Objective To investigate sleep quality and its influencing factors among hypertension patients in a community, Shanghai.
Methods A survey was conducted in a community during June-August, 2016 and all participants received physical tests and completed a structured questionnaire.Hypertension patients aged 35-69 were identified and enrolled into this analysis.Sleep quality was assessed by using Pittsburg Sleep Quality Index (PSQI) and the cut-off value for sleeping disorders was PSQI≥8.
Results Among 1 159 hypertension patients, the average PSQI score was 4.24±3.09, which was mainly associated with cardiovascular disease history both in men and women.Body mass index (BMI) and age were associated with PSQI score only in women.13.46% patients reported poor sleep quality, which was higher in women than that in men(18.39% vs 7.79%).Patients with previous history of CVD experienced a greater risk for poor sleep quality, with corresponding ORs(95%CI) being 3.74(1.29-10.87) for men and 2.58(0.90-7.36)for women.CVD history was associated with PSQI scores in sleep efficiency, sleep latency, sleep disturbance, subjective sleep quality in men and daytime dysfunction in women.PSQI score on sleep latency, and sleep quality also differed due to BMI in women.
Conclusion Sleeping disorders are common in community hypertension patients aged between 35 and 59.More efforts need to be made to improve sleep quality and then reduce other related health problems.
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