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.	熊风, 赖玉清, 涂嘉欣, 等. 中国老年人群睡眠障碍流行特征的Meta分析. 中国循证医学杂志, 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.	李鹏姬, 高晓雷, 马海林. 西藏孤寡老人睡眠质量及其与心理健康关系. 中国公共卫生, 2021, 37(1): 36-39.
6.	丁玉菊. 太极拳运动对老年人失眠的干预效果研究. 合肥: 安徽中医药大学, 2020.
7.	曾丽, 王佳琳, 左敏, 等. 中国老年人睡眠质量与社会支持相关性的Meta分析. 中国循证医学杂志, 2021, 21(4): 401-406.
8.	郑日昌. 大学生心理诊断. 济南:山东教育出版社, 1999: 339-345.
9.	周甦, 孙越异, 王冬燕, 等. 情绪智力在大学生心理弹性与人际关系困扰间的中介作用. 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. 匹兹堡睡眠质量指数用于农村老年人群的信效度分析. 现代预防医学, 2016, 43(10): 1835-1838.
12.	沈桂娟, 聂俊纯, 宋敏, 等. 社区老年人睡眠的影响因素及干预措施总结分析. 世界睡眠医学杂志, 2020, 7(2): 239-241.
13.	吴冬梅, 胡秀英, 谢铭. 成都社区老人睡眠及人际关系对幸福感的影响. 中国老年学杂志, 2018, 38(5): 1242-1244.
14.	关倍倍, 陈长香. 社区老年人的睡眠质量及影响因素. 中国老年学杂志, 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.	赫子铭. 关于大学生人际关系与心理健康的研究. 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. 农村空巢老人睡眠质量与社会支持、心理弹性的相关性研究. 长春: 吉林大学, 2018.
20.	袁靖姣, 李连玲, 井西学. 大学生性别角色类型、一般自我效能感与人际困扰程度的相关性. 中国健康心理学杂志, 2015, 23(5): 750-752.
21.	杨栩, 徐洁. 人际关系困扰对主观幸福感的影响研究. 学习与探索, 2016(10): 109-113.
22.	于红, 黄丽. 老年人主观幸福感及其影响因素的调查研究. 当代护士(上旬刊), 2021, 28(5): 23-26.
23.	潘敏. 农村老年人睡眠质量与心理健康关系探究. 天津: 天津师范大学, 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.	吴炜炜, 兰秀燕, 邝惠容, 等. 传统健身运动对老年人睡眠质量影响的Meta分析. 中华护理杂志, 2016, 51(2): 216-224.
27.	张惠, 张彬. 空巢老人睡眠质量现状及影响因素分析. 长治医学院学报, 2019, 33(4): 268-272.
28.	马晨, 吴炳义, 杨瑞贞, 等. 养老机构老年人睡眠质量的质性研究. 老龄科学研究, 2017, 5(11): 37-46.

1. 熊风, 赖玉清, 涂嘉欣, 等. 中国老年人群睡眠障碍流行特征的Meta分析. 中国循证医学杂志, 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. 李鹏姬, 高晓雷, 马海林. 西藏孤寡老人睡眠质量及其与心理健康关系. 中国公共卫生, 2021, 37(1): 36-39.
6. 丁玉菊. 太极拳运动对老年人失眠的干预效果研究. 合肥: 安徽中医药大学, 2020.
7. 曾丽, 王佳琳, 左敏, 等. 中国老年人睡眠质量与社会支持相关性的Meta分析. 中国循证医学杂志, 2021, 21(4): 401-406.
8. 郑日昌. 大学生心理诊断. 济南:山东教育出版社, 1999: 339-345.
9. 周甦, 孙越异, 王冬燕, 等. 情绪智力在大学生心理弹性与人际关系困扰间的中介作用. 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. 匹兹堡睡眠质量指数用于农村老年人群的信效度分析. 现代预防医学, 2016, 43(10): 1835-1838.
12. 沈桂娟, 聂俊纯, 宋敏, 等. 社区老年人睡眠的影响因素及干预措施总结分析. 世界睡眠医学杂志, 2020, 7(2): 239-241.
13. 吴冬梅, 胡秀英, 谢铭. 成都社区老人睡眠及人际关系对幸福感的影响. 中国老年学杂志, 2018, 38(5): 1242-1244.
14. 关倍倍, 陈长香. 社区老年人的睡眠质量及影响因素. 中国老年学杂志, 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. 赫子铭. 关于大学生人际关系与心理健康的研究. 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. 农村空巢老人睡眠质量与社会支持、心理弹性的相关性研究. 长春: 吉林大学, 2018.
20. 袁靖姣, 李连玲, 井西学. 大学生性别角色类型、一般自我效能感与人际困扰程度的相关性. 中国健康心理学杂志, 2015, 23(5): 750-752.
21. 杨栩, 徐洁. 人际关系困扰对主观幸福感的影响研究. 学习与探索, 2016(10): 109-113.
22. 于红, 黄丽. 老年人主观幸福感及其影响因素的调查研究. 当代护士(上旬刊), 2021, 28(5): 23-26.
23. 潘敏. 农村老年人睡眠质量与心理健康关系探究. 天津: 天津师范大学, 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. 吴炜炜, 兰秀燕, 邝惠容, 等. 传统健身运动对老年人睡眠质量影响的Meta分析. 中华护理杂志, 2016, 51(2): 216-224.
27. 张惠, 张彬. 空巢老人睡眠质量现状及影响因素分析. 长治医学院学报, 2019, 33(4): 268-272.
28. 马晨, 吴炳义, 杨瑞贞, 等. 养老机构老年人睡眠质量的质性研究. 老龄科学研究, 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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