Ding Xia, Qi Ling-Xia, Sun Dong-Yun
Department of Gangzha General Medical Center, The Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu Province, China.
Department of Anesthesiology and Surgery, The Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu Province, China.
World J Psychiatry. 2024 May 19;14(5):686-694. doi: 10.5498/wjp.v14.i5.686.
Insomnia is among the most common sleep disorders worldwide. Insomnia in older adults is a social and public health problem. Insomnia affects the physical and mental health of elderly hospitalized patients and can aggravate or induce physical illnesses. Understanding subjective feelings and providing reasonable and standardized care for elderly hospitalized patients with insomnia are urgent issues.
To explore the differences in self-reported outcomes associated with insomnia among elderly hospitalized patients.
One hundred patients admitted to the geriatric unit of our hospital between June 2021 and December 2021 were included in this study. Self-reported symptoms were assessed using the Athens Insomnia Scale (AIS), Generalized Anxiety Disorder Scale-7 (GAD-7), Geriatric Depression Scale-15 (GDS-15), Memorial University of Newfoundland Scale of Happiness (MUNSH), Barthel Index Evaluation (BI), Morse Fall Scale (MFS), Mini-Mental State Examination, and the Short Form 36 Health Survey Questionnaire (SF-36). Correlation coefficients were used to analyze the correlation between sleep quality and self-reported symptoms. Effects of insomnia was analyzed using Logistic regression analysis.
Nineteen patients with AIS ≥ 6 were included in the insomnia group, and the incidence of insomnia was 19% (19/100). The remaining 81 patients were assigned to the non-insomnia group. There were significant differences between the two groups in the GDA-7, GDS-15, MUNSH, BI, MFS, and SF-36 items ( < 0.05). Patients in the insomnia group were more likely to experience anxiety, depression, and other mental illnesses, as well as difficulties with everyday tasks and a greater risk of falling ( < 0.05). Subjective well-being and quality of life were poorer in the insomnia group than in the control group. The AIS scores positively correlated with the GAD-7, GDS-15, and MFS scores in elderly hospitalized patients with insomnia ( < 0.05). Logistic regression analysis showed that GDS-15 ≥ 5 was an independent risk factor for insomnia in elderly hospitalized patients ( < 0.05).
The number of self-reported symptoms was higher among elderly hospitalized patients with insomnia. Therefore, we should focus on the main complaints of patients to meet their care needs.
失眠是全球最常见的睡眠障碍之一。老年人失眠是一个社会和公共卫生问题。失眠会影响老年住院患者的身心健康，并可能加重或诱发身体疾病。了解老年住院失眠患者的主观感受并为其提供合理规范的护理是亟待解决的问题。
探讨老年住院患者失眠相关自我报告结局的差异。
选取2021年6月至2021年12月期间我院老年科收治的100例患者纳入本研究。采用雅典失眠量表（AIS）、广泛性焦虑障碍量表-7（GAD-7）、老年抑郁量表-15（GDS-15）、纽芬兰纪念大学幸福量表（MUNSH）、巴氏指数评定（BI）、摩尔斯跌倒量表（MFS）、简易精神状态检查表及简明健康状况调查问卷（SF-36）对自我报告症状进行评估。采用相关系数分析睡眠质量与自我报告症状之间的相关性。采用Logistic回归分析失眠的影响因素。
AIS≥6分的19例患者纳入失眠组，失眠发生率为19%（19/100）。其余81例患者被分配至非失眠组。两组在GDA-7、GDS-15、MUNSH、BI、MFS及SF-36各项上差异有统计学意义（P<0.05）。失眠组患者更易出现焦虑、抑郁等精神疾病，以及日常生活困难和跌倒风险更高（P<0.05）。失眠组患者的主观幸福感和生活质量低于对照组。老年住院失眠患者的AIS评分与GAD-7、GDS-15及MFS评分呈正相关（P<0.05）。Logistic回归分析显示，GDS-15≥5分是老年住院患者失眠的独立危险因素（P<0.05）。
老年住院失眠患者自我报告症状较多。因此，应关注患者的主要诉求以满足其护理需求。
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