep quality have not been well explored in Indian research.
The present study aimed to measure prevalence of poor sleep quality among elderly and its association with different factors.
A cross-sectional study was conducted during June-November 2018 in a randomly selected block of Purba Bardhaman district. Cluster random sampling was applied to select required sample of 180 elderly people (≥60 years) from 30 villages. Study tools used were Pittsburgh Sleep Quality Index (PSQI), 5-Item Geriatric Depression Scale (GDS), Generalized Anxiety Disorder 7-item scale (GAD-7), Global Physical Activity Questionnaire (GPAQ), and a pretested schedule for sociodemographic and other variables. The study had approval from Institutional Ethics Committee. Chi-square tests and multivariable logistic regression were performed using SPSS V16.
Prevalence of poor sleep quality (GPSQI ≥5) was 68.89%. Median Global PSQI (GPSQI) score was 7.00 (4.00-11.00). Multivariable logistic regression revealed that marital status, vital events in past one month, anxiety status, and depression were significantly associated with sleep quality. Those who were unmarried/widowed, having vital events in past one month in the family, and severe anxiety and depression were having significantly higher odds of developing poor sleep quality.
Poor sleep quality is high among elderly and measures toward the significant correlates are thus emphasized.
在老年人群中,睡眠问题普遍存在,且已知与多种因素相关。睡眠减少会带来许多不良后果,如心脏病、糖尿病、抑郁症、事故、认知障碍和生活质量低下。印度的研究尚未充分探讨睡眠质量差的相关因素。
本研究旨在测量老年人睡眠质量差的患病率及其与不同因素的关联。
2018年6月至11月在普尔巴·巴尔丹区随机选取的一个街区进行了一项横断面研究。采用整群随机抽样从30个村庄中选取180名60岁及以上的老年人作为所需样本。使用的研究工具包括匹兹堡睡眠质量指数(PSQI)、5项老年抑郁量表(GDS)、广泛性焦虑障碍7项量表(GAD - 7)、全球体力活动问卷(GPAQ)以及一份经过预测试的社会人口学和其他变量调查表。该研究获得了机构伦理委员会的批准。使用SPSS V16进行卡方检验和多变量逻辑回归分析。
睡眠质量差(全球PSQI≥5)的患病率为68.89%。全球PSQI(GPSQI)得分中位数为7.00(4.00 - 11.00)。多变量逻辑回归显示,婚姻状况、过去一个月内的重大事件、焦虑状态和抑郁与睡眠质量显著相关。未婚/丧偶者、过去一个月内家庭中有重大事件者以及重度焦虑和抑郁者出现睡眠质量差的几率显著更高。
老年人睡眠质量差的情况很普遍,因此强调针对这些显著相关因素采取措施。