慢性疾病中的睡眠质量和患者激活:一个横截面调解分析
Christian J Wiedermann1, Verena Barbieri1, Stefano Lombardo2
1Institute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.
Clocks & sleep
|September 22, 2025
概括
较高的患者激活与更好的睡眠质量有关,但慢性疾病部分调解了这种联系. 管理慢性疾病和睡眠问题对于整体健康和福祉至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
- 睡眠科学 睡眠科学
背景情况:
- 患者的激活是慢性疾病自我管理的关键.
- 睡眠质量对整体健康至关重要.
- 患者激活,睡眠质量和慢性疾病之间的相互作用尚未完全理解.
研究的目的:
- 为了研究患者激活和睡眠质量之间的关联.
- 探索不同慢性疾病群体之间这种关系的变化.
- 确定慢性疾病是否调解了患者激活和睡眠质量之间的联系.
主要方法:
- 在意大利南蒂罗尔,对2090名成年人的横截面调查.
- 使用患者激活度 (PAM-10) 测量患者激活度.
- 通过简要的匹兹堡睡眠质量指数 (B-PSQI) 评估睡眠质量.
- 统计分析包括双变量,回归和调解分析 (PROCESS).
主要成果:
- 与没有慢性疾病的人相比,患有慢性疾病的人报告睡眠较差,患者激活率较低.
- 在患者激活得分和睡眠质量指数得分之间发现了负相关性.
- 慢性疾病状态部分介导了患者激活和睡眠质量之间的关系,解释了4.7%至6.3%的效应.
结论:
- 增加患者激活与改善睡眠质量有关.
- 患者在睡眠中激活的好处因慢性疾病的存在而部分减少.
- 建议对慢性疾病和睡眠障碍采取有效的管理策略.
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