Study On The Correlation Between Sleep Disorder,Frailty And Loneliness Of The Elderly In Chongqing Community

Objective: From the perspective of loneliness,this paper analyzes the relationship between sleep disorder,frailty and loneliness in the elderly,tests the intermediary effect of frailty between sleep disorder and loneliness,provides intervention targets for reducing the level of loneliness in the elderly,puts forward intervention suggestions with Chinese psychological characteristics,and also provides theoretical and factual basis for solving the aging problem.Methods: The survey was conducted using the General Situation Questionnaire,Pittsburgh Sleep Quality Index Scale,Chinese Tilburg Frailty Indicator,UCLA-LS,and Patient Health Questionnaire Depression Scale.Eligible community elderly individuals were randomly selected as research subjects through convenient sampling method.Using SPSS for statistical analysis,describe the influencing factors of loneliness in the elderly and the correlation between sleep disorders,frailty,and loneliness;Amos was used to construct a structural equation model to test the mediating effect of debility between sleep disorder and loneliness in the elderly.Results: 1.The total average score of the loneliness scale for the elderly in the community was(37.39 ± 9.52),and the overall average was in the middle level of loneliness.There were 267 people(53.8%)with moderate or above loneliness level;The total average score of frailty was(11.16 ± 3.66)points,and the overall average was in a state of frailty,of which 433 people(87.3%)were weak;The total average score of sleep was(5.26 ± 3.71),and the overall average sleep quality was poor.Among them,139 people(28.0%)had sleep disorders.2.The univariate results showed that gender,age,BMI,education level,marital status,main sources of income,living environment,living style,number of children,whether suffering from chronic diseases,whether weak,whether sleep disorders,whether depression were statistically significant in the level of aloneness of the elderly in the community(P<0.05);Multivariate linear regression analysis showed that marital status,main economic sources,living style,number of children,sleep disorder and depression were the main influencing factors of aloneness among the elderly in the community.3.Pearson correlation analysis showed that the total score of loneliness of the elderly in the community was significantly positively correlated with the total score of PSQI(r=0.389,P<0.01);There was a significant positive correlation between the total score of loneliness and the total score of frailty of the elderly in the community(r=0.423,P<0.01),at the same time,there was a significant positive correlation with physical frailty and psychological frailty(P<0.01);There was a significant positive correlation between the total score of PSQI and the total score of frailty of the elderly in the community(r=0.253,P<0.01),at the same time,it has a significant positive correlation with physical and psychological frailty dimensions.4.The results of structural equation show that sleep disorder can positively predict frailty and loneliness,with influence coefficients of 0.10 and 0.54 respectively;Frailty has a significant positive predictive effect on loneliness,with an impact coefficient of 4.73.Among them,frailty plays a role through the dimension of psychological frailty,and sleep disorder affects loneliness through frailty,with the effect amount of 0.460,accounting for 46.0% of the total effect.Conclusion: 1.The overall sense of loneliness among elderly people in the community is at a moderate level,and there are significant individual differences.The quality of sleep still needs to be improved,and the state of frailty is not optimistic,which needs to be taken seriously.2.The main influencing factors of aloneness of the elderly in the community are marital status,main economic sources,living style,number of children,sleep disorder and depression.3.Frailty plays a partial mediating role between sleep disorders and loneliness among elderly people in the community,and can be alleviated by intervening in the process of frailty.4.Integrating traditional Chinese medicine psychology with modern medicine,promoting traditional Chinese medicine psychological therapy with a holistic view of "physical and mental integration",in order to alleviate loneliness in the elderly and improve sleep quality.