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《Chinese Journal of Clinical Medicine》 2017-03
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Investigation of sleep quality of hypertensive elderly in a community of Shanghai

FANG Hua;WANG Na;ZHANG Gao-feng;CHENG Wei-jie;YAO Qiang;SHAN Zhi-nong;XIA Qing-wen;CUI Ting;Gumei Community Health Center of Minhang District;Public Health College,Fudan University;Department of Cardiology,the Fifth People's Hospital of Shanghai;  
Objective:To investigate the sleep status of elderly hypertensive patients stratified into the group of high risk or above in a community.Methods:1 606 patients aged over 65 years were selected from the hypertension database of Gumei Community Health Service Center,Minhang District,Shanghai,including 757 males and 849 females.Pittsburgh Sleep Quality Index(PSQI)was used to investigate the population.Results:43.2% of the patients had sleep disorders.The PSQI score was 7.09±2.95 in the males and 8.07±3.39 in the females(P0.05).In terms of age,the prevalence of sleep disorders among the group of 65 to 69years,the group of 70 to 74years and the group of older than 75 years was 40.1%,42.6%,and 49.4%,respectively.The percentage of sleep disorders in patients with diabetes and those without diabetes was45.4% and 42.3%(P0.05).In characterizing the sleep disorder,51.2% of the patients had difficulty falling asleep frequently,54.8 % of them spent more than six hours in bed but most of these patients(over 95%)had a low sleep efficiency,staying awake about one third(35%)of the time in bed.In the treatment of sleep disorders,less than one-third of the patients took sleeping pills,and about 13% of them took sleeping pills regularly.In evaluation of the impact of sleep disorders,nearly40% of the patients had daytime dysfunction.Conclusions:Among the elderly hypertensive patients stratified into the group of high risk or above,sleep disorders are common.Female,advanced age and diabetes are risk factors to sleep disorders.Which should be paid attention to health workers.
【CateGory Index】: R544.1
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