Influencing factors and nursing strategies of sleep quality of the elderly in Chengdu community_West China Medical Journal

Authors：

 XU Rong ¹ , YANG Lei ² , YANG Cui ² , WU Dongmei ³

1. President & Dean’s Office, the Sixth People’s Hospital of Chengdu, Chengdu, Sichuan 610051, P. R. China;
2. School of Nursing, Chengdu Medical College, Chengdu, Sichuan 610083, P. R. China;
3. Department of Nursing, the Fourth People’s Hospital of Chengdu, Chengdu, Sichuan 610036, P. R. China;

Corresponding?author：

XU Rong, Email: xurong20210623@163.com

Keywords：

Sleep quality; Community; Elderly; Interpersonal troubles

DOI：

10.7507/1002-0179.202106211

Video：

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Objective To explore the influencing factors of sleep quality of the elderly in Chengdu community and put forward corresponding nursing strategies. Methods The elderly in four communities in Chengdu were selected by convenient sampling method from January to June 2021. The elderly in the community were investigated and analyzed by general information questionnaire, Interpersonal Relationship Integrative Diagnostic Scale (IRIDS) and Pittsburgh Sleep Quality Index (PSQI). Multiple linear stepwise regression was used to analyze the factors affecting the sleep quality of the elderly. Results A total of 232 elderly were investigated and 211 were finally included. The total score of PSQI in the elderly was positively correlated with the score of interpersonal conversation disturbance (r=0.297, P<0.05) and the score of treating people disturbance (r=0.208, P<0.05). The results of multiple linear stepwise regression analysis showed that physical exercise, monthly amount of money, education and four dimensions of interpersonal troubles were the main influencing factors of sleep quality in the elderly. Conclusions The community elderly in this study had better sleep quality. Physical exercise, monthly amount of money, education and four dimensions of interpersonal troubles were all important factors affecting the sleep quality of the elderly. Community nursing staff should pay more attention to the sleep quality of the elderly, put forward measures to improve the related factors leading to sleep disorders, encourage the elderly to take physical exercise. They should also provide psychological counseling and interpersonal communication skills for the elderly with interpersonal troubles and help expand the communication platform to improve sleep quality of the elderly in the community.

Citation： XU Rong, YANG Lei, YANG Cui, WU Dongmei. Influencing factors and nursing strategies of sleep quality of the elderly in Chengdu community. West China Medical Journal, 2021, 36(10): 1399-1404. doi: 10.7507/1002-0179.202106211 Copy

