摘要
目的探讨不同海拔地区人群睡眠质量及生存质量。方法选取2024年1月至5月位于成都平原地区(低海拔地区,海拔400 m)98人(平原组),及青藏高原海拔3700 m地区57人(海拔3700 m组)、海拔3900 m地区263人(海拔3900 m组)、海拔4300 m地区236人(海拔4300 m组),共健康青年志愿者654人。分别对每名志愿者进行匹兹堡睡眠指数(PSQI)评分与生存质量(WHOQOL-BREF)评分。比较每组志愿者的PSQI评分及WHOQOL-BREF评分。结果海拔不同,四组志愿者PSQI评分差异有统计学意义(P<0.05);与平原组比较,另外三组志愿者PSQI评分差异均有统计学意义(P<0.05),且平原组PSQI总分最低,为(2.33±2.72)分,海拔4300 m组总分最高,为(5.07±3.24)分。其中,具体各指标评分中,与平原组比较,另外三组志愿者在睡眠质量、入睡时间、睡眠障碍的评分差异均有统计学意义(P<0.05);与平原组相比,海拔3900 m组和海拔4300 m组的睡眠效率与日间睡眠障碍评分显著升高(P<0.05);与海拔3700 m组相比,海拔4300 m组入睡时间评分显著升高(P<0.05);与海拔3900 m组相比,海拔4300 m组睡眠质量评分显著升高(P<0.05);与海拔3700 m组和海拔3900 m组相比,海拔4300 m组的睡眠效率、日间睡眠障碍评分均具有统计学意义(P<0.05);表明高海拔环境对整体睡眠质量产生显著负面影响。WHOQOL-BREF评分结果表明,与平原组比较,另外三组志愿者在生存质量四个领域评分及总分中,除社会关系外,差异均有统计学意义(P<0.05)。结论高海拔环境对人群睡眠及生活质量具有潜在风险,提示需要关注高原人群的健康需求和生活质量并探索改善措施。
Objective The article aims at investigating the differences in sleep quality and quality of life among populations living at different altitudes.Methods From January 2024 to May 2024,a total of 654 volunteers were recruited,including 98 individuals from the Chengdu Plain region(low altitude,400 m;Plain Group),57 individuals from an altitude of 3700 m(3700 m Group),263 individuals from an altitude of 3900 m(3900 m Group),and 236 individuals from an altitude of 4300 m(4300 m Group).Each volunteer underwent assessment using the Pittsburgh Sleep Quality Index(PSQI)and the World Health Organization Quality of Life-BREF(WHOQOL-BREF).The PSQI and WHOQOL-BREF scores among different groups were compared.Results Significant differences in PSQI scores were observed across the four groups.Compared to the Plain Group,the other three groups exhibited notable differences in PSQI scores(P<0.05),with the Plain Group having the lowest mean total score of(2.33±2.72)scores and the 4300 m Group showing the highest total score of(5.07±3.24)scores.Specifically,in terms of individual indicators,in comparisons with the Plain Group,the other three groups showed significant differences in sleep quality,sleep latency,and sleep disturbances(P<0.05);the 3900 m and 4300 m Groups had significantly higher scores for sleep efficiency and daytime sleep disturbances compared to the Plain Group(P<0.05);the 4300 m Group also demonstrated a significantly increased sleep latency score relative to the 3700 m Group(P<0.05)and exhibited a significantly higher sleep quality score compared to the 3900 m Group(P<0.05).Statistical significance was found in sleep efficiency and daytime sleep dis-turbance scores when comparing the 4300 m Group with both the 3700 m and 3900 m Groups(P<0.05),indicating a significant nega-tive impact of high-altitude environments on overall sleep quality.The WHOQOL-BREF results revealed that,in comparison to the Plain Group,all three high-altitude groups scored significantly differently in three of the four domains of quality of life,as well as in the overall score,except for the social relationships domain(P<0.05).Conclusion High-altitude environments pose potential risks to sleep and quality of life among populations,highlighting the need to address the health requirements of high-altitude communities and explore improvement measures.
作者
赵睿婷
刘海峰
姥伟
蔡羚琴
ZHAO Ruiting;LIU Haifeng;LAO Wei;CAI Lingqin(Department of Cadre WardⅡ,the General Hospital of Western Theater Command,Chengdu 610000,Sichuan,China;Department of Blood Transfusion,the 942th Hospital of the Joint Logistics Support Force PLA,Yinchuan 750000,Ningxia,China;Department of Orthopedics,the 942th Hospital of the Joint Logistics Support Force PLA,Yinchuan 750000,Ningxia,China)
出处
《医学研究与战创伤救治》
北大核心
2025年第8期853-856,共4页
Journal of Medical Research & Combat Trauma Care
关键词
高海拔
睡眠质量
生存质量
high altitude
sleep quality
quality of life
