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.

中文翻译：

---

高海拔和低海拔地区老年护养院居民睡眠障碍的比较。

背景与目的：

这项研究比较了居住在高海拔和低海拔地区养老院中的老年人之间的睡眠障碍，并探讨了睡眠障碍与生活质量（QoL）之间的关系。

方法：

总共包括207位生活在高海拔地区的参与者和437位生活在低海拔地区的参与者。睡眠障碍（即，难以入睡，难以维持睡眠和清晨醒来）使用标准化问题进行衡量。使用多重逻辑回归分析，检查了高海拔地区睡眠障碍的独立人口统计学和临床​​相关性。将每种类型的睡眠障碍单独作为因变量输入，而在单变量分析中具有显着组差异（即男性，已婚状态，年龄和抑郁症状）的那些作为独立变量。

结果：

整个样本中任何类型的睡眠障碍的患病率为26.09％，其中高海拔地区为41.54％，低海拔地区为18.76％。身体，心理，社会和环境QoL域与高海拔地区的睡眠障碍呈负相关。多项逻辑回归分析显示，男性和已婚状态的人睡眠障碍的可能性较小，而抑郁症状较严重的人在高海拔地区的睡眠障碍的可能性较大。

结论：

睡眠障碍在高海拔地区的老年养老院居民中很常见。考虑到睡眠障碍对生活质量的负面影响，需要直接针对该人群制定常规筛查和治疗策略。