Sleep complaints and their association with comorbidity and health-related quality of life in an older population in Sweden
Sleep complaints and their association with comorbidity and health-related quality of life in an older population in Sweden
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DOI：
10.1080/13607863.2010.513039
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发表时间：
2011-01-01
影响因子：
3.4
通讯作者：
Hellstrom, A.
中科院分区：
文献类型：
--
作者：
Fagerstrom, C.;Hellstrom, A.
目的：老年睡眠主诉、合并症与健康相关生活质量（HRQoL）的关系尚不明确。因此，本研究的目的是调查60岁及以上人群中睡眠抱怨的存在，并讨论其与发病率和HRQoL的关系。方法：通过问卷调查和访谈，收集瑞典1128人的人口学、睡眠、合并症和HRQoL数据。采用约翰霍普金斯调整临床组（ACG (R)）病例混合系统6.0和简短健康调查-12分别评估发病率和HRQoL。结果：在没有发病率和有高度合并症的人之间，睡眠抱怨的数量存在差异。大多数与低HRQoL相关的睡眠抱怨出现在那些高度合并症患者中。结论：高度共病的人似乎是睡眠抱怨和低HRQoL的高风险人群。因此，这项研究表明，即使睡眠抱怨似乎很难识别和成功治疗，如果要维持他们的HRQoL，特别关注那些患有高度合并症的人是很重要的。
Objective: The relationship between sleep complaints, comorbidity and health-related quality of life (HRQoL) in advanced age has not been clearly established. The aim of this study is therefore to investigate the presence of sleep complaints and discuss their association with morbidity and the HRQoL among the people aged 60 years and above. Methods: Data regarding demography, sleep, comorbidity and HRQoL were collected through questionnaires and interviews among 1128 people in Sweden. The Johns Hopkins adjusted clinical groups (ACG (R)) Case-Mix System 6.0 and the Short-Form Health Survey-12 were used to assess morbidity and HRQoL, respectively. Results: There was a divergence in the number of sleep complaints between those with no morbidity and those who had a high degree of comorbidity. Most of the sleep complaints related to low HRQoL were found among those with a high degree of comorbidity. Conclusions: People with a high degree of comorbidity appear to be a group with a high risk of having both sleep complaints and a low HRQoL. Thus, this study suggests that even if sleep complaints appear to be difficult to identify and treat successfully, it is important to pay particular attention to those people who suffer from a high degree of comorbidity if their HRQoL is to be maintained.