RỐI LOẠN GIẤC NGỦ VÀ TÌNH TRẠNG STRESS, RỐI LOẠN LO ÂU, TRẦM CẢM Ở BỆNH NHÂN CAO TUỔI TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC HUẾ

Abstract

Background: This study aims to assess sleep disorders, as well as stress, anxiety, and depression, and to explore the associations between sleep quality and stress, anxiety, depression, and certain characteristics in elderly patients. Methods: This cross-sectional descriptive study included 206 patients aged 60 years and older who are receiving treatment at the General Internal Medicine—Endocrinology—Musculoskeletal and Cardiovascular Internal Medicine departments at Hue University of Medicine and Pharmacy Hospital from October 2023 to May 2024. Results: The average PSQI score was 8.12 ± 3.434, classified as moderate. 60.7% of patients had a PSQI score > 5 (indicative of sleep disorders), with 50.4% at a moderate level. The prevalence of stress, anxiety disorders, and depression was 44.2%, 53.4%, and 31.6%, respectively, with mild stress accounting for 32.5%, moderate anxiety disorders for 25.2%, and mild depression for 19.4%. Multivariate linear regression analysis showed that age, place of residence, living conditions, smoking, stress, and anxiety disorders were associated with the sleep quality of elderly patients. Conclusions: The study indicates a high prevalence of sleep disorders among elderly patients. Nurses must develop plans to identify symptoms and underlying causes to ensure effective treatment and patient care. Special attention should be given to patients aged ≥80 years, those living in rural areas, those living with family, smokers, and those exhibiting signs of depression and anxiety disorders.