老年慢阻肺患者睡眠质量评估及相关影响因素、干预策略

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AbstractObjective：To evaluate sleepqualityof elderlychronicobstructive pulmonary disease（COPD）patients，and to analyze itsrelatedinfluencingfactorsadinterventionstrategies.Methods：DuringtheperiodofDecember2O1toDecember2O24atotal of150elderly COPDpatientsadmited toour hospital wereselected.Sleepqualitywas evaluated byPitsburgh SleepQualityIndex （PSQI）. A total PSQI score ⩾7 indicated poor sleep quality（sleep disorder group），and conversely，it was the normal sleep group.Generaldataofthepatientswerecoected.Multivariateanalysiswasadopted toanalyzetherelatedinfluencingfactorsof sleep quality in elderly COPD patients. Results：A total of 36 cases had sleep disorders （ 24.00% ）among the 150 cases of elderly COPD patients.Generaldatashowedthattherewere statisticallysgnificant diferences insmokingstatus，alnutrion，andGOLD classification between the two groups（ P<0.05 ）. Multivariate analysis showed that smoking，malnutrition，and GOLD classification grades ∥Ω～∥Ω were all independent risk factors affecting the sleep quality of elderly COPD patients（ P<0.05 ）. Conclusion ： The sleepqualityofelderlyCOPDpatients iselated tosmokingstatus，malnutrion，andGOLDclassification.Clinicalyefectiveintervention strategies need to be adopted based on these findings.

KeywordsElderly； Chronic obstructive pulmonary disease； Sleequality;；Smoking；Malnutrion;GOLD clasification; Inter-vention strategies

中图分类号：R563;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.07.014

慢阻肺为临床常见慢性、进行性发展的呼吸系统疾病，具有高发生率和死亡风险，据世界卫生组织估计，慢阻肺目前居全球死亡原因第3位，对我国公共卫生构成重大威胁[1-2]。（剩余4091字）