| Objective: Through a cross-section survey in the elderly of TCM constitution type and sleep quality in Hunan Province,to describe the status of TCM constitution and sleep quality of the elderly population.This paper is mainly to discuss the correlation between sleep quality and TCM constitution in Hunan province,in order to provide theoretical basis for improving the sleep quality and the constitutions of the elderly in Hunan province.Method: This research mainly used the cross-section survey method.The constitution in Chinese medicine questionnaire,the Pittsburgh quality index(PSQI)and the general information and life questionnaire designed by ourselves were administered on 3260 older people living in Hunan province.Data was entried by Epidata software and analyzed by SPSS17.0 software.Result:1.TCM constitutions of elderly people in Hunan Province,the proportion of the unbalanced constitution is more than unbalanced constitution.Among the elderly in Hunan,only 3.13% were ‘Balanced constitution' while the rest of the 96.87% were identified as one of the ‘Unbalanced constitution'.The top three‘Unbalanced constitution' were Qi-deficient Constitution,Yang-deficient Constitution,and Yin-deficient Constitution,which counted for 24.36%,20.27%,19.34%,respectively.As the growth of the age,the proportion of balanced constitution,Stagnant Qi Constitution,and Damp-heat Constitution descended gradually,while Stagnant Blood and Qi-deficient increased.Qi-deficient Constitution,Yang-deficient Constitution,and Yin-deficient Constitution counted for a high proportion in each age group in the crowd which the he difference is statistically significant(p < 0.05).The proportion of Inherited Special Constitution had no obvious difference.There was no gender difference among balanced constitution,Stagnant Qi Constitution and Inherited Special Constitution(p>0.05).The ratio of Phlegm-dampness Constitution and Damp-heat Constitution was significantly higher in men's group than women's,while the proportion of Yang-deficient Constitution,Yin-deficient Constitution,Stagnant Qi Constitution and Stagnant Blood Constitution was significantly higher in women's group than men's(p<0.05).In men's group,the top three ‘Unbalanced constitution' were Qi-deficient Constitution,Yang-deficient Constitution and Damp-heat Constitution,while in women's group were Qi-deficient Constitution,Yang-deficient Constitution,and Yin-deficient Constitution.The ratio of the signal constitution in the elderly was only 14.02% and the mixed constitution was 85.98%.The type of constitution was not only deficiency but also excess,the main type was mixed.2.The sleep quality of the elderly in Hunan is poorer,and the female is worse than the male.The old in Hunan PSQI scored(6.77±3.74),the effective sleep time was 6.56 h,the sleep quality was poor in general.Seven factors of PSQI scored respectively: subjective sleep quality(1.08±0.58),sleep latency(1.19±0.638),sleep duration(1.17±0.72),sleep efficiency(1.07±0.66),sleep disturbance(1.02±0.63),use of sleep medication(0.15±0.38),day-time dysfunction(1.07±0.50).PSQI scores in male group were lower than female,in addition to sleep duration factor score having no gender difference,the rest of six factor scores in female were higher than male,the differences were statistically significant(p<0.05),what shows that sleep quality of old men was better than women.With age increasing,subjective sleep quality,sleep latency,sleep duration,sleep efficiency,sleep disturbance,day-time dysfunction and PSQI score were increased(p<0.05.From the point of PSQI scores,PSQI score of the older population which movement frequency were more than three times per week was lower than the other two groups(p= 0.000),showed that sleep quality of older population with movement frequency of more than 3 times per week was better than other two groups.3.PSQI scores were negatively correlated with the balanced constitution,and positively correlated with unbalanced constitution,and sleep disturbance was closely related to Yang deficiency and Qi deficiency.The correlation analysis was used to analyze the correlation between the TCM constitution and sleep quality in the elderly in Hunan.It was concluded that: PSQI score and balanced constitution presented negative correlation(r=-0.774,p=0.005 < 0.05),the difference was statistically significant,which showed the score of balanced constitution was higher,the PSQI score was lower and the better of the sleep quality.Yang-deficient Constitution,Qi-deficient Constitution,Yin-deficient Constitution,Phlegm-dampness Constitution,Damp-heat Constitution,Stagnant Blood Constitution,Stagnant Qi Constitution and PSQI score presented positive correlation(p<0.05).Inherited Special Constitution and PSQI score presented little correlation.The score differences of sleep latency,sleep duration,sleep efficiency,sleep disturbance and day-time dysfunction associated with TCM constitution types had statistical significance(p < 0.05).Among these five factors,balanced constitution scores were the lowest,respectively was 0.90±0.48?1.10±0.57?0.90±0.42?0.90±0.72 ? 0.87±0.42,while the highest respectively were Damp-heat Constitution,Phlegm-dampness Constitution,Yang-deficient Constitution,Yin-deficient Constitution,Qi-deficient Constitution,the scores were respectively 1.80±0.50?2.0±0.68?1.90±0.85?1.90±0.75?1.70±0.95Conclusion:1.The prevalence of sleep disorders among the elderly in Hunan is 35.95%,and the quality of sleep is worse for women than for men,and should be paid more attention to.2.The proportion of the unbalanced constitution is more than unbalanced constitution.The top three of the Unbalanced Constitution respectively was Qi-deficiency,Yang-deficiency and Yin-deficiency.The type of constitution was not only deficiency but also excess,the main type was mixed.3.Through the analysis of the relationship between elderly TCM Constitution and sleep quality in Hunan province showed that ‘Unbalanced constitution' and PSQI scores were negatively correlated;Yang deficiency,yin deficiency,Qi deficiency,phlegm dampness,damp heat,qi stagnation,blood stasis score and PSQI score and PSQI scores were positive correlation.The quality of sleep disorder with Yang deficiency and Qi deficiency were closely related.The damp heat,phlegm,Yang deficiency,yin deficiency,Qi deficiency in sleep latency,sleep duration,sleep efficiency,sleep disorders,daytime dysfunction,five factors had the highest scores,sleep problems more prominent. |
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