养老机构老年人睡眠信念与态度现况及影响因素研究

目的 探讨养老机构老年人睡眠信念与态度现况及其影响因素。方法 2021年10月—2022年3月，采用便利抽样法选取河北省内6所养老机构的445位老年人为研究对象，采用一般资料调查表，匹兹堡睡眠质量指数量表（Pittsburg sleep quality index scale, PSQI），简式睡眠信念与态度量表（brief version of dysfunctional beliefs and attitudes about Sleep, DBAS-16），焦虑自评量表（self-trating anxiety scale, SAS）收集调查资料。结果 养老机构老年人睡眠信念与态度总分为（42.99±3.47）分。多元线性回归结果显示，年龄、性别、自述睡眠质量、学历、PSQI、焦虑情绪为机构老年人睡眠不良信念的影响因素（均P<0.05），可解释总变异的67.7%。且焦虑情绪在睡眠质量与睡眠信念与态度之间存在部分中介效应。结论 中高龄、学历偏低、存在睡眠障碍、焦虑情绪的老年人睡眠不良信念更严重，养老机构医护人员应重点关注此类人群，采取有效措施改善对睡眠的不良信念；且医护人员应重...

Study on the status and influencing factors of sleep beliefs and attitudes of the elderly in elderly care institutions

Objective To investigate the sleep beliefs and attitudes of the elderly in elderly care institutions and its influencing factors. Methods From October 2021 to March 2022, 445 elderly people from 6 elderly care institutions in Hebei Province were selected by convenience sampling method. General data questionnaire, Pittsburg Sleep Quality Index Scale (PSQI), the brief version of Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16), and the Self-rating Anxiety Scale (SAS) were used to collect survey data. Results The total score of sleep belief and attitude was (42.99±3.47) points. The results of multiple linear regression showed that gender, age, self-reported sleep quality, education level, PSQI, and anxiety were the influencing factors (all P<0.05), which could explain 67.7% of the total variation. The results of mediating effect analysis showed that anxiety had a partial mediating effect on sleep quality and sleep belief and attitude. Conclusion The elderly with advanced age, lower education level, sleep disorder, and anxiety are likely to have worse sleep beliefs. Medical staff in nursing institutions should pay more attention to these people and take effective measures to correct their sleep beliefs. Moreover, medical staff should pay attention to the influence of anxiety on elderly people’s sleep beliefs, which can be improved by alleviating anxiety and correcting sleep beliefs to improve sleep quality.