1.	熊風, 賴玉清, 涂嘉欣, 等. 中國老年人群睡眠障礙流行特征的Meta分析. 中國循證醫學雜志, 2019, 19(4): 398-403.
2.	Roberts RE, Shema SJ, Kaplan GA, et al. Sleep complaints and depression in an aging cohort: a prospective perspective. Am J Psychiatry, 2000, 157(1): 81-88.
3.	Ohara T, Honda T, Hata J, et al. Association between daily sleep duration and risk of dementia and mortality in a Japanese community. J Am Geriatr Soc, 2018, 66(10): 1911-1918.
4.	Ma GY, Cai L, Fan LM, et al. Association of socioeconomic factors and prevalence of hypertension with sleep disorder among the elderly in rural southwest China. Sleep Med, 2020, 71: 106-110.
5.	李鵬姬, 高曉雷, 馬海林. 西藏孤寡老人睡眠質量及其與心理健康關系. 中國公共衛生, 2021, 37(1): 36-39.
6.	丁玉菊. 太極拳運動對老年人失眠的干預效果研究. 合肥: 安徽中醫藥大學, 2020.
7.	曾麗, 王佳琳, 左敏, 等. 中國老年人睡眠質量與社會支持相關性的Meta分析. 中國循證醫學雜志, 2021, 21(4): 401-406.
8.	鄭日昌. 大學生心理診斷. 濟南:山東教育出版社, 1999: 339-345.
9.	周甦, 孫越異, 王冬燕, 等. 情緒智力在大學生心理彈性與人際關系困擾間的中介作用. 心理月刊, 2020, 15(17): 23-25, 30.
10.	Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28(2): 193-213.
11.	邱建青, 周密, 邱培媛, 等. 匹茲堡睡眠質量指數用于農村老年人群的信效度分析. 現代預防醫學, 2016, 43(10): 1835-1838.
12.	沈桂娟, 聶俊純, 宋敏, 等. 社區老年人睡眠的影響因素及干預措施總結分析. 世界睡眠醫學雜志, 2020, 7(2): 239-241.
13.	吳冬梅, 胡秀英, 謝銘. 成都社區老人睡眠及人際關系對幸福感的影響. 中國老年學雜志, 2018, 38(5): 1242-1244.
14.	關倍倍, 陳長香. 社區老年人的睡眠質量及影響因素. 中國老年學雜志, 2020, 40(2): 419-422.
15.	Li N, Xu G, Chen G, et al. Sleep quality among Chinese elderly people: a population-based study. Arch Gerontol Geriatr, 2020, 87: 103968.
16.	Yu J, Rawtaer I, Fam J, et al. Sleep correlates of depression and anxiety in an elderly Asian population. Psychogeriatrics, 2016, 16(3): 191-195.
17.	赫子銘. 關于大學生人際關系與心理健康的研究. 心理月刊, 2019, 14(20): 52.
18.	Hao X, Li M, Li J, et al. Sleep quality in relation to social support and resilience among rural empty-nest older adults in China. Sleep Med, 2021, 82: 193-199.
19.	李漫漫. 農村空巢老人睡眠質量與社會支持、心理彈性的相關性研究. 長春: 吉林大學, 2018.
20.	袁靖姣, 李連玲, 井西學. 大學生性別角色類型、一般自我效能感與人際困擾程度的相關性. 中國健康心理學雜志, 2015, 23(5): 750-752.
21.	楊栩, 徐潔. 人際關系困擾對主觀幸福感的影響研究. 學習與探索, 2016(10): 109-113.
22.	于紅, 黃麗. 老年人主觀幸福感及其影響因素的調查研究. 當代護士(上旬刊), 2021, 28(5): 23-26.
23.	潘敏. 農村老年人睡眠質量與心理健康關系探究. 天津: 天津師范大學, 2018.
24.	Ichimori A, Tsukasaki K, Koyama E. Illuminance, subjective sleep quality, and psychosomatic health in elderly individuals requiring care: a survey of Japan’s hokuriku region in winter. J Community Health Nurs, 2015, 32(2): 104-114.
25.	Abd EL-Kader SM, Al-Jiffri OH. Aerobic exercise modulates cytokine profile and sleep quality in elderly. Afr Health Sci, 2019, 19(2): 2198-2207.
26.	吳煒煒, 蘭秀燕, 鄺惠容, 等. 傳統健身運動對老年人睡眠質量影響的Meta分析. 中華護理雜志, 2016, 51(2): 216-224.
27.	張惠, 張彬. 空巢老人睡眠質量現狀及影響因素分析. 長治醫學院學報, 2019, 33(4): 268-272.
28.	馬晨, 吳炳義, 楊瑞貞, 等. 養老機構老年人睡眠質量的質性研究. 老齡科學研究, 2017, 5(11): 37-46.

