Correlation between sleep quality and social support for the elderly in China: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

ZENG Li ,  WANG Jialin , ZUO Min , JIN Man , TANG Ping , XIE Wanqing

Nursing College of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, P.R.China;

Corresponding?author：

WANG Jialin, Email: wangjialin@cdutcm.edu.cn

Keywords：

The elderly; Sleep quality; Social support; Meta-analysis; Systematic review

DOI：

10.7507/1672-2531.202010150

Video：

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Objective To systematically review the correlation between sleep quality and social support of the elderly.Methods Databases including PubMed, MEDLINE, The Cochrane Library, Springerlink, ProQuest, CMB, CNKI, VIP, and WanFang Data were searched to collect studies on the correlation between sleep quality and social support of the elderly from January 1996 to January 2020. Two reviewers independently screened literature, extracted data and evaluated risk of bias of included studies. Meta-analysis was then performed using RevMan 5.3 software.Results A total of 9 studies involving 2 427 elderly people were included. The meta-analysis showed that the combined correlation coefficient between sleep quality and social support was -0.40 (95%CI ?0.54 to ?0.26). The correlation between sleep quality and social support of the elderly varied with the year of publication and sample size, however without regular change. The correlation coefficient of the elderly from institutions (hospital or pension institutions) was higher than that of the community (?0.33 vs. ?0.26); the correlation coefficient of the elderly with health problems was higher than those without health problems (?0.32 vs. ?0.25); the results measured by non-random sampling method were higher than those measured by random sampling (?0.37 vs. ?0.23); and the results measured by Pittsburgh sleep quality index (PSQI) and social support rating scale (SSRS) were higher than those measured by PSQI and perceived social support scale (PSSS) (?0.30 vs. ?0.13).Conclusions The higher the level of social support of the elderly in China, the lower the score of PSQI, and the better the sleep quality, in which there are differences in different sample sources and physical conditions.

Citation： ZENG Li, WANG Jialin, ZUO Min, JIN Man, TANG Ping, XIE Wanqing. Correlation between sleep quality and social support for the elderly in China: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2021, 21(4): 401-406. doi: 10.7507/1672-2531.202010150 Copy

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12.	楊歡歡, 楊奇偉, 丁杏. 老年慢性病患者睡眠質量與社會支持的相關性研究. 成都醫學院學報, 2016, 11(2): 168-171.
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18.	Tsiligianni I, Kocks J, Tzanakis N, et al. Factors that influence disease-specific quality of life or health status in patients with COPD: a review and meta-analysis of Pearson correlations. Prim Care Respir J, 2011, 20(3): 257-268.
19.	葛芳君, 趙磊, 劉俊, 等. 基于 Pearson 相關系數的老年人社會支持與心理健康相關性研究的 Meta 分析. 中國循證醫學雜志, 2012, 12(11): 1320-1329.
20.	Borenstein M, Hedges LV, Higgins JPT, et al. Introduction to meta-analysis (1^st edition). UK: John Wiley&Sons Ltd, 2009.
21.	Costa SV, Ceolim MF, Neri AL. Sleep problems and social support: Frailty in a Brazilian Elderly Multicenter study. Rev Lat Am Enfermagem, 2011, 19(4): 920-927.
22.	Ma Y, Hu Z, Qin X, et al. Prevalence and socio-economic correlates of insomnia among older people in Anhui, China. Australas J Ageing, 2018, 37(3): E91-E96.
23.	簡偉研, 楊磊, 王輝. 中國社區老年人睡眠質量狀況及影響因素. 中國老年學雜志, 2019, 34(3): 606-611.
24.	Stafford M, Bendayan R, Tymoszuk U, et al. Social support from the closest person and sleep quality in later life: Evidence from a British birth cohort study. J Psychosom Res, 2017, 98: 1-9.
25.	劉連啟, 王汝展, 劉賢臣, 等. 老年人睡眠質量及其相關因素研究. 中國老年學雜志, 2002, 22(6): 437-440.
26.	李艷. 老年慢性心力衰竭患者睡眠障礙的影響因素. 中國老年學雜志, 2017, 37(19): 4905-4906.
27.	周立芝. COPD 老年人睡眠質量及影響因素分析. 中國公共衛生, 2017, 33(6): 950-954.

