fa عوامل موثر بر کیفیت خواب در سالمندان شهر آمل: یک مطالعه علیتی روانپزشکی psychiatry پژوهشي-کامل Research(Original) <div><span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:53.3pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">&nbsp;</span></span></span></b></span></span></span></span></span></span><span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span> <span b="" style="font-family:" zar=""><span style="color:black">کیفیت نامناسب خواب یکی از شایع</span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar="">&rlm;</span></span></span><span b="" style="font-family:" zar=""><span style="color:black">ترین مشکلاتی است که سالمندان با آن روبرو هستند.</span></span> <span b="" style="font-family:" zar=""><span style="color:black">اختلال <span style="letter-spacing:-.1pt">خواب، اثرات نامطلوب گسترده</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">&rlm;</span></span></span></span><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">ای برجنبه</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">&rlm;</span></span></span></span><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">های مختلف سلامت جسمانی، روانی و اجتماعی سالمندان خواهد داشت و کیفیت</span></span></span><span b="" style="font-family:" zar=""><span style="color:black"> <span style="letter-spacing:-.1pt">زندگی ایشان را تحت تاثیر قرار خواهد داد. لذا مطالعه حاضر به</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">&rlm;</span></span></span></span><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">منظور بررسی کیفیت خواب در سالمندان و شناسایی عوامل</span></span></span><span b="" style="font-family:" zar=""><span style="color:black"> موثر بر آن انجام گرفت.</span></span><span b="" style="font-family:" zar=""><span style="color:#0e101a"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">این مطالعه مقطعی در سال 1397 بر روی جمعیت 60 سال و بالاتر شهرستان آمل، شمال ایران،</span></span></span> <span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">که <span style="letter-spacing:-.2pt">رضایت فردی جهت شرکت در مطالعه داشتند و در مصاحبه پزشکی، آلزایمر و افسردگی شدید نداشتند و قادر به پاسخ</span></span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt">&rlm;</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">گویی</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> سوالات بودند، انجام گرفت. نمونه پژوهش به روش نمونه گیری چند مرحله ای تصادفی انتخاب شدند. برای جمع</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar="">&rlm;</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">آوری داده</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar="">&rlm;</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">ها از پرسشنامه کیفیت خواب پیتزبورگ، آزمون کوتاه شده شناختی</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">AMTS</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">، مقیاس بیمارستانی اضطراب و افسردگی </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">HADS</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">، کیفیت زندگی</span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">SF36</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">و پرسشنامه فعالیت فیزیکی سالمندان </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">PASE</span></span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> استفاده شد. تکمیل پرسشنامه</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar="">&rlm;</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">ها توسط محقق آموزش دیده طرح انجام گرفت.</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">از 401 شرکت</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar="">&rlm;</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">کننده، 191 نفر (47/6 درصد ) زن و 276 نفر (68/8 درصد) ساکن شهر بودند. یافته</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar="">&rlm;</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">ها نشان داد 192 نفر از سالمندان (47/9 درصد) کیفیت خواب نامطلوب داشتند. در آنالیز رگرسیون لجستیک چند متغیره، مصرف داروی خواب </span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">(14/60- 2/95)95%</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">CI</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""> 6/57<span style="color:black">=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">aOR</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">)، جنس زن </span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">(10/36- 2/81)95%</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">CI</span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""> <span lang="AR-SA" style="color:black">5/40=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">aOR</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">)، افسردگی<br> (</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">1/00- 0/21)95%</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">CI</span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""> <span lang="AR-SA" style="color:black">0/46=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">aOR</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">) و بعد جسمانی (</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">(1/01- 0/95)95%</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">CI</span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""> <span lang="AR-SA" style="color:black">0/97=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">aOR</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">) و روانی </span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">(0/99- 0/92)95%</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">CI</span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""> <span lang="AR-SA" style="color:black">0/95=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">aOR</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">) کیفیت زندگی، ارتباط معنی</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar="">&rlm;</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">دار آماری با کیفیت خواب در حضور سایر متغیرها را نشان دادند.