我国老年慢性病患者疼痛与睡眠的关系及日常活动能力和生活满意度的中介作用研究  

A study of the relationship between pain and sleep and the mediating role of daily mobility and life satisfaction in our older patients with chronic diseases

作　　者：刘彦旭 罗莉[2] 付国琪 柴钰霖 薛彩玲 宋琦 张锦 罗盛 LIU Yan-xu;LUO Li;FU Guo-qi;CHAI Yu-lin;XUE Cai-ling;SONG Qi;ZHANG Jin;LUO Sheng(School of Management,Shandong Second Medical University,Weifang,Shandong 261053,China;不详)

机构地区：[1]山东第二医科大学管理学院,山东潍坊261053 [2]潍坊市人民医院医保办 [3]山东第二医科大学继续教育学院,山东潍坊261053

出　　处：《现代预防医学》2025年第4期703-708,共6页Modern Preventive Medicine

基　　金：山东省自然科学基金资助项目(ZR2023MG004,ZR2019MG027);山东省软科学研究计划项目(2022RKY07010);山东省研究生教育教学改革研究项目(SDYJSJGC2023067)。

摘　　要：目的探讨老年慢性病患者疼痛、日常活动能力、生活满意度与睡眠之间的复杂关系,为改善其睡眠提供新的视角与干预策略。方法本研究基于中国健康与养老追踪调查(CHARLS)2020年数据,选取60岁及以上的慢性病患者作为研究对象,筛选出符合标准样本量为8591。采用t检验、方差分析、Pearson相关分析进行单因素分析,使用PROCESS 4.2进行中介效应分析及检验。结果老年人疼痛与睡眠时长(r=-0.196)和生活满意度(r=-0.132)存在负相关,与日常活动能力(r=0.292)呈正相关。中介检验报告显示,老年人疼痛对睡眠时长有直接效应(95%CI:-0.082~-0.057),日常活动能力(95%CI:-0.015~-0.007)和生活满意度(95%CI:-0.005~-0.002)在两者之间发挥链式中介作用。结论在改善老年慢性病患者健康管理时,需重点关注疼痛、日常活动能力与生活满意度,以制定更有效的干预策略。Objective To explore the complex relationship between pain,ability to perform daily activities,life satisfaction and sleep in older patients with chronic diseases,and to provide new perspectives and intervention strategies to improve their sleep.Methods Based on the data of China Health and Retirement Longitudinal Study(CHARLS)2020,this study selected patients with chronic diseases aged 60 years and above as the study subjects,and screened out the sample size of 8591 that met the criteria.T-test,analysis of variance(ANOVA),and Pearson's correlation analysis were used for the univariate analyses,and PROCESS 4.2 was used for the mediation effect analyses and tests.Results Pain in older adults was negatively correlated with sleep duration(r=-0.197)and life satisfaction(r=-0.132),and positively correlated with ability to perform daily activities(r=0.292).The mediation test reported that pain in older adults had a direct effect on sleep duration(95%CI:-0.082--0.057),with ability to perform daily activities(95%CI:-0.015--0.017)and life satisfaction(95%CI:-0.005-0.002)acting as chained mediators between the two.Conclusion When improving the health management of older patients with chronic diseases,there is a need to focus on pain,daily mobility and life satisfaction in order to develop more effective intervention strategies.

关 键 词：疼痛 睡眠 日常活动能力 生活满意度 慢性病 

分 类 号：R195.4[医药卫生—卫生统计学]