J Gerontol Nurs. 2024 Jul;50(7):12-18. doi: 10.3928/00989134-20240618-03. Epub 2024 Jul 1.
Physical disabilities may exacerbate the natural decline in sleep quality that occurs with aging. In the current study, we assessed sleep quality and medicinal sleep aid use among 87 community-dwelling older adults with ( = 24) and without ( = 63) physical disabilities.
Sleep quality, duration, and efficiency were assessed subjectively with the Pittsburgh Sleep Quality Index. Sleep duration and efficiency were objectively measured with actigraphy. Participants self-reported medicinal sleep aid use.
Significant group differences were observed in sleep duration measured objectively ( = 0.01) and subjectively ( = 0.04). No other group differences were observed for sleep factors ( > 0.05) or medicinal sleep aid use ( = 0.41).
Findings show that physical disability may be a factor in sleep duration; however, physical disability was not found to be associated with worsened sleep perception or greater reliance on medicinal sleep aids. Future research should consider longer objective actigraphy assessment windows and explore potential subgroup differences in sex and race/ethnicity. [(7), 12-18.].
身体残疾可能会加剧随着年龄增长而自然出现的睡眠质量下降。在本研究中，我们评估了 87 名居住在社区的老年成年人的睡眠质量和药物助眠使用情况，其中有（=24）和没有（=63）身体残疾。
使用匹兹堡睡眠质量指数主观评估睡眠质量、时长和效率。通过活动记录仪客观测量睡眠时长和效率。参与者自我报告药物助眠使用情况。
在客观测量的睡眠时长（=0.01）和主观测量的睡眠时长（=0.04）上观察到显著的组间差异。在睡眠因素（>0.05）或药物助眠使用（=0.41）上未观察到其他组间差异。
研究结果表明，身体残疾可能是睡眠时长的一个因素；然而，身体残疾与睡眠感知恶化或对药物助眠的更大依赖无关。未来的研究应考虑更长的客观活动记录仪评估窗口，并探索性别和种族/民族方面的潜在亚组差异。[(7), 12-18]。
