The Relationships Among Family Functioning, Sleep Quality and Quality of Life in Chinese Community-Dwelling Older Adults with Insomnia: A Structural Equation Model.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2024-05-23 DOI:10.1080/07317115.2024.2357583

Wenfen Zhu, Fangyi Wang, Yuanyuan Cao, Qian Wu

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引用次数: 0

Abstract

Objectives: The proportion of individuals with insomnia is increasing, and many older adults have insomnia. This study aimed to explore the relationships between family functioning and quality of life (QOL) among community-dwelling older adults with insomnia, as well as to explore the mediating role of sleep quality in this relationship.

Methods: The participants were 225 older adults with insomnia from community health service centers in Chongqing, China. The Family Care Index (APGAR) was used to assess family functioning, the Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality, and the 36-item Short-Form Health Survey (SF-36) was used to assess QOL.

Results: The results showed that family functioning would be positively associated with QOL (p = .005) and that this relationship would be partially mediated by higher sleep quality (p < .001).

Conclusions: Family functioning has a direct effect on QOL and an indirect effect on QOL through the regulation of sleep quality. Maintaining good family functioning is important for improving sleep quality and QOL in older adults with insomnia.

Clinical implications: Developing family functioning-based assessments and targeted intervention strategies could be beneficial for older adults with insomnia.

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中国社区失眠老年人的家庭功能、睡眠质量和生活质量之间的关系：结构方程模型

目的：失眠症患者的比例正在增加，许多老年人也患有失眠症。本研究旨在探讨社区失眠老年人的家庭功能与生活质量（QOL）之间的关系，以及睡眠质量在这一关系中的中介作用：研究对象为重庆市社区卫生服务中心的225名失眠老年人。方法：研究对象为来自重庆市社区卫生服务中心的225名失眠老年人，采用家庭照顾指数（APGAR）评估家庭功能，匹兹堡睡眠质量指数（PSQI）评估睡眠质量，36项短式健康调查（SF-36）评估生活质量：结果表明，家庭功能与 QOL 呈正相关（p = .005），这种关系部分由较高的睡眠质量中介（p 结论：家庭功能对 QOL 有直接影响：家庭功能对 QOL 有直接影响，并通过调节睡眠质量对 QOL 有间接影响。保持良好的家庭功能对于改善失眠老年人的睡眠质量和 QOL 非常重要：临床意义：制定基于家庭功能的评估和有针对性的干预策略对患有失眠症的老年人有益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.