基于老年综合评估的门诊患者睡眠障碍潜在剖面分析与自理能力的关系研究OA
Latent profile analysis of sleep disorders and its association with self-care ability in elderly outpatients:a study based on comprehensive geriatric assessment
目的 探究门诊老年患者的潜在睡眠类型及其与自理能力的关系.方法 2024年9-12月在湖北省十堰市某三级甲等医院采用便利抽样法选取门诊老年患者.依据老年综合评估标准,使用一般资料调查表、阿森斯失眠量表、焦虑自评量表、日常生活能力评定量表、Wong-Baker面部表情分级评分和衰弱评估表进行调查.以阿森斯失眠量表得分为基础进行潜在类别分析,使用二元logistic回归分析不同类别的独立影响因素,采用关联规则分析挖掘联合影响因素.结果 本研究共纳入360例门诊老年患者,分为2类:睡眠相对良好型(59.4%,214/360)、入睡难-睡眠不足型(40.6%,146/360).二元logistic回归显示心脏疾病(OR=5.518,P<0.001)、夜尿症(OR=2.699,P=0.009)、使用安眠药(OR=3.695,P<0.001)、焦虑得分(OR=3.752,P=0.001)、自理能力得分(OR=5.224,P<0.001)是睡眠障碍潜在类别的独立影响因素.关联规则分析显示,使用安眠药合并患糖尿病、高血压是联合影响因素(支持度:6.39%,置信度:95.65%,提升度:2.36).结论 门诊老年患者睡眠状况存在明显的群体差异,且入睡难-睡眠不足与自理能力呈显著相关,因此医护人员需重点关注入睡难-睡眠不足型的门诊老年患者,采取精准干预以改善其睡眠质量和提升自理能力,促进健康老龄化.
Objective To explore the potential sleep categories and their relation with self-care ability in elderly outpatients.Methods From September to December 2024,elderly outpatients were selected using convenience sampling at a tertiary grade-A hospital in Shiyan,Hubei.Based on comprehensive geriatric assessment standards,patients were surveyed with a General Information Question-naire,the Athens Insomnia Scale,Self-rating Anxiety Scale,the Activities of Daily Living Scale,the Wong-Baker Faces Pain Rating Scale,and the Frailty Assessment Scale.Potential profile analysis was performed based on Athens Insomnia Scale scores;binary logis-tic regression was conducted for independent factors for different categories,and association rule analysis for joint influencing factors.Results This study included 360 elderly outpatients,and they were divided into two groups:those with relatively good sleep(59.4%,214/360)and those with difficulty falling asleep and insufficient sleep(40.6%,146/360).Logistic regression revealed that heart disease(OR=5.518,P<0.001),nocturia(OR=2.699,P=0.009),hypnotic use(OR=3.695,P<0.001),anxiety(OR=3.752,P=0.001),and self-care ability(OR=5.224,P<0.001)were independent influencing factors for sleep disorder.Association rule analysis indicated that the com-bined presence of hypnotic use,diabetes,and hypertension were co-occurring factors for the difficulty falling asleep and insufficient sleep(support 6.39%,confidence 95.65%,lift 2.36).Conclusion Sleep in elderly outpatients differs significantly.Difficulty in falling asleep and insufficient sleep are closely related to self-care ability.Medical staff should focus on elderly outpatients with difficulty falling asleep and insufficient sleep,and take precise measures to improve their sleep quality and self-care ability to promote healthy aging.
李伶俐;鲍泽锋;刘贝;龚淑贤;冯泽会
湖北医药学院 护理学院,湖北 十堰 442000湖北医药学院 护理学院,湖北 十堰 442000湖北医药学院 护理学院,湖北 十堰 442000国药东风总医院 肿瘤科,湖北 十堰 442008国药东风总医院 服务品质办,湖北 十堰 442008
医药卫生
老年综合评估睡眠障碍自理能力潜在剖面关联规则
comprehensive geriatric assessmentsleep disorderself-care abilitylatent profileassociation rule
《护理学报》 2026 (9)
1-7,7
湖北省卫生健康委"揭榜竞优"项目(20234772)
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