背景:睡眠质量是改善老年人生活质量的最重要因素之一,身心健康对改善睡眠质量起着至关重要的作用。本研究旨在确定社会支持的影响,以及伊朗老年人睡眠结果的生理和心理表现。
方法:在本病例对照研究中,400老年人,暴露于睡眠问题的人,在2016-2017年期间,在Amirkola随机选择了400名没有睡眠问题的人,伊朗。病例组和对照组的受试者在性别和年龄方面匹配。人口特征,杜克大学社会支持问卷(DSSI),老年人身体活动量表(PASE),日常生活活动(ADL),日常生活工具活动(IADL),小型精神状态检查(MMSE),使用匹兹堡睡眠质量问卷(PSQI)问卷收集数据。T检验,卡方,皮尔逊相关系数,采用多因素Logistic回归分析。
结果:DSSI及其领域的平均得分,包括社交互动(DSSI。Int)和社会满意度(DSSI。病例组分别为28.15±3.55,9.31±1.23,18.84±2.88,对照组分别为28.87±3.20,9.48±1.10,19.83±2.44,分别。在这项研究中,MMSE的平均分,PASE,ADL,IADL分别为25.36±3.95、101.71±56.99、13/97±0.37、20.59±2/79。睡眠质量差与DSSI评分呈显著负相关(rho=-0.165,P<0.0001),DSSI。Int(rho=-0.113,P<0.001),DSSI。Sat(rho=-0.160,P<0.0001),PASE(rho=-0.160,P<0.0001),和IADL(rho=-0.112,P<0.001)评分。因此,更多的社会支持和体育锻炼改善了睡眠质量。DSSI之间存在显著的负相关关系,以及它在性别方面具有睡眠质量的领域。DSSI(ρ=0.25,P<0.0001),DSSI。Int(P<0.0001,rho=-0.18),和DSSI。Sat(P<0.0001,rho=-0.22)在男性中显著,但在女性中不显著。调整后的逻辑回归结果显示睡眠质量问题与DSSI之间存在显着关联(p<0.045,OR=1.40),使用催眠药物(p<0.0001,OR=7.56),和职业(p<0.03,OR=12.66)。
结论:本研究的结果表明,低社会支持及其所有领域,PASE,IADL,使用催眠药物可能在睡眠问题的发展中起作用。它可以作为一个有效的,安全,以及促进老年人睡眠质量的低成本策略。
Sleep quality is one of the most important factors to improve the quality of life in older adults and physical and mental health plays an essential role in better sleep quality. This
study aimed to determine the impact of social support, and physical and psychological performance on sleep outcomes in Iranian older adults.
In this case-control
study, 400 elder people, who were exposed to sleep problems, and 400 people without sleep problems were randomly selected during 2016-2017 in Amirkola, Iran. Subjects in the case and control groups were matched in terms of gender and age. The demographic characteristics, Duke Social Support Questionnaire (DSSI), Physical Activity Scale for the Elderly (PASE), Activity of Daily Living (ADL), Instrumental Activity of Daily Living (IADL), Mini-Mental State Examination (MMSE), and Pittsburgh Sleep Quality Questionnaire (
PSQI) questionnaires were used to collect data. T-test, Chi-square, Pearson Correlation coefficient, and multiple Logistic regression were used for data analysis.
The mean score of DSSI and its domains including social interaction (DSSI.Int) and social satisfaction (DSSI.Sat) were 28.15 ± 3.55, 9.31 ± 1.23, and 18.84 ± 2.88 in the case group and 28.87 ± 3.20, 9.48 ± 1.10, and 19.83 ± 2.44 in the control group, respectively. In this
study, the mean scores of MMSE, PASE, ADL, and IADL were 25.36 ± 3.95, 101.71 ± 56.99, 13/97 ± 0.37, 20.59 ± 2/79; respectively. There was a significant inverse correlation between poor sleep quality with DSSI score (rho = -0.165, P < 0.0001), DSSI.Int (rho = -0.113, P < 0.001), DSSI.Sat (rho = -0.160, P < 0.0001), PASE (rho=-0.160, P < 0.0001), and IADL (rho = -0.112, P < 0.001) score. Therefore, more social support and physical activity improved the quality of sleep. There was a significant negative relationship between DSSI, and its domains with sleep quality in terms of gender. DSSI (rho = 0.25, P < 0.0001), DSSI.Int (P < 0.0001, rho=-0.18), and DSSI.Sat (P < 0.0001, rho=-0.22) was significant in men but not in women. The results of the adjusted logistic regression revealed a significant association between sleep quality problems and DSSI (p < 0.045, OR = 1.40), the use of hypnotic drugs (p < 0.0001, OR = 7.56), and occupation (p <0.03, OR= 12.66).
The results of the present
study suggest that low social support and all its domains, PASE, IADL, and using hypnotic drugs may play a role in the development of sleep problems. It can be used as an effective, safe, and low-cost strategy for promoting sleep quality in older adults.