社区空巢老人睡眠质量与心理防御机制的相关性分析

目的:探讨分析社区空巢老人睡眠质量与心理防御机制的相关性。方法:选取2017年11月至2018年11月上海市徐汇区龙华街道社区卫生服务中心的空巢老人115例作为研究对象,作为空巢组;同时依据年龄±2岁来选取同一社区内的非空巢老人100例作为非空巢组。对2组均使用匹兹堡睡眠质量指数(简称PSQI)评估量表及心理防御方式(简称DSQ)问卷进行调研。观察比较2组PSQI评估量表、DSQ问卷的得分情况、观察空巢组PSQI量表当中的各项因子跟DSQ问卷因子之间的相关性。结果:空巢组各项PSQI量表因子得分均显著高于非空巢自(P <0. 05);空巢组不成熟型防御机制、中间型防御机制及掩饰因子的得分显著高于远非空巢组(P <0. 05),空巢组成熟型防御机制的得分显著低于非空巢组(P <0. 05);相关性分析结果提示,空巢组不成熟型防御机制跟PSQI量表当中的主观睡眠质量、睡眠时间、睡眠障碍、使用催眠药物及日间功能之间呈现为正相关性(P <0. 05);成熟型防御机制跟与入睡时间、睡眠时间之间呈现为负相关性(P <0. 05);中间型防御机制跟睡眠效率之间呈负相关性(P <0. 05)、跟主观睡眠质量、入睡时间之间呈正相关性(P <0. 05);掩饰因子跟主观睡眠质量、睡眠效率、睡眠障碍、使用催眠药物及日间功能之间呈现为正相关性(P <0. 05)。结论:社区内空巢老人的睡眠质量普遍低于非空巢老人,且空巢老人的睡眠质量跟不成熟型防御机制及掩饰因子之间的相关性最为密切。

Correlation Analysis of Sleep Quality and Psychological Defense Mechanism of Empty-Nesters in Community

Objective: To explore and analyze the correlation between sleep quality and psychological defense mechanism of empty-nesters in community. Methods: A Total of 115 cases of empty-nesters in a community from November 2017 to November 2018 were selected as the empty-nester group.At the same time,100 cases of non-empty nesters in the same community were selected as the non-empty nester group according to the age of 2 years.Both groups were investigated using Pittsburgh sleep quality index(PSQI)assessment scale and psychological defense style(DSQ)questionnaire.The scores of PSQI evaluation scale and DSQ questionnaire in the two groups were observed and compared,and the correlation between the factors in the PSQI scale and the factors in DSQ questionnaire in the empty nest group was observed. Results: The scores of PSQI scale factors in the empty-nest group were significantly higher than those in the non-empty-nest group( P <0.05).The scores of immature defense mechanism,intermediate defense mechanism and cover-up factor in the empty nest group were significantly higher than those in the far from empty nest group( P <0.05),and the scores of mature defense mechanism in the empty nest group were significantly lower than those in the non-empty nest group( P <0.05).The results of correlation analysis indicated that there was a positive correlation between the immature defense mechanism in the empty nest group and the subjective sleep quality,sleep time,sleep disorder,use of hypnotic drugs and daytime function in the PSQI scale( P <0.05).The defense mechanism of mature type was negatively correlated with sleep time and sleep time( P <0.05).Intermediate defense mechanism was negatively correlated with sleep efficiency( P <0.05),and positively correlated with subjective sleep quality and sleep time( P <0.05).There was a positive correlation between cloaking factors and subjective sleep quality,sleep efficiency,sleep disorders,use of hypnotic drugs and daytime function( P <0.05). Conclusion: the sleep quality of empty-nesters in the community is generally lower than that of non-empty-nesters,and the sleep quality of empty-nesters is most closely correlated with immature defense mechanism and masking factor.