A Study On The Status Of Social Frailty In Elderly Inpatients And Its Relationship With Sleep Quality

Objectives:To find out the current situation of social frailty of elderly inpatients and its influencing factors,to explore the relationship between social frailty and sleep quality,to further analyze the mediating effect of quality of life between sleep quality and social frailty of elderly inpatients,to provide scientific evidence for improving sleep quality of elderly inpatients and preventing or delaying the occurrence and development of social frailty of elderly inpatients,and to provide a new point of view for medical workers to intervene in social frailty of elderly inpatients.Methods:(1)In this study,500 cases from the geriatrics departments of two hospitals of Class III Grade A in Xinjiang from December 2021 to May 2022 were selected through convenience sampling.The General Information Questionnaire,the Socially Frailty Index Scale(HALFT),the Pittsburgh Sleep Quality Index Scale(PSQI),the Satisfaction with Life Scale(SWLS),the 36-item Short Form Health Survey Scale and the Miniature Nutritional Assessment Scale(MNA)were used to interview those elderly inpatients.(2)SPSS 26.0 statistical software was used to analyze the data,and χ2 test and non-parametric test(Kruskal-Wallis H)were used for mono-factor analysis;Logistic regression was used for multi-factor analysis;Spearman correlation coefficient test was used for correlation analysis;Precoss V4.0 plug-in in SPSS 26.0 was used for the test of mediating effects of life quality between sleep quality and social frailty.Results:(1)Among the 500 elderly inpatients investigated in this study,46(9.2%)had no social frailty.303(60.6%)had pre-social frailty.151(30.2%)had social frailty,with the total social frailty score being 2(1.00,3.00).317 cases(63.4%)suffered from low-quality sleep,while 183 cases(36.6%)enjoyed high-quality sleep,with total sleep quality score being(10.26±3.43),in which subjective sleep quality score was(1.60±0.73),bedtime score was(2.19±0.91),sleeping time score was(2.04±0.83),sleep efficiency score(2.61±0.71),sleep disorder score(1.40±0.71),hypnotic drug score(0.53±1.01),and daytime dysfunction score(1.34±0.94).(2)The results of mono-factor analysis showed that statistic variances(P<0.05)of social frailty of elderly inpatients exist among age,gender,place of residence,education level,marital status,financial self-assessment,medical payment method,per-capita household income,whether more than 3 types of medications taken,pain,health self-assessment,number of chronic diseases,hobbies,usual exercise,nutritional status,quality of life,life satisfaction,number of children,whether they lived alone,whether they had others to take care of them,attendants and frequency of visits from children.(3)The results of multifactor logistic regression analysis showed that gender,place of residence,marital status,whether taking more than three types of medication,health self-assessment,number of children,quality of life,and life satisfaction were protective factors for social frailty(P<0.05);age,education level,pain,number of chronic diseases,hobbies,usual exercise status,nutritional status,children’s visitation,and sleep quality were significant risk factors for social frailty(P<0.05).(4)Spearman correlation analysis showed a positive correlation between sleep quality and social frailty(r=0.442,P<0.01),a negative correlation between sleep quality and quality of life(r=-0.419,P<0.01),and a negative correlation between quality of life and social frailty(r=-0.554,P<0.01).(5)The results of path analysis showed that the confidence interval of sleep quality→social frailty was [0.038～0.405] with a significant direct effect;the confidence interval of sleep quality→quality of life→social frailty was [0.050～0.189] with a significant mediating effect accounting for 34.20% of the total effect.Conclusions:(1)The percentage of elderly inpatients suffering from low-quality sleep is quite large,and social frailty is severe.Social frailty was more severe in elderly inpatients with low education level,no hobbies,less exercise,poor nutrition,poor self-assessment of health,less visits from children,coexistence of multiple chronic diseases,somatic pain,and low-quality sleep.(2)The sleep quality of elderly inpatients is positively correlated with social frailty,indicating that the poorer the sleep quality of elderly inpatients,the higher the risk of social frailty.Therefore,by studying the current situation of social frailty in elderly inpatients and its relationship with sleep quality,this paper provided theoretical evidence for improving sleep quality and preventing or delaying the occurrence of social frailty.(3)Sleep quality of elderly inpatients can not only directly affect social frailty of elderly inpatients,but also indirectly affect social frailty through its influence on the quality of life.That is,poorer sleep quality of elderly inpatients can increase the risk of social frailty by decreasing quality of life.Therefore,medical professionals should pay close attention to the sleep quality and quality of life of elderly inpatients in order to identify and intervene in social frailty and furtherly reverse the state of social frailty by exploring more effective measures.