Differences in insomnia-related self-reported outcomes among elderly hospitalized patients  

作　　者：Xia Ding Ling-Xia Qi Dong-Yun Sun 

机构地区：[1]Department of Gangzha General Medical Center,The Affiliated Hospital of Nantong University,Nantong 226000,Jiangsu Province,China [2]Department of Anesthesiology and Surgery,The Affiliated Hospital of Nantong University,Nantong 226000,Jiangsu Province,China [3]Department of Ophthalmic Surgery Room,The Affiliated Hospital of Nantong University,Nantong 226000,Jiangsu Province,China

出　　处：《World Journal of Psychiatry》2024年第5期686-694,共9页世界精神病学杂志

摘　　要：Insomnia is among the most common sleep disorders worldwide.Insomnia in older adults is a social and public health problem.Insomnia affects the physical and mental health of elderly hospitalized patients and can aggravate or induce physical illnesses.Understanding subjective feelings and providing reasonable and standardized care for elderly hospitalized patients with insomnia are urgent issues.AIM To explore the differences in self-reported outcomes associated with insomnia among elderly hospitalized patients.METHODS One hundred patients admitted to the geriatric unit of our hospital between June 2021 and December 2021 were included in this study.Self-reported symptoms were assessed using the Athens Insomnia Scale(AIS),Generalized Anxiety Disorder Scale-7(GAD-7),Geriatric Depression Scale-15(GDS-15),Memorial University of Newfoundland Scale of Happiness(MUNSH),Barthel Index Evaluation(BI),Morse Fall Scale(MFS),Mini-Mental State Examination,and the Short Form 36 Health Survey Questionnaire(SF-36).Correlation coefficients were used to analyze the correlation between sleep quality and self-reported symptoms.Effects of insomnia was analyzed using Logistic regression analysis.RESULTS Nineteen patients with AIS≥6 were included in the insomnia group,and the incidence of insomnia was 19%(19/100).The remaining 81 patients were assigned to the non-insomnia group.There were significant differences between the two groups in the GDA-7,GDS-15,MUNSH,BI,MFS,and SF-36 items(P<0.05).Patients in the insomnia group were more likely to experience anxiety,depression,and other mental illnesses,as well as difficulties with everyday tasks and a greater risk of falling(P<0.05).Subjective well-being and quality of life were poorer in the insomnia group than in the control group.The AIS scores positively correlated with the GAD-7,GDS-15,and MFS scores in elderly hospitalized patients with insomnia(P<0.05).Logistic regression analysis showed that GDS-15≥5 was an independent risk factor for insomnia in elderly hospitalized patients(P<0.0

关 键 词：Elderly hospitalized patients INSOMNIA Self-reported outcomes SYMPTOMS Subjective feelings Correlation 

分 类 号：R473.6[医药卫生—护理学]