Reid Kathryn J, Martinovich Zoran, Finkel Sanford, Statsinger Judy, Golden Robyn, Harter Kathryne, Zee Phyllis C
Department of Neurology, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
Am J Geriatr Psychiatry. 2006 Oct;14(10):860-6. doi: 10.1097/01.JGP.0000206164.56404.ba.
The objective of this study was to determine the occurrence and recognition of common sleep-related problems and their relationship to health-related quality-of-life measures in the elderly.
A total of 1,503 participants with a mean age of 75.5 (+/- 6.8, range: 62-100) years from 11 primary care sites serving primarily elderly patients were interviewed. Subjects completed a five-item sleep questionnaire and the SF-12. A Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12) score was calculated. A systematic medical chart review was conducted to determine whether sleep problems were identified by the healthcare providers.
A total of 68.9% of patients reported at least one sleep complaint and 40% had two or more. Participants most commonly endorsed (45%) that they had "difficulty falling asleep, staying asleep, or being able to sleep." The number and type of sleep problems endorsed was associated with both physical and mental health quality-of-life status. Excessive daytime sleepiness was the best predictor of poor mental and physical health-related quality of life. Even when all five sleep questions were endorsed, a sleep complaint was only reported in the chart 19.2% of the time.
When elicited, sleep complaints predicted the general physical and mental health-related quality-of-life status in elderly populations with comorbid medical and mental illnesses. Yet, questions regarding sleep are not an integral component of most clinical evaluations. Given the growing evidence of a relationship between sleep and health, identification of sleep disorders could lead to improved management of common age-related chronic illnesses and quality of life of elderly patients.
本研究的目的是确定老年人常见睡眠相关问题的发生率和认知情况，以及它们与健康相关生活质量指标的关系。
对来自11个主要服务老年患者的初级保健机构的1503名参与者进行了访谈，他们的平均年龄为75.5岁（±6.8，范围：62 - 100岁）。受试者完成了一份五项睡眠问卷和SF - 12问卷。计算了身体成分总结（PCS - 12）和精神成分总结（MCS - 12）得分。进行了系统的病历审查，以确定医疗保健提供者是否识别出睡眠问题。
共有68.9%的患者报告至少有一项睡眠问题，40%的患者有两项或更多。参与者最常认可（45%）他们有“入睡困难、难以维持睡眠或无法入睡”的情况。认可的睡眠问题的数量和类型与身心健康生活质量状况相关。白天过度嗜睡是身心健康相关生活质量差的最佳预测因素。即使所有五个睡眠问题都得到认可，睡眠问题在病历中仅被报告了19.2%的时间。
当被引出时，睡眠问题预示着患有合并内科和精神疾病的老年人群的总体身心健康相关生活质量状况。然而，关于睡眠的问题并非大多数临床评估的组成部分。鉴于睡眠与健康之间关系的证据越来越多，识别睡眠障碍可能会改善常见老年相关慢性病的管理以及老年患者的生活质量。
