Investigation On Sleep Status And Related Influencing Factors Of Elderly People In Heping District Of Shenyang City

Objective:To understand the quality of sleep and the prevalence of insomnia among the elderly in Heping District of Shenyang City,to explore the influencing factors of insomnia,and to provide reference for improving the sleep quality of the elderly in the community.Methods: Pittsburgh Sleep Quality Index(PSQI),PHQ-9 Depression Screening Scale,GAD-7 Anxiety Screening Scale,International Classification of Sleep Disorders(ICSD-3),Common Insomnia Effects Factors and insomnia diagnosis and treatment The elderly sleep health questionnaire was established to survey 1628 elderly people aged 65 and over in Heping District,Shenyang.Results:1.A total of 1,650 questionnaires were distributed,and 1,628 valid questionnaires were returned.The effective response rate was 98.7%,and the average age was 71.9±5.8years.Men accounted for 39.9%(650/1628)and women accounted for 60.1%(978/1628);2.GAD-7 results showed that 4.2%(68/1628)of the elderly were in an anxious state,and the PHQ-9 results showed that 6.8%(109/1628)of the elderly were in a state of depression.3.The average bedtime for the elderly at night is 21:34±1:30;the average morning wake-up time for the elderly is 5:45±0:58;the time for the elderly to fall asleep(from preparation for sleep to sleep)The average time was 22.52±14.55 minutes;the average actual sleep time of the elderly was 6.9±1.32 hours;the average sleep efficiency of the elderly was 0.85±0.09;the subjective sleep quality of the elderly was 0.80±0.73,and the subjective sleep quality was 589,which is better.807 people,196 poor,36 poor,232 people are not satisfied with sleep,accounting for 14.25% of the total number;hypnotic drugs 0.12 ± 0.46,of which 129 use hypnotic drugs in nearly 1 month,77 use hypnotic drugs <1 time/week,34 people used hypnotic drugs 1-2 times/week,18 people used hypnotic drugs ?3 times/week;daytime dysfunction 0.48±0.79.4.68.8%(1118/1628)had abnormal nighttime sleep symptoms;42.5%(692/1628)had simultaneous nighttime sleep abnormalities and daytime functional impairment;15.3%(249/1628)had insomnia 15.0%(244/1628)of people with sleep disorders.5.Insomnia group and non-insomnia group compared with the environmental factors(?2=107.18,P=0.000),insufficient sleep time(?2=68.546,P=0.000),important life eventsin life or work(?2=15.421,P=0.000),nap time is too long(?2=4.855,P=0.028),other factors(?2=21.994,P=0.000),family history(?2=7.461,P=0.006),depression(?2=10.098,P=0.001),both P<0.05,the difference was statistically significant.Insomnia group and non-insomnia group were found to have sex(?2=3.026,P=0.082),physiological factors(?2=0.429,P=0.513),food factors(?2=2.144,P=0.143),medication in the two groups.(?2=0.707,P=0.400),whether to diagnose insomnia(?2=0.597,P=0.440),whether anxiety(?2=3.079,P=0.079)were P>0.05,the difference was not statistically significant.Whether the elderly in the community have insomnia as a dependent variable,taking environmental factors,lack of adequate sleep time,important life events in life or work,excessive nap time,other factors,whether there is family history of insomnia,or whether depression is a dependent variable Logistic regression analysis showed that environmental factors,lack of adequate sleep time,important life events in life or work,excessive nap time,other factors,family history of insomnia,and depression were risk factors for insomnia in the elderly in the community..6.2.77% of the elderly use eye masks,2.76% use earplugs,8.43% listen to music or watch TV,7.21% exercise,12.7% relax,12.9% drink milk,2.3% drink to improve sleep,only2.6% Older people improve their sleep by consulting a doctor.7.A total of 62 people consulted doctors on sleep problems,18 of whom were diagnosed with insomnia.All 18 people took hypnotic drugs,including benzodiazepines,non-benzodiazepines,sedative antidepressants,and sedatives.Psychotropic drugs,Chinese herbal medicines,B vitamins.Only 6 people took psychotherapy while taking hypnotics.Conclusion: 1.The PSQI scale has a good screening effect on insomnia.It is recommended that the Pittsburgh sleep quality refers to the clinical use of insomnia screening.2.The elderly sleep problems in Heping District of Shenyang City are mostly nighttime sleep abnormalities and daytime functional damage,and the prevalence of insomnia and sleep disorders is low.3.Environmental factors,lack of adequate sleep time,important life events in life or work,long nap time,other factors(other factors include taking zopiclone,diazepam,Chinese medicine health care,reading,playing mobile phone,bubble Feet,massage,drink afterwork),family history,depression is a risk factor for insomnia in the elderly in Heping District of Shenyang City.4.Insomnia has a low rate of diagnosis and a low diagnosis rate.At present,the treatment of insomnia in the elderly in the community is mainly based on drug treatment.5.The community should strengthen the attention to the quality of sleep in the community,improve the community's understanding of insomnia,improve the rate of insomnia,diagnosis rate,treatment rate,and then improve the physical and mental health of the elderly.