状态-特质焦虑在老年失眠症患者睡眠质量和幸福感间的中介作用分析

doi:10.3969/j.issn.1006-5253.2021.02.008

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摘要目的探讨老年失眠患者睡眠质量和幸福感的关系，以及状态-特质焦虑在二者之间的中介效应。方法选取2018年9月至2019年5月某医院心身医学科就诊的150名老年失眠患者为研究对象，采用匹兹堡睡眠质量指数量表(PSQI)、状态-特质焦虑问卷(STAI)和纽芬兰纪念大学幸福度量表（MUNSH）进行问卷调查。结果女性患者STAI得分（105.81±21.93）高于男性患者（94.37±23.08）(P<0.05)；单独居住的患者MUNSH得分（24.10±11.68）低于非单独居住患者（26.38±10.80）(P<0.05)。睡眠质量指数得分与幸福感之间呈负相关( r=-0.557，P<0.05)，状态-特质焦虑与幸福感呈负相关 (r=-0.634，P<0.05)，而状态-特质焦虑与睡眠质量指数得分呈正相关(r=0.510，P<0.05)。结构方程模型分析结果显示，睡眠质量指数得分对幸福感负向影响（β=-0.28，P<0.05），对状态-特质焦虑正向影响（β=0.70，P<0.05）；状态-特质焦虑对幸福感负向影响（β=-0.64，P<0.05）。结论状态-特质焦虑在老年失眠和幸福感之间发挥部分中介作用。睡眠质量指数得分不仅直接影响幸福感，还通过状态-特质焦虑影响老年失眠患者的幸福感。

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	杨肇熙
	万爱兰
	黄晓艳
	梁艳丽
	黄文媚

关键词 ：幸福感, 睡眠质量, 状态-特质焦虑, 中介作用, 结构方程模型

Abstract：Objective To explore the relationship between sleep quality and well-being in the elderly and the intermediary effect of state-anxiety between them. Methods One hundred and fifty-five elderly patients with insomnia in the department of psychosomatic medicine of the First Affiliated Hospital of Nanchang University from September 2018 to May 2019 were investigated with Pittsburgh sleeping quality index (PSQI), state-trait anxiety questionnaire (STAI) and memorial university of Newfoundland scale of happiness (MUNSH). Results The STAI score of female patients was higher than that of male patients, and the MUNSH score of patients living alone was lower than that of non-living alone patients (P<0.05). Sleep quality index score was negatively correlated with well-being (r=-0.557, P<0.05), state-trait anxiety was negatively correlated with well-being (r=-0.634, P<0.05), and state-trait anxiety was positively correlated with sleep quality index score (r=0.510, P<0.05). Structural equation model showed that sleep quality had a negative effect on happiness (β=-0.28, P<0.05) and a positive effect on state-trait anxiety (β=0.70, P<0.05), and state-trait anxiety had a negative effect on well-being (β=-0.64, P<0.05). Conclusion State-trait anxiety plays an intermediary role in elderly patients with insomnia. Sleep quality not only directly affects happiness, but also affects the happiness of elderly patients with insomnia through state-trait anxiety.

Key words： well-being sleep quality state-trait anxiety intermediary role structural equation model

收稿日期: 2020-10-16

通讯作者: 万爱兰，Email：yeungsiuhei@163.com

引用本文:

杨肇熙，万爱兰，黄晓艳，梁艳丽，黄文媚. 状态-特质焦虑在老年失眠症患者睡眠质量和幸福感间的中介作用分析[J]. 中国医院统计, 2021, 28(2): 131-135.
Yang Zhaoxi, Wan Ailan, Huang Xiaoyan, Liang Yanli, Huang Wenmei. Analysis of the mediating role of state-trait anxiety between sleep quality and happiness in elderly patients with insomnia. journal1, 2021, 28(2): 131-135.

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http://manu58.magtech.com.cn/Jwk_zgyytj/CN/10.3969/j.issn.1006-5253.2021.02.008 或 http://manu58.magtech.com.cn/Jwk_zgyytj/CN/Y2021/V28/I2/131

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