Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. May 19, 2024; 14(5): 686-694
Published online May 19, 2024. doi: 10.5498/wjp.v14.i5.686
Differences in insomnia-related self-reported outcomes among elderly hospitalized patients
Xia Ding, Ling-Xia Qi, Dong-Yun Sun
Xia Ding, Department of Gangzha General Medical Center, The Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu Province, China
Ling-Xia Qi, Department of Anesthesiology and Surgery, The Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu Province, China
Dong-Yun Sun, Department of Ophthalmic Surgery Room, The Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu Province, China
Author contributions: Ding X designed and performed the research and wrote the paper; Sun DY designed the research and supervised the report; Qi LX designed the research and contributed to the analysis.
Institutional review board statement: This study was approved by the Ethics Committee of the Affiliated Hospital of Nantong University (No. 2021-K058-01).
Informed consent statement: All survey subjects signed an informed consent form.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The survey data used in this study can be obtained from the corresponding author upon request at tdfysun@163.com.
STROBE statement: The authors read the STROBE Statement checklist of items, and the manuscript was prepared and revised accordingly.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: Https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dong-Yun Sun, MBBS, Chief Nurse, Department of Ophthalmic Surgery Room, The Affiliated Hospital of Nantong University, No. 20 Xisi Road, Nantong 226000, Jiangsu Province, China. tdfysun@163.com
Received: January 25, 2024
Revised: February 20, 2024
Accepted: March 29, 2024
Published online: May 19, 2024
Processing time: 112 Days and 3 Hours
Abstract
BACKGROUND

Insomnia is among the most common sleep disorders worldwide. Insomnia in older adults is a social and public health problem. Insomnia affects the physical and mental health of elderly hospitalized patients and can aggravate or induce physical illnesses. Understanding subjective feelings and providing reasonable and standardized care for elderly hospitalized patients with insomnia are urgent issues.

AIM

To explore the differences in self-reported outcomes associated with insomnia among elderly hospitalized patients.

METHODS

One hundred patients admitted to the geriatric unit of our hospital between June 2021 and December 2021 were included in this study. Self-reported symptoms were assessed using the Athens Insomnia Scale (AIS), Generalized Anxiety Disorder Scale-7 (GAD-7), Geriatric Depression Scale-15 (GDS-15), Memorial University of Newfoundland Scale of Happiness (MUNSH), Barthel Index Evaluation (BI), Morse Fall Scale (MFS), Mini-Mental State Examination, and the Short Form 36 Health Survey Questionnaire (SF-36). Correlation coefficients were used to analyze the correlation between sleep quality and self-reported symptoms. Effects of insomnia was analyzed using Logistic regression analysis.

RESULTS

Nineteen patients with AIS ≥ 6 were included in the insomnia group, and the incidence of insomnia was 19% (19/100). The remaining 81 patients were assigned to the non-insomnia group. There were significant differences between the two groups in the GDA-7, GDS-15, MUNSH, BI, MFS, and SF-36 items (P < 0.05). Patients in the insomnia group were more likely to experience anxiety, depression, and other mental illnesses, as well as difficulties with everyday tasks and a greater risk of falling (P < 0.05). Subjective well-being and quality of life were poorer in the insomnia group than in the control group. The AIS scores positively correlated with the GAD-7, GDS-15, and MFS scores in elderly hospitalized patients with insomnia (P < 0.05). Logistic regression analysis showed that GDS-15 ≥ 5 was an independent risk factor for insomnia in elderly hospitalized patients (P < 0.05).

CONCLUSION

The number of self-reported symptoms was higher among elderly hospitalized patients with insomnia. Therefore, we should focus on the main complaints of patients to meet their care needs.

Keywords: Elderly hospitalized patients; Insomnia; Self-reported outcomes; Symptoms; Subjective feelings; Correlation

Core Tip: Face-to-face interviews were conducted with 100 elderly hospitalized patients. Elderly hospitalized patients had higher rates of insomnia symptoms. Insomnia in elderly hospitalized patients positively correlated with anxiety, depression, and fall risk. Depression was also found to be an independent risk factor for insomnia in elderly hospitalized patients.