1. 熊風, 賴玉清, 涂嘉欣, 等. 中國老年人群睡眠障礙流行特征的Meta分析. 中國循證醫學雜志, 2019, 19(4): 398-403.
2. Roberts RE, Shema SJ, Kaplan GA, et al. Sleep complaints and depression in an aging cohort: a prospective perspective. Am J Psychiatry, 2000, 157(1): 81-88.
3. Ohara T, Honda T, Hata J, et al. Association between daily sleep duration and risk of dementia and mortality in a Japanese community. J Am Geriatr Soc, 2018, 66(10): 1911-1918.
4. Ma GY, Cai L, Fan LM, et al. Association of socioeconomic factors and prevalence of hypertension with sleep disorder among the elderly in rural southwest China. Sleep Med, 2020, 71: 106-110.
5. 李鵬姬, 高曉雷, 馬海林. 西藏孤寡老人睡眠質量及其與心理健康關系. 中國公共衛生, 2021, 37(1): 36-39.
6. 丁玉菊. 太極拳運動對老年人失眠的干預效果研究. 合肥: 安徽中醫藥大學, 2020.
7. 曾麗, 王佳琳, 左敏, 等. 中國老年人睡眠質量與社會支持相關性的Meta分析. 中國循證醫學雜志, 2021, 21(4): 401-406.
8. 鄭日昌. 大學生心理診斷. 濟南:山東教育出版社, 1999: 339-345.
9. 周甦, 孫越異, 王冬燕, 等. 情緒智力在大學生心理彈性與人際關系困擾間的中介作用. 心理月刊, 2020, 15(17): 23-25, 30.
10. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28(2): 193-213.
11. 邱建青, 周密, 邱培媛, 等. 匹茲堡睡眠質量指數用于農村老年人群的信效度分析. 現代預防醫學, 2016, 43(10): 1835-1838.
12. 沈桂娟, 聶俊純, 宋敏, 等. 社區老年人睡眠的影響因素及干預措施總結分析. 世界睡眠醫學雜志, 2020, 7(2): 239-241.
13. 吳冬梅, 胡秀英, 謝銘. 成都社區老人睡眠及人際關系對幸福感的影響. 中國老年學雜志, 2018, 38(5): 1242-1244.
14. 關倍倍, 陳長香. 社區老年人的睡眠質量及影響因素. 中國老年學雜志, 2020, 40(2): 419-422.
15. Li N, Xu G, Chen G, et al. Sleep quality among Chinese elderly people: a population-based study. Arch Gerontol Geriatr, 2020, 87: 103968.
16. Yu J, Rawtaer I, Fam J, et al. Sleep correlates of depression and anxiety in an elderly Asian population. Psychogeriatrics, 2016, 16(3): 191-195.
17. 赫子銘. 關于大學生人際關系與心理健康的研究. 心理月刊, 2019, 14(20): 52.
18. Hao X, Li M, Li J, et al. Sleep quality in relation to social support and resilience among rural empty-nest older adults in China. Sleep Med, 2021, 82: 193-199.
19. 李漫漫. 農村空巢老人睡眠質量與社會支持、心理彈性的相關性研究. 長春: 吉林大學, 2018.
20. 袁靖姣, 李連玲, 井西學. 大學生性別角色類型、一般自我效能感與人際困擾程度的相關性. 中國健康心理學雜志, 2015, 23(5): 750-752.
21. 楊栩, 徐潔. 人際關系困擾對主觀幸福感的影響研究. 學習與探索, 2016(10): 109-113.
22. 于紅, 黃麗. 老年人主觀幸福感及其影響因素的調查研究. 當代護士(上旬刊), 2021, 28(5): 23-26.
23. 潘敏. 農村老年人睡眠質量與心理健康關系探究. 天津: 天津師范大學, 2018.
24. Ichimori A, Tsukasaki K, Koyama E. Illuminance, subjective sleep quality, and psychosomatic health in elderly individuals requiring care: a survey of Japan’s hokuriku region in winter. J Community Health Nurs, 2015, 32(2): 104-114.
25. Abd EL-Kader SM, Al-Jiffri OH. Aerobic exercise modulates cytokine profile and sleep quality in elderly. Afr Health Sci, 2019, 19(2): 2198-2207.
26. 吳煒煒, 蘭秀燕, 鄺惠容, 等. 傳統健身運動對老年人睡眠質量影響的Meta分析. 中華護理雜志, 2016, 51(2): 216-224.
27. 張惠, 張彬. 空巢老人睡眠質量現狀及影響因素分析. 長治醫學院學報, 2019, 33(4): 268-272.
28. 馬晨, 吳炳義, 楊瑞貞, 等. 養老機構老年人睡眠質量的質性研究. 老齡科學研究, 2017, 5(11): 37-46.

West China Medical Journal

Influencing factors and nursing strategies of sleep quality of the elderly in Chengdu community

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