Relationship between motor function in development trajectory and sleep disorders in elderly inpatients
10.3760/cma.j.cn115682-20220523-02476
- VernacularTitle:老年住院患者运动功能与睡眠障碍发展轨迹的关系研究
- Author:
Xu WU
1
;
Zhandong LIU
;
Xiaomei MAO
Author Information
1. 首都医科大学附属北京友谊医院医保内科，北京 100050
- Keywords:
Aged;
Inpatients;
Sleep disorders;
Motor function;
Trajectory;
Latent category growth model
- From:
Chinese Journal of Modern Nursing
2023;29(8):1024-1028
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the developmental trajectory of sleep disorders in inpatients and the effect of motor function on the developmental trajectory of sleep disorders.Methods:A total of 249 inpatients admitted to Department of Medical Insurance in Beijing Friendship Hospital Affiliated to Capital Medical University from March 2021 to February 2022 were selected as research objects by the convenient sampling method. Sleep quality was monitored 7 days after admission (T0-T6) by wrist motion analyzer, and the developmental trajectory of sleep disorders was analyzed by the latent category growth model. Patients were divided into the motor dysfunction group ( n=102) and the normal motor function group ( n=147) by 25-question Geriatric Locomotive Function Scale (GLFS-25) . The differences in the trajectory distribution of sleep disorders between the two groups were compared. Results:Three potential categories of sleep disorder development trajectory of inpatients were identified, namely, no sleep disorder, improvement of sleep disorder and persistence of sleep disorder, and the trajectory showed that the lowest level of sleep quality score of inpatients was T2. In the normal motor function group, 60 cases (40.82%) had no sleep disorder, 63 cases (42.86%) had improvement of sleep disorder and 24 cases (16.33%) had persistence of sleep disorder. In the motor dysfunction group, 7 cases (6.86%) had no sleep disorder, 16 cases (15.69%) had improvement of sleep disorder and 79 cases (77.45%) had persistence of sleep disorder. There was statistically significant difference in the trajectory distribution of sleep disorder between the two groups ( P<0.01) . Conclusions:Sleep disorder is common in inpatients, with an incidence of 73.09% (182/249) , and it is severest on the third day after admission. Patients with motor dysfunction have lower overall sleep quality and are more likely to have persistent sleep disorder.
