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Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions.预防老年人的社会隔离和孤独感：健康促进干预措施的系统评价
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2
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Am J Alzheimers Dis Other Demen. 2013 May;28(3):253-7. doi: 10.1177/1533317513481098.
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A review of social isolation: an important but underassessed condition in older adults.社会隔离综述：老年人中一种重要但未得到充分评估的状况。
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Interpersonal factors in insomnia: a model for integrating bed partners into cognitive behavioral therapy for insomnia.失眠的人际因素：将伴侣纳入失眠认知行为疗法的整合模型。
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Prevalence of self-reported sleep problems among people with diabetes in the United States, 2005-2008.2005-2008 年美国糖尿病患者自述睡眠问题的流行率。
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Associations between sleep disorders, sleep duration, quality of sleep, and hypertension: results from the National Health and Nutrition Examination Survey, 2005 to 2008.睡眠障碍、睡眠时间、睡眠质量与高血压的关联：来自 2005 至 2008 年全国健康与营养调查的结果。
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Social isolation.社会隔离。
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Insomnia and its correlates in a representative sample of the Greek population.希腊人群代表性样本中的失眠及其相关因素。
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高血压和社会隔离在导致痴呆症患者睡眠中断中的重要性。

Importance of hypertension and social isolation in causing sleep disruption in dementia.

机构信息

1Institute of Gerontology, Universiti Putra Malaysia, Selangor, Malaysia.

出版信息

Am J Alzheimers Dis Other Demen. 2014 Feb;29(1):61-6. doi: 10.1177/1533317513505136. Epub 2013 Oct 1.

DOI:10.1177/1533317513505136
PMID:24085252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11007885/
Abstract

This study aimed to determine the effects of diabetes mellitus (DM), hypertension (HT), heart disease, social isolation, and sociodemographic factors on sleep in the elderly patients with dementia. Samples included 1210 noninstitutionalized, Malaysian elderly patients with dementia. The multiple logistic regression analysis was applied to estimate the risk of sleep disturbances among respondents. Approximately 41% of the patients experienced sleep problems. The results showed that age (odds ratio [OR] = 1.02), social isolation (OR = 1.33), and HT (OR = 1.53) significantly increased sleep disruption in respondents (P <.05). Furthermore, education (OR =.63) and non-Malay ethnicity (OR = 0.63) significantly decreased sleep problems (P <.05). It was found that DM, heart disease, sex differences, and marital status were not significant predictors of sleep disturbances (P >.05). It was concluded that age, social isolation, and HT increased sleep disruption but education and ethnic non-Malay reduced the risk of sleep problems. Moreover, HT was the most important variable to increase sleep disturbances in the elderly patients with dementia.

摘要

本研究旨在确定糖尿病（DM）、高血压（HT）、心脏病、社会隔离以及社会人口因素对痴呆老年患者睡眠的影响。样本包括 1210 名非住院的马来西亚老年痴呆症患者。采用多元逻辑回归分析估计受访者睡眠障碍的风险。大约 41%的患者存在睡眠问题。结果显示，年龄（比值比[OR] = 1.02）、社会隔离（OR = 1.33）和 HT（OR = 1.53）显著增加了受访者的睡眠中断（P<.05）。此外，教育（OR =.63）和非马来族裔（OR = 0.63）显著降低了睡眠问题（P<.05）。研究发现，DM、心脏病、性别差异和婚姻状况不是睡眠障碍的显著预测因素（P>.05）。研究得出结论，年龄、社会隔离和 HT 增加了睡眠中断，但教育和非马来族裔降低了睡眠问题的风险。此外，HT 是增加痴呆老年患者睡眠障碍的最重要变量。