دوره 11، شماره 1 - ( 11-1403 )
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Rashvand F, Safari Alamuti F, Shahsavari N, Momeni M. The Predictive Role of Disability and Comorbidity in the Sleep Quality of Hospitalized Older Adults. JCCNC 2025; 11 (1)
URL: http://jccnc.iums.ac.ir/article-1-616-fa.html
URL: http://jccnc.iums.ac.ir/article-1-616-fa.html
The Predictive Role of Disability and Comorbidity in the Sleep Quality of Hospitalized Older Adults. نشریه مراقبت پرستاری مددجو محور. 1403; 11 (1)
چکیده: (36 مشاهده)
Background: One of the aspects affecting the quality of life of the older adults is sleep quality. Hospitalized older adults may experience a poor quality of sleep due to one or more diseases and their related disabilities. This study aims to determine the predictive role of disability and comorbidities in the sleep quality of hospitalized elderly patients.
Methods: This cross-sectional, correlational study was conducted on 300 hospitalized older adults admitted to the teaching hospitals affiliated with Qazvin University of Medical Sciences- Iran, in 2023. The subjects were recruited by convenience sampling. The data were collected using the demographic characteristics form, Pittsburgh Sleep Quality Index (PSQI), the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0), and the Charlson Comorbidity Index (CCI) and were analyzed using Chi-square or Fisher’s exact test, independent t-test, and binary logistic regression in SPSS.v.26. Statistical significance was set at P < 0.05.
Results: The mean sleep quality, disability, and comorbidity scores were 6.12 (SD=2.99), 23.36 (SD=9.20), and 1.15 (SD=0.37), respectively. Half of the older adults (50%) had poor sleep quality. There was a significant relationship between the sleep quality scores and all domains of disability (P < 0.05) except for participation and life activities (P ≥ 0.05). The results of the logistic regression model showed that disability (OR=1.044, P < 0.004) and comorbidities (OR=2.078, P < 0.044) were predictors of sleep quality in the hospitalized older adults. No significant relationship was observed between sleep quality and gender, education, smoking, and non-opioid analgesics in multivariate regression analysis.
Conclusion: The present study showed that disability and comorbidities are important predictors of sleep quality in the hospitalized older adults; therefore, it is necessary to consider effective interventions to minimize hospitalization-associated disability and to help improve the sleep quality of the older adults.
Methods: This cross-sectional, correlational study was conducted on 300 hospitalized older adults admitted to the teaching hospitals affiliated with Qazvin University of Medical Sciences- Iran, in 2023. The subjects were recruited by convenience sampling. The data were collected using the demographic characteristics form, Pittsburgh Sleep Quality Index (PSQI), the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0), and the Charlson Comorbidity Index (CCI) and were analyzed using Chi-square or Fisher’s exact test, independent t-test, and binary logistic regression in SPSS.v.26. Statistical significance was set at P < 0.05.
Results: The mean sleep quality, disability, and comorbidity scores were 6.12 (SD=2.99), 23.36 (SD=9.20), and 1.15 (SD=0.37), respectively. Half of the older adults (50%) had poor sleep quality. There was a significant relationship between the sleep quality scores and all domains of disability (P < 0.05) except for participation and life activities (P ≥ 0.05). The results of the logistic regression model showed that disability (OR=1.044, P < 0.004) and comorbidities (OR=2.078, P < 0.044) were predictors of sleep quality in the hospitalized older adults. No significant relationship was observed between sleep quality and gender, education, smoking, and non-opioid analgesics in multivariate regression analysis.
Conclusion: The present study showed that disability and comorbidities are important predictors of sleep quality in the hospitalized older adults; therefore, it is necessary to consider effective interventions to minimize hospitalization-associated disability and to help improve the sleep quality of the older adults.
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