Miner Brienne, Kryger Meir H
Department of Internal Medicine, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA.
Department of Internal Medicine, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA; VA Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT 06516, USA.
Sleep Med Clin. 2020 Jun;15(2):311-318. doi: 10.1016/j.jsmc.2020.02.016.
There are normal changes to sleep architecture throughout the lifespan. There is not, however, a decreased need for sleep and sleep disturbance is not an inherent part of the aging process. Sleep disturbance is common in older adults because aging is associated with an increasing prevalence of multimorbidity, polypharmacy, psychosocial factors affecting sleep, and certain primary sleep disorders. It is also associated with morbidity and mortality. Because many older adults have several factors from different domains affecting their sleep, these complaints are best approached as a multifactorial geriatric health condition, necessitating a multifaceted treatment approach.
在整个生命周期中，睡眠结构会发生正常变化。然而，对睡眠的需求并不会减少，睡眠障碍也不是衰老过程中固有的一部分。睡眠障碍在老年人中很常见，因为衰老与多种疾病、多种药物治疗、影响睡眠的心理社会因素以及某些原发性睡眠障碍的患病率增加有关。它还与发病率和死亡率相关。由于许多老年人有来自不同领域的多种因素影响他们的睡眠，这些主诉最好作为一种多因素的老年健康状况来处理，需要采取多方面的治疗方法。
