Sleep problems, pain interference, and global subjective health outcome: Findings from a representative aging study in Ghana

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2024-11-14 DOI:10.1016/j.gerinurse.2024.10.067

Razak M. Gyasi PhD, PD , Emmanuel Konadu BA , Priscilla Appiah BA , Desmond Agyei BA , Emmanuel Nyaaba BA , Michael Kwadwo Ntiamoah MPhil , Hubert Bimpeh Asiedu PhD , Elizabeth Nana Mbrah Koomson-Yalley PhD , Margaret Makafui Tayviah PhD , Jones Opoku-Ware PhD , André Hajek PhD

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Abstract

We investigated the association between sleep problems and global self-rated health (SRH) in individuals aged ≥50 years in Ghana and explored the sex-wise mediating role of pain interference in this association. Data from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study were analyzed (N=1201). Global SRH and pain interference were assessed with the Medical Outcomes Study (Short Form-36) Scale. Sleep-related problems were assessed on a 5-point scale from none=1 to extreme=5. Adjusted OLS regressions and bootstrapped mediation models evaluated the hypothesized associations. The mean (SD) age was 66.1 (11.9) years and 63.3 % were females. Sleep problems were associated with increases in pain interference (β = 0.320, p < 0.001) and poor SRH (β = 0.039, p < 0.001). Pain interference mediated 61.6% of the sleep problems–SRH association in the overall sample (β =0.063, Bootstrap 95%CI=0.014–0.034) and 36.7% among women (β =0.023, Bootstrap 95%CI=0.023–0.053). Effective sleep and pain management strategies may improve subjective health outcomes, particularly among older women.

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睡眠问题、疼痛干扰和总体主观健康结果：加纳一项具有代表性的老龄化研究结果。

我们调查了加纳 50 岁以上人群中睡眠问题与总体自评健康（SRH）之间的关联，并探讨了疼痛干扰在这一关联中的性别中介作用。研究分析了 "老龄化、健康、心理福祉和寻求健康行为研究"（N=1201）的数据。总体 SRH 和疼痛干扰通过医疗结果研究（短表-36）量表进行评估。睡眠相关问题采用 5 级评分法进行评估，从无=1 到极度=5。调整后的 OLS 回归和引导中介模型对假设的关联进行了评估。平均（标清）年龄为 66.1 (11.9)岁，63.3% 为女性。睡眠问题与疼痛干扰的增加（β = 0.320，p < 0.001）和SRH不良（β = 0.039，p < 0.001）相关。在总体样本中，61.6%的睡眠问题-SRH关联是由疼痛干扰介导的（β =0.063，Bootstrap 95%CI=0.014-0.034），在女性样本中，36.7%的睡眠问题-SRH关联是由疼痛干扰介导的（β =0.023，Bootstrap 95%CI=0.023-0.053）。有效的睡眠和疼痛管理策略可改善主观健康状况，尤其是对老年妇女而言。

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

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.