The Influential Factors Of Sleep Disorders Among The Elderly Patients With Osteoporosis And Intervention Study

Objectives 1 To investigate the related factors of sleep disorders among the elderly patients with osteoporosis; 2 To observe the effect of standardized sleep management, pulsed electric-magnetic fields(PEMFs) combined with pain management on the elderly patients with osteoporosis.Methods 1 A hospital-based case-control study: Select the elderly patients with osteoporosis as research subjects who have been diagnosed and treated in the Hospital Affiliate to North China University of Science and Technology during July 2014 to June 2015. Sleep Quality Index(PSQI) was used to evaluate sleep condition and They were divided into sleep disorders group(n=206) and sleep well group(n=206). An unmatched case-control study was conducted and we performed questionnaire for the research subjects, including general factors, lifestyle, sleep-related behaviors, psychological and social factors, osteoporosis characteristics and health status ect. Then we made univariate analysis and Logistic regression analysis for the obtained data to explore the related factors of sleep disorders among the elderly patients with osteoporosis. 2 The study of the intervention effect of standardized sleep management, pulsed electric-magnetic fields(PEMFs) combined with pain management on the elderly patients with osteoporosis: Choose 80 cases of patients with sleep disorders and collect baseline data such as general factors, the degree of pain and the quality of sleep. And according to random distribution, the patients were divided into control group and intervention group with 40 cases in each group according to the smallest imbalance index allocation principles. The patients of control group received basic anti-osteoporosis treatment and sleep health education. In addition, the patients of intervention group received standardized sleep management, pulsed electric-magnetic fields(PEMFs) combined with pain management. Five weeks later, evaluating the degree of pain and sleep quality score again, and then compared the differences between the two groups.Results 1 The related factors of sleep disorders among the elderly patients with osteoporosis: Univariate analysis showed that the gender, occupation, marital status, income, drinking tea, doing exercise, regular bedtime, thinking at bedtime, worrying about sleep, