老年住院患者认知衰弱与主观睡眠质量相关性研究OA

Objective To investigate the correlation between cognitive frailty(CF)and its subtypes with subjective sleep quality in elderly hospitalised patients,and to analyse the diagnostic value of sleep quality for CF.Methods A cross-sectional study was conducted,selecting 168 elderly patients(≥60 years)hospitalised in the geriatrics department of Dalian Friendship Hospital from August 2022 to November 2024,divided into a non-CF group(60 cases),a reversible cognitive frailty(RCF)group(52 cases),and a potential reversible cognitive frailty(PRCF)group(56 cases)based on FRAIL and MoCA scores.Results Among CF patients,the proportion of elderly individuals over 70 years old,divorced,living with children or in nursing homes,with diabetes,hearing impairment,tooth loss,constipation,and polypharmacy was higher(P＜0.05).The total PSQI score and the scores for sleep quality,sleep latency,sleep disturbances,use of sleeping medication,and daytime dysfunction in the CF group were all higher than those in the non-CF group(P＜0.05).The average age of the PRCF group was higher than that of the RCF group,and the proportion of subjects using sleep medication at least once per week was higher than that of the RCF group(P＜0.05).The total PSQI score(AUC=0.694)and several factor scores have good diagnostic value for CF;the total PSQI score,hypnotic use,and daytime dysfunction scores have better diagnostic value for RCF;sleep latency and daytime dysfunction scores have better diagnostic value for PRCF.MoCA scores were negatively correlated with the total PSQI score and multiple factors,while FRAIL scores were positively correlated with the total PSQI score and multiple factors(P＜0.05).Conclusion Cognitive frailty in elderly hospitalised patients is closely related to subjective sleep quality,with poor sleep quality,difficulty falling asleep,sleep disorders,use of hypnotic drugs,and daytime dysfunction being important associated factors.PSQI and some of its components have certain auxiliary diagnostic value for CF and its subtypes,and improving sleep quality may have clinical significance for the prevention and management of CF.