Investigation of current situation on insomnia in elderly inpatients and analysis of the influencing factors:an application of a comprehensive geriatric assessment system self-developed by a hospital in Yunnan Province
DAI Jingrong
LI Yan
HUANG Hong
LI Jie
DING Yinju
XIAO Fei
YI Dan
HUANG Fang
Abstract：Objective To investigate the current situation on insomnia in elderly inpatients in several hospitals in Yunnan Province and to analyze the influencing factors through the self-developed comprehensive geriatric assessment system.Methods The comprehensive geriatric assessment data of 1 635 patients admitted to hospitals at all levels in Yunnan Province from September 2021 to February 2024 were derived from the comprehensive geriatric assessment system.According to insomnia status,the patients were divided into non-insomnia group(556 cases),latent insomnia group(596 cases)and insomnia group(483 cases).The contents of comprehensive geriatric assessment were compared among all the groups,and the influencing factors of insomnia in the elderly inpatients were analyzed by using multivariate logistic regression.Results There were statistically significant differences in activities of daily living,anxiety status,depression status,cognitive function,nutritional status,urinary incontinence,constipation,family care index,social support status,delirium,fall risk,chronic pain,gait and balance function,and frail condition among the three groups(P＜0.05).Mild impairment of daily living ability,probable anxiety,definite anxiety,definite depression,malnutrition,mild-moderate family dysfunction,delirium and fall risk were independent risk factors for the occurrence of insomnia in the elderly inpatients(P＜0.05).Conclusion Mild impairment of daily living ability,probable anxiety,definite anxiety,definite depression,malnutrition,mild-moderate family dysfunction,delirium and fall risk are independent risk factors for the occurrence of insomnia in the elderly inpatients.It is suggested to strengthen the screening and management of the above factors.
Keywords：InsomniaSleep disordersComprehensive geriatric assessmentInvestigation of current situationSystem software
Publication Date：2024-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 1363-1369 )