老年人睡眠质量差的全球流行:系统性审查和元分析
Parisa Kavousi1, Ehsan Mali2, Nasim Seifhashemi3
1Department of Clinical Psychology, School of Psychology, Islamic Azad University Roudehen Branch, Tehran, Iran.
Iranian journal of psychiatry
|June 16, 2025
概括
睡眠质量不佳影响全球约一半60岁以上的成年人. 患病率因地区不同而有很大差异,这凸显了需要特定地点的干预措施来改善老年人群的睡眠健康.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 睡眠质量不佳是老年人中普遍存在的问题.
- 匹兹堡睡眠质量指数 (PSQI) 是评估睡眠质量的标准工具.
研究的目的:
- 确定60岁以上个体睡眠质量差的全球流行情况.
- 确定导致报告流行率异质性的因素.
主要方法:
- 一项对52项涉及24,217名60岁以上参与者的横截面研究的元分析.
- 在PubMed,Scopus和Web of Knowledge数据库中进行了搜索.
- 使用 Hoy 工具评估研究质量,并使用随机效应模型进行聚合流行率计算.
主要成果:
- 睡眠质量差的整体综合流行率为50% (95% CI: 45-55%),具有显著的异质性 (I2 = 99.60%).
- 患病率从中国的14%到马来西亚的96%不等.
- 地理位置是一个重要的因素 (p < 0.001),非洲报告的流行率较低 (27%) 与其他地区相比.
结论:
- 大约50%的老年人睡眠质量不佳.
- 患病率存在显著的区域差异,需要定制的干预措施.
- 对老年人的睡眠健康策略应该考虑地理和文化背景.
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