Puto Grażyna, Kliś-Kalinowska Anna, Musiał Agata
Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Kopernika 25 Street, Krakow, 31-501, Poland.
Department of Anatomy, Jagiellonian University Medical College, Kopernika 12 Street, Kraków, 31-034, Poland.
BMC Geriatr. 2025 Feb 1;25(1):71. doi: 10.1186/s12877-024-05665-z.
Due to the frequency of pain, sleep disorders and the complexity of their associated factors, the diagnosis of these disorders may be of great importance in identifying factors linked to care dependency in older people staying in long-term care facilities. The aim of the study was to investigate the relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facility.
The study was conducted among older people staying in a long-term care facility between October 2022 and September 2023. The study used a survey questionnaire including questions about demographic and social characteristics, clinical condition and the following scales: ADL, IADL, GSD-15, GPM-24, CDS, PSQI.
The analysis showed a statistically significant relationship between the deterioration of sleep quality by 1 unit and: an increase in the level of pain (B = 0.68; SE = 0.17; 95% CI [0.38; 1.10]), dependency in ADL (B = -0.09; SE = 0.04; 95% CI [-0.17; -0.02]), feeling depressed (B = 0.18; SE = 0.06; 95% CI [0 0.06, 0.31]) and care dependency (B = -0.78, SE = 0.24, 95% CI [-1.25, -0.31]). A statistically significant effect was noted between: pain level (B = -0.18; SE = 0.06; 95% CI [-0.30; -0.05], dependency in ADL (B = 1.98; SE = 0.35; 95% CI [1.28; 2.68]), instrumental activities of daily living (B = 1.86; SE = 0.28; 95% CI [1.30; 2.42]], feelings of depression (B = -0.96; SE = 0.17; 95% CI [-1.30; -0.62]) and care dependency.
The study is a valuable addition to research showing a strong link between pain, sleep quality and care dependency. The results support the need for a holistic approach in assessing pain, sleep quality, care dependency in older adults living in a long-term care facility.
由于疼痛、睡眠障碍的频发及其相关因素的复杂性，这些障碍的诊断对于识别长期护理机构中老年人护理依赖相关因素可能极为重要。本研究的目的是调查长期护理机构中老年人的疼痛、睡眠质量与护理依赖之间的关系。
本研究于2022年10月至2023年9月在一家长期护理机构中的老年人中进行。该研究使用了一份调查问卷，包括有关人口统计学和社会特征、临床状况的问题以及以下量表：日常生活活动能力量表（ADL）、工具性日常生活活动能力量表（IADL）、老年综合评估量表-15项（GSD-15）、老年疼痛量表-24项（GPM-24）、认知功能障碍筛查量表（CDS）、匹兹堡睡眠质量指数（PSQI）。
分析显示，睡眠质量每恶化1个单位与以下情况之间存在统计学上的显著关系：疼痛程度增加（B = 0.68；标准误 = 0.17；95%置信区间[0.38；1.10]）、日常生活活动能力依赖（B = -0.09；标准误 = 0.04；95%置信区间[-0.17；-0.02]）、感到抑郁（B = 0.18；标准误 = 0.06；95%置信区间[0.06，0.31]）以及护理依赖（B = -0.78，标准误 = 0.24, 95%置信区间[-1.25, -0.31]）。在以下因素之间也观察到了统计学上的显著影响：疼痛程度（B = -0.18；标准误 = 0.06；95%置信区间[-0.30；-0.05]）、日常生活活动能力依赖（B = 1.98；标准误 = 0.35；95%置信区间[1.28；2.68]）、工具性日常生活活动能力（B = 1.86；标准误 = 0.28；95%置信区间[1.30；2.42]）、抑郁情绪（B = -0.96；标准误 = 0.17；95%置信区间[-1.30；-0.62]）与护理依赖。
该研究为表明疼痛、睡眠质量与护理依赖之间存在紧密联系的研究增添了有价值的内容。研究结果支持在评估长期护理机构中老年人的疼痛、睡眠质量和护理依赖时需要采取整体方法。