</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">یافته های این مطالعه حاکی از فراوانی بالای کیفیت نامطلوب خواب در بین سالمندان بود، که با مصرف داروی خواب</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar="">&rlm;</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">آور، جنس زن و وضعیت افسردگی ایشان در ارتباط بود. بدین جهت، مداخلات مناسب به منظور بهبود کیفیت خواب سالمندان پیشنهاد می</span></span></span><span lang="FA" style="background:white"><span style="line-height:90%"><span b="" style="font-family:" zar="">&rlm;</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">گردد.</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:53.3pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span dir="LTR" style="font-size:14.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></span></div> <span style="font-size:11pt"><span style="line-height:200%"><span style="tab-stops:209.25pt"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" style="font-size:14.0pt"><span style="line-height:200%">&nbsp;</span></span></b></span></span></span></span></span><span style="font-size:12pt"><span style="line-height:140%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:140%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b><span lang="EN" style="font-size:10.0pt"><span style="line-height:140%"> Poor sleep quality is one of the most common problems in older population. Sleep disorder has negative effects on physical, mental, and social aspects of their life and influences their quality of life.&nbsp; This study was carried out to assess the sleep quality and its related factors in older adults.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:140%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:140%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b><b> </b><span lang="EN" style="font-size:10.0pt"><span style="line-height:140%">This cross-sectional study was conducted in older adults aged 60 years and over living in Amol, north of Iran who were willing to participate in the study, did not have Alzheimer&#39;s disease and major depression, and could respond to questions. They were selected via multi-stage random sampling. The Pittsburgh Sleep Quality Index, Abbreviated Mental Test Score (AMTS), Hospital Anxiety and Depression Scale (HADS), SF36 Quality Of Life Questionnaire, and Physical Activity Scale For The Elderly (PASE) were used for data collection. A trained researcher filled out the research questionnaires.</span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:140%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:140%"><span arial="" style="font-family:">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:140%">Among </span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:140%">401 participants, 191 (47.6%) were women and 276 (68.8%) people were living in urban areas. Findings showed that 192 (47.9%) people had poor sleep quality. Multivariate logistic regression analysis showed significant relationships between sleep quality and taking sleeping drugs (adjusted OR: 6.57, 95% CI: 2.95-14.60, P=0.001), female gender (aOR: 5.40, 95% CI: 2.81-10.36, P=0.001), and depression (aOR: 0.46, 95% CI: 0.21-1.00, P=0.05), and also between physical (aOR: 0.97, 95% CI: 0.95-1.01, P=0.05) and mental (aOR: 0.95, 95% CI: 0.92-0.99, P=0.05) aspects of life</span></span><span style="font-size:10.0pt"><span style="line-height:140%">.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:140%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:140%"><span arial="" style="font-family:">Conclusion:</span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span style="line-height:140%">Findings revealed a high prevalence of poor sleep quality in the elderly which was associated with female gender, taking sleeping drugs, and depression. So, appropriate interventions are suggested to improve sleep quality in older adults.</span></span><i><span style="font-size:10.0pt"><span style="line-height:140%"></span></span></i></span></span></span></span><br> &nbsp; کیفیت خواب, سالمند, سلامت روان sleep quality, elderly, mental health 67 76 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-2194-2&slc_lang=fa&sid=1 Parisa Habibi پریسا حبیبی habibiparisa1@gmail.com 1003194753284600155991 1003194753284600155991 No MSc in Geriatric Nursing, Facfulty of Public Health, Babol University of Medical Sciences, Babol, Iran کارشناس ارشد سالمند شناسی، دانشکده بهداشت، دانشگاه علوم پزشکی بابل، بابل، ایران Sussan Moudi سوسن موعودی sussan.mouodi@gmail.com 1003194753284600155992 1003194753284600155992 No Associate Professor, Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran دانشیار، گروه روانپزشکی، مرکز تحقیقات عوامل اجتماعی موثر بر سلامت، پژوهشکده سلامت، دانشگاه علوم پزشکی بابل، بابل، ایران Reza Ghadimi رضا قدیمی rezaghadimi@yahoo.com 1003194753284600155993 1003194753284600155993 Yes Professor, Department of Community Medicine, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran استاد، گروه پزشکی اجتماعی، مرکز تحقیقات عوامل اجتماعی موثر بر سلامت، پژوهشکده سلامت، دانشگاه علوم پزشکی بابل، بابل، ایران