中国当代医药2025，Vol.32Issue(12)：111-115,5.DOI:10.3969/j.issn.1674-4721.2025.12.24
老年神经症患者睡眠质量现状及其与负性情绪的相关性
Status of sleep quality in elderly patients with neurosis and its correlation with negative emotions
摘要
Abstract
Objective To analyze the relationship between sleep quality and negative emotions in elderly patients with neu-rosis,and to provide a theoretical basis for clinical practice.Methods A total of 480 elderly patients with neurosis admitted to the second people's hospital of Hunan province from January 2023 to June 2024 were selected as the research objects,and the general information,sleep quality,anxiety depression and other conditions of the research objects were collected.The status of sleep quality,anxiety and depression in all patients were analyzed,and the rating results of sleep quality and anxiety and depression in different genders were compared.The relationship between Pittsburgh sleep quality index(PSQI)score and self-rating anxiety scale(SAS),self-rating depression scale(SDS)score was analyzed by Spearman correlation.Results The PSQI score of 480 elderly patients with neurosis(13.74±2.55)points was higher than the national norm(7.37±1.35)points,all patients had sleep disorders,including 233(48.54％)mild,202(46.12％)moderate,and 45(10.27％)severe.455 cases(94.79％)had depressive symptoms according to SDS score,and 461 cases(96.04％)had anxiety symptoms according to SAS score.According to the types of sleep disorders,all elderly patients with neurological sleep disorders were divided into:insomnia 158 cases(32.92％),sleep apnea syndrome 135 cases(30.82％),circadian sleep disor-der 79 cases(18.36％),restless legs syndrome 25 cases(5.71％),narcolepsy 37 cases(8.45％),rapid eye move-ment sleep behavior disorder 46 cases(10.18％).The PSQI,SDS and SAS scores of women were significantly higher than those of men in patients of different genders,and there were statistically significant differences in PSQI,SDS and SAS scores in different age groups(P＜0.05).Patients with PSQI score of 70-80 years old had the highest score,while patients with SDS and SAS score of 80-85 years old had the highest score.There was no significant difference in PSQI,SDS,SAS scores among different disease types(P＞0.05).Spearman's correlation analysis showed that the total PSQI score was positively correlated with SAS and SDS scores,with sleep disorders,habitual sleep efficiency,sleep persistence,daytime dysfunction,subjective sleep quality,and sleep medication use correlating strongly.Conclusion Elderly patients with neurosis have a high incidence of sleep disorders,and anxiety and depression are closely related to the sleep quality of patients with neurosis.Clinical attention should be paid and intervention methods should be actively sought to improve the sleep problems of patients.关键词
老年神经症患者/睡眠质量/焦虑情绪/抑郁情绪/相关性Key words
Elderly patients with neurosis/Sleep quality/Anxiety/Depressed mood/Correlation分类
医药卫生引用本文复制引用
温玉婷,陈金虹,张栋,赵慧源..老年神经症患者睡眠质量现状及其与负性情绪的相关性[J].中国当代医药,2025,32(12):111-115,5.基金项目
湖南省卫生健康委科研计划项目(20200831). （20200831）