1. 中華人民共和國國務院. 關于印發“十三五”國家老齡事業發展和養老體系建設規劃的通知, 2020. Available from: http://www.gov.cn/zhengce/content/2017-03/06/content_5173930.htm.
2. World Health Organization. Global strategy and action plan on ageing and health (2016-2020), 2015. Available from: https://www.who.int/health-topics/ageing#tab=tab_1.
3. 李亞寧, 陳長香, 李建民. 不同地區老年人睡眠質量及相關因素分析. 現代預防醫學, 2007, 34(6): 1015-1016.
4. 劉海娟, 陳長香, 郝習君. 老年人睡眠障礙及其影響因素. 中國老年學雜志, 2010, 30(15): 2198-2200.
5. 劉立君, 吳艷平, 劉利華. 108例社區老年高血壓患者主觀幸福感與社會支持的相關性研究. 中國老年保健醫學, 2010, 8(1): 59-61.
6. 王潔, 王慧華. 老年高血壓患者主觀幸福感對睡眠質量影響的調查研究. 實用心腦肺血管病雜志, 2013, 21(3): 89-90.
7. 黃儉強, 陳琪爾. 老年人睡眠質量與孤獨及社會支持的相關性研究. 中國行為醫學科學, 2006, 15(1): 47-48.
8. 孫潔. 湖南省長沙市老年人睡眠質量及相關因素的調查分析. 長沙: 中南大學, 2011.
9. 陳潔. 住院老年患者睡眠質量與社會支持的關系調查. 福建醫藥雜志, 2012, 34(5): 135-136, 150.
10. 周俊, 謝麗琴, 陳曉崗. 湖南省農村留守老年人睡眠狀況及其影響因素研究. 中國護理管理, 2015, (4): 437-439, 440.
11. 鄭悅平, 楊曉蘇, 王耀輝. 老年住院患者睡眠質量與心理社會因素分析. 世界睡眠醫學雜志, 2015, 2(6): 324-327.
12. 楊歡歡, 楊奇偉, 丁杏. 老年慢性病患者睡眠質量與社會支持的相關性研究. 成都醫學院學報, 2016, 11(2): 168-171.
13. 杜吉利, 周小丹, 遲會, 等. 老年高血壓患者社會支持對睡眠質量的影響. 中國老年學雜志, 2017, 37(10): 2555-2556.
14. 潘敏. 農村老年人睡眠質量與心理健康關系探究. 天津: 天津師范大學, 2018.
15. 黃丹丹. 養老機構失能老年人心理彈性、社會支持與睡眠質量的相關性研究. 沈陽: 遼寧中醫藥大學, 2019.
16. Rostom A, Dube C, Cranney A, et a1. Agency for Healthcare Research and Quality (US), 2020. Available from: http://www.ncbi.nlm.nih.gov/books/NBK35156.
17. 李莎莎, 王麗娜, 鄂緒, 等. 基于 Pearson 相關系數中國空巢老年人生活質量與社會支持相關性研究的 Meta 分析. 重慶醫學, 2018, 47(1): 66-70.
18. Tsiligianni I, Kocks J, Tzanakis N, et al. Factors that influence disease-specific quality of life or health status in patients with COPD: a review and meta-analysis of Pearson correlations. Prim Care Respir J, 2011, 20(3): 257-268.
19. 葛芳君, 趙磊, 劉俊, 等. 基于 Pearson 相關系數的老年人社會支持與心理健康相關性研究的 Meta 分析. 中國循證醫學雜志, 2012, 12(11): 1320-1329.
20. Borenstein M, Hedges LV, Higgins JPT, et al. Introduction to meta-analysis (1^st edition). UK: John Wiley&Sons Ltd, 2009.
21. Costa SV, Ceolim MF, Neri AL. Sleep problems and social support: Frailty in a Brazilian Elderly Multicenter study. Rev Lat Am Enfermagem, 2011, 19(4): 920-927.
22. Ma Y, Hu Z, Qin X, et al. Prevalence and socio-economic correlates of insomnia among older people in Anhui, China. Australas J Ageing, 2018, 37(3): E91-E96.
23. 簡偉研, 楊磊, 王輝. 中國社區老年人睡眠質量狀況及影響因素. 中國老年學雜志, 2019, 34(3): 606-611.
24. Stafford M, Bendayan R, Tymoszuk U, et al. Social support from the closest person and sleep quality in later life: Evidence from a British birth cohort study. J Psychosom Res, 2017, 98: 1-9.
25. 劉連啟, 王汝展, 劉賢臣, 等. 老年人睡眠質量及其相關因素研究. 中國老年學雜志, 2002, 22(6): 437-440.
26. 李艷. 老年慢性心力衰竭患者睡眠障礙的影響因素. 中國老年學雜志, 2017, 37(19): 4905-4906.
27. 周立芝. COPD 老年人睡眠質量及影響因素分析. 中國公共衛生, 2017, 33(6): 950-954.

Chinese Journal of Evidence-Based Medicine

Correlation between sleep quality and social support for the elderly in China: a meta-analysis

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