躯体疼痛程度和睡眠时长在老年人慢性病患病数量和抑郁症状间的中介效应  

Mediating effects of somatic pain level and sleep duration on the number of chronic illnesses and depressive symptoms in older adults

作　　者：童迁 潘晨靖 徐芳芳 苏丹 TONG Qian;PAN Chenjing;XU Fangfang;SU Dan(School of Medical Economics and Management,Anhui University of Traditional Chinese Medicine,Hefei 230012;Department of Pharmacy,The First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230000,China;Health Management Center,The First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230000,China)

机构地区：[1]安徽中医药大学医药经济管理学院,安徽合肥230012 [2]中国科学技术大学附属第一医院(安徽省立医院)药学部,安徽合肥230000 [3]中国科学技术大学附属第一医院(安徽省立医院)健康管理中心,安徽合肥230000

出　　处：《南京医科大学学报（社会科学版）》2024年第5期470-476,共7页Journal of Nanjing Medical University（Social Sciences）

基　　金：国家自然科学基金“高盐环境中THBS1表达的动态变化及其对Kent2调节在内皮细胞功能中的作用及机制研究”(82204381);安徽省高等学校省级质量工程项目“标准化病人结合CBL在临床药学本科生教学中的研究与实践”(2021jyxm1799)。

摘　　要：文章选取中国健康养老与追踪(CHARLS)2020年数据中≥60岁的患慢性病老年人6826名,对相关数据进行统计分析,发现性别、年龄、居住地、婚姻状况、饮酒状况、正常工作劳动程度、患慢性病数量、睡眠时长、躯体疼痛程度是患慢性病老年人抑郁症状的影响因素,躯体疼痛程度和睡眠时长对老年人慢性病共病数量和抑郁症状产生链式中介效应和独立中介效应。应重视慢性病共病对抑郁症状的影响和老年人躯体疼痛管理,出现躯体疼痛及早预防治疗,保持良好心情,适当增加运动和睡眠时长,增加休闲娱乐活动,减少慢性病共病老年人的抑郁症状,提高老年人健康生命质量。This study selected 6826 older adults suffering from chronic diseases in China Healthy Aging and Tracking(CHARLS)2020 data who were≥60 years old.The related data were statistically analyzed,and found that gender,age,place of residence,marital status,alcohol consumption status,degree of daily work and labor,the number of chronic diseases,sleep duration and the degree of somatic pain were influential factors in the depressive symptoms of older adults with chronic diseases.The degree of somatic pain and sleep duration had a chain-mediated effect and an independent-mediated effect on the number of multimorbidity and depressive symptoms of older adults.It is essential to emphasize the impact of multimorbidity on depressive symptoms and the management of somatic pain in older adults,early prevention and treatment of somatic pain,maintenance of a good mood,appropriate increase in the number of hours of exercise and sleep,and increase in the number of leisure and recreational activities,to reduce the depressive symptoms in older adults with multimorbidity and to improve the quality of life of older adults in health.

关 键 词：慢性病 抑郁症状 躯体疼痛 睡眠时长 中介效应 

分 类 号：C913.6[经济管理]