弱势老年人的睡眠质量：相关因素
Sleep quality of vulnerable elderly people: associated factors.
作者信息
Santos-Orlandi Ariene Angelini Dos, Ottaviani Ana Carolina, Alves Elén Dos Santos, Brito Tábatta Renata Pereira de, Inouye Keika
机构信息
Universidade Federal de São Carlos. São Carlos, São Paulo, Brazil.
Universidade Federal de Alfenas. Alfenas, Minas Gerias, Brazil.
出版信息
Rev Bras Enferm. 2024 Nov 29;77Suppl 3(Suppl 3):e20230283. doi: 10.1590/0034-7167-2023-0283. eCollection 2024.
OBJECTIVE
To identify factors associated with poor sleep quality in elderly dependent individuals in social vulnerability.
METHOD
Cross-sectional study with 59 elderly dependent individuals assisted by Family Health Units in São Carlos/SP. The following tools were used: Katz Index, Lawton and Brody Scale, Pittsburgh Sleep Quality Index, Addenbrooke's Cognitive Examination Revised, Fried's Frailty Phenotype, Geriatric Depression Scale (15 items), Perceived Stress Scale, Family APGAR, Social Support Scale from the Medical Outcomes Study, and World Health Organization Quality of Life, abbreviated and "old" versions.
RESULTS
The majority of participants were women (52.5%), aged 60-74 years (71.1%), and had poor sleep quality (76.2%). Stress (OR=1.12; 95%CI=1.02-1.22) and polypharmacy (OR=7.39; 95%CI=1.22-44.73) increased the chances of poor sleep quality, while physical activity decreased these chances (OR=0.15; 95%CI=0.02-0.79).
CONCLUSION
Stress and polypharmacy are associated with poor sleep quality in elderly dependent individuals.
目的
确定社会弱势群体中老年依赖个体睡眠质量差的相关因素。
方法
对圣保罗州圣卡洛斯市家庭健康单位所照料的59名老年依赖个体进行横断面研究。使用了以下工具：卡茨指数、劳顿和布罗迪量表、匹兹堡睡眠质量指数、修订版阿登布鲁克认知检查、弗里德衰弱表型、老年抑郁量表（15项）、感知压力量表、家庭APGAR、医学结局研究社会支持量表以及世界卫生组织生活质量简版和“旧版”。
结果
大多数参与者为女性（52.5%），年龄在60 - 74岁之间（71.1%），且睡眠质量差（76.2%）。压力（比值比=1.12；95%置信区间=1.02 - 1.22）和多重用药（比值比=7.39；95%置信区间=1.22 - 44.73）增加了睡眠质量差的几率，而体育活动则降低了这些几率（比值比=0.15；95%置信区间=0.02 - 0.79）。
结论
压力和多重用药与老年依赖个体睡眠质量差有关。
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