睡眠质量,白天嗜睡和跌倒风险:来自探索性横截面研究的结果
Francesco Salis1,2, Rosamaria Lecca3, Maristella Belfiori3
1Sleep Disorder Centre, Department of Medical Sciences, and Public Health, University of Cagliari, SS 554 Bivio Sestu, 09042 Monserrato, Cagliari, Italy. francesco-salis@tiscali.it.
European geriatric medicine
|November 7, 2024
概括
睡眠质量差和过度的白天嗜睡 (EDS) 显著增加了老年人跌倒的风险. 管理这些睡眠问题对于预防老年人跌倒至关重要.
科学领域:
- 老年学是指老年学的学科.
- 睡眠医学 睡眠医学
- 老年医学 老年医学
背景情况:
- 睡眠障碍越来越被认为是老年人的重大健康问题.
- 管理老年人的睡眠障碍是复杂的,需要一个多维的方法.
- 跌倒是老年人患病和死亡的主要原因之一.
研究的目的:
- 调查睡眠质量和白天嗜睡与老年人跌倒风险之间的关联.
- 为了确定睡眠质量不佳或白天睡眠过度是否是老年人跌倒的独立风险因素.
主要方法:
- 从老年医疗服务中招募了206名75岁及以上的参与者.
- 使用匹兹堡睡眠质量指数 (PSQI) 评估睡眠质量.
- 使用爱普沃思睡眠度量 (ESS) 测量白天的嗜睡程度,使用以绩效为导向的移动性评估 (POMA) 评估跌倒风险.
主要成果:
- 68.4%的参与者报告睡眠质量不佳,20.9%的人经历过多的白天嗜睡 (EDS).
- 在高跌倒风险和睡眠质量差 (p=0.0029) 和EDS (p=0.0027) 之间发现了显著的关联.
- 后勤回归显示,睡眠质量差 (OR:2.04) 和EDS (OR:2.56) 在调整混因子后,独立地与跌倒风险增加有关.
结论:
- 睡眠质量差和过度的白天嗜睡是老年人倒的重要独立风险因素.
- 这些发现强调了在老年护理中解决睡眠障碍的重要性,以减轻跌倒风险.
- 针对睡眠质量和白天嗜睡的干预措施可能有助于减少老年人群的跌倒.
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