睡眠时间与急性护理利用相关:重新审视安德森的健康服务使用行为模型
Marie-Rachelle Narcisse1, Rhoda Moise2, Pearl A McElfish3
1Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Sleep health
|August 12, 2025
概括
短时间或长时间的睡眠持续时间显著增加了急诊室的访问和住院. 解决睡眠健康问题可能会减少急性护理的利用率,强调睡眠是健康需求的关键因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 安德森的行为模型确定了健康需求,倾向性特征和使资源成为医疗利用的关键决定因素.
- 自我报告的睡眠时间是一个关键的,但往往被忽视的健康需求因素,影响获得医疗护理.
研究的目的:
- 调查美国成年人自我报告的睡眠时间和急性护理医院利用率之间的关联.
- 在安德森的行为模型中,检查睡眠时间作为健康需求因素.
主要方法:
- 分析了来自2020年国家健康访谈调查的30122名美国成年人 (18岁以上) 的数据.
- 利用零膨胀负二项式和多变量逻辑回归模型.
- 评估急性护理的利用率,包括急诊室访问和住院住院,与睡眠时间和其他人口统计/社会经济因素相关.
主要成果:
- 非常短和很长的睡眠时间与更高的急诊室访问率有关.
- 与健康睡眠相比,非常短的,短的和长的睡眠时间与夜间住院的几率增加有关.
- 糟糕的健康状况,慢性疾病和人口统计学/支持因素也导致了急性护理的利用率.
结论:
- 睡眠时间是急性护理利用的重要,未经研究的预测因素.
- 旨在改善睡眠健康的干预措施可能会减少急诊室访问和住院.
- 需要进一步的研究来探索睡眠影响医疗保健使用的因果关系和其他方面.
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