社区低龄老年人白天过度嗜睡症发生率及相关因素研究

目的调查白天过度嗜睡症(EDS)在社区低龄老年人中的发生率及探讨相关因素。方法对989例社区低龄老年人采用国际通用的Epworth嗜睡量表(ESS)进行调查,收回有效问卷910份,有效回收率为92.0%,对影响EDS的因素采用多元逐步回归分析。结果社区低龄老年人ESS评分为(4.1±0.1)分,以ESS评分≥8分为EDS,社区低龄老年人EDS的发生率为6.0%。以EDS为应变量,经多元逐步回归分析,独睡一床、夜间观看电视时间过长、习惯性打鼾、入睡困难4个因素进入回归模型,相对危险度分别为2.215、3.442、1.778、1.784(P<0.05)。结论低龄老年人独睡一床、夜间观看电视时间过长、习惯性打鼾、入睡困难是独立于老年人年龄、性别、家庭经济状况、睡眠时间、早醒等因素以外导致老年人EDS的相关因素。

An Analysis of Excessive Daytime Sleepiness of the Young Elderly in Communities and Its Relevant Factors

Objective To investigate the prevalence rate and related factors of excessive daytime sleepiness(EDS) in the community elderly aged from 60~69. Methods Epworth Sleep Scales(ESS) was used to make a randomized questionnaire among the community elderly from 60~69.989 questionnaires were released and 910 qualified were returned for analysis by Multiple regression analysis. Results The mean score of ESS was(4.1±0.1) and the prevalence rate was 6.0%(the score≥6 was used as an abnormal value).It was showed by multiple regression analysis that sleeping alone in bed(OR=2.229,P<0.05),long time of watching TV(OR=2.011,P<0.05),habitual snoring(OR=1.557,P<0.05)and difficulty in falling asleep(OR=1.526,P<0.05) were the related factors for elderly(60~69) EDS.Conclusion Besides the factors such as ages,genders,family financial background,and waking up early,Sleeping alone in one bed,long time of watching TV,habitual snoring and difficulty in falling asleep are closely related to ESS score and considered the independent risk factors for EDS in the community elderly from 60~69.