Comparison of Sleep Disturbances Between Older Nursing Home Residents in High- and Low-Altitude Areas.

Autor:	Liu S; Department of Public Health, Medical College, Qinghai University, Xining, Qinghai province, China., Chow IHI; Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China., Lu L; Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China., Ren YM; Department of Public Health, Medical College, Qinghai University, Xining, Qinghai province, China., Yang HL; Department of Public Health, Medical College, Qinghai University, Xining, Qinghai province, China., Jian SY; Reproductive Medicine Center, Qinghai Provincial People's Hospital, Xining, Qinghai province, China., Ng CH; Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, 2281University of Melbourne, Richmond, Victoria, Australia., Ungvari GS; University of Notre Dame Australia, Fremantle, Australia.; Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia., Wang F; Department of Psychosomatic Medicine, Guangdong Provincial People's Hospital, Guangzhou, Guangdong Province, China., Xiang YT; Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China.
Jazyk:	angličtina
Zdroj:	Journal of geriatric psychiatry and neurology [J Geriatr Psychiatry Neurol] 2020 Nov; Vol. 33 (6), pp. 370-376. Date of Electronic Publication: 2019 Dec 16.
DOI:	10.1177/0891988719892335
Abstrakt:	Background and Objective: This study compared sleep disturbances between older adults living in nursing home located in high- and low-altitude areas and explored the association between sleep disturbances and quality of life (QoL). Method: In total, 207 participants living in a high-altitude area and 437 participants in a low-altitude area were included. Sleep disturbances (ie, difficulty in initiating sleep, difficulty in maintaining sleep, and early morning awakening) were measured using standardized questions. The independent demographic and clinical correlates of sleep disturbances in high-altitude area were examined using multiple logistic regression analyses. Each type of sleep disturbance was entered as the dependent variable separately, while those with significant group differences in the univariate analyses (ie, male gender, married status, age and depressive symptoms) were entered as independent variables. Results: The prevalence of any type of sleep disturbances in the whole sample was 26.09%, with 41.54% in the high-altitude area and 18.76% in the low-altitude area. Physical, psychological, social, and environmental QoL domains were negatively associated with sleep disturbances in high-altitude area. Multiple logistic regression analyses revealed that male gender and married status were less likely to have sleep disturbances, while those with more severe depressive symptoms were more likely to have sleep disturbances in high-altitude area. Conclusion: Sleep disturbance is common among older nursing home residents in high-altitude areas. Considering the negative impact of sleep disturbance on QoL, regular screening and treatment strategies need to be developed directly for this population.
Databáze:	MEDLINE
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