The Current Status And Associated Factors Of Sleep Quality Among Community-dwelling Older Adults

Objective:Through the cross-sectional study of the elderly in the community,the current situation of sleep quality and related influencing factors of this population are analyzed,and the relationship between the psychological status,debilitation and sleep disorders of the elderly is discussed,which provides theoretical reference for targeted improvement of the mental health status of the elderly in the community and the improvement of sleep quality.Methods:Using the current situation research design,six communities in Tangshan City,Hebei Province were selected as the survey sites in a stratified group,and the permanent elderly in the community aged 60 and above were selected for the survey.Collected sociodemographic data,lifestyle habits,underlying diseases,etc.of the study subjects,and used the Pittsburgh Sleep Quality Index(PSQI)to assess sleep quality,depression screening scale(PHQ-9)to assess depression level,generalized anxiety scale(GAD-7)to assess anxiety level,and debilitation scale(FRAIL)to assess debilitation.The χ2 test,Spearman rank correlation,and multivariate logistic regression were used to analyze the sleep status of the elderly in the community and its related influencing factors,as well as the relationship between the mental health status,debilitating conditions and sleep disorders of the elderly in the community,and the effect of these influencing factors on sleep disorders was measured by population attribution risk.Results:(1)Sleep of the elderly in the community: the total score of PSQI is5.46±3.41 points,507 of the 2272 elderly people in the community have sleep disorders,the prevalence of sleep disorders is 22.3%.(2)Female,elderly,lowly educated,low-income,no spouse,no pre-retirement occupation,no recreational activities,no physical exercise,no drinking,no nap habits,eating before going to bed,drinking tea before going to bed,playing with mobile phones before bedtime,sleeping with diseases,falls,depression,anxiety,and debilitation of the elderly with diseases,falls,depression,anxiety,and debilitation have a higher detection rate of sleep disorders(P<0.05).There was no statistically different detection rate of sleep disorders in the elderly with different places of residence and different smoking conditions(P>0.05).(3)612 of the 2272 elderly people in the community were depressed,with a prevalence of depression of 26.9%;476 had anxiety,with a prevalence of anxiety of 21%;and 26 people had weakness,with a prevalence of 1.1% of weakness.(4)Low education,unmarried,no recreational activities,no naps,tea drinking before going to bed,playing mobile phones before bedtime,suffering from diseases,falls,depression,and weakness are the main influencing factors of sleep disorders in the elderly in the community(P<0.05).Sleep disorders in the elderly were 36.6 percent attributable to having a disease,36.0 percent to depression,31.7 percent to playing with a mobile phone before bedtime,18.2 percent to tea drinking before bedtime,7.6 percent to weakness,and 2.9 percent to falls.Conclusions:(1)The prevalence of sleep disorders in the elderly in the community of Tangshan City is 22.3%,and the sleep quality of the elderly is worthy of attention.The prevalence of sleep disorders in the elderly in the community of Tangshan City is 22.3%,and the sleep quality of the elderly is worthy of attention.(2)Elderly people with high education,married,recreational activities,and naps have better sleep quality;Drinking tea before going to bed,playing with mobile phones before going to bed,suffering from diseases,falls,depression,and debilitation of the elderly sleep worse.The main factors affecting sleep disorders are,in order of magnitude: disease,depression,playing mobile phones before going to bed,drinking tea before going to bed,weakness,and falling.(3)Regularly carrying out sleep health care knowledge and mental health education for the elderly in the community,and strengthening the identification and intervention of psychological problems in the elderly population,are of great public health significance and value for improving the sleep quality of the elderly.13 tables,and 88 references.