评估睡眠质量对中国老年住院患者身体功能的影响
Xinmiao Chang1, Ying Yuan1, Jiling Liao1
1Department of Geriatrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No.1 Dongdan Dahua Road, Dongcheng District, Beijing, 100730, China.
BMC geriatrics
|May 20, 2025
概括
睡眠质量差与老年人的身体功能障碍有关,特别是在女性和老年人中. 改善睡眠可以提高老年患者的身体功能和生活质量.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 物理疗法物理治疗
背景情况:
- 睡眠障碍和身体功能障碍在老年人,尤其是住院患者中很常见.
- 老年人睡眠质量与身体功能之间的关系需要进一步研究.
- 中国人口老龄化需要了解睡眠对身体健康的影响.
研究的目的:
- 分析住院的老年患者的睡眠质量和身体功能指标之间的关联.
- 确定与身体功能缺陷相关的睡眠质量的特定方面.
- 探索睡眠质量与身体功能关系中的年龄和性别差异.
主要方法:
- 横截面研究包括545名老年患者 (≥60岁).
- 使用雅典失眠量表 (AIS-8) 评估睡眠质量.
- 身体功能通过短物理性能电池 (SPPB),步行速度,握力,椅子上升测试和定时起动测试 (TUGT) 进行评估.
- 使用了后勤回归分析,调整了混因素.
主要成果:
- 睡眠质量差 (AIS-8 ≥6) 与较低步行速度 (OR 1.892),较低握力 (OR 1.810) 和TUGT受损 (OR 2.491) 的可能性增加有关.
- 睡眠维持和白天功能障碍组件与身体功能指标有显著的联系.
- 睡眠不足和身体功能下降之间的关联在75岁以上的个体和女性中更为明显.
结论:
- 睡眠质量不佳是老年人身体功能减弱的重要危险因素,特别是在老年人群和女性中.
- 旨在改善老年人睡眠质量的干预措施可能对维持身体功能至关重要.
- 改善睡眠可能会改善睡眠障碍和身体功能障碍的老年患者的生活质量.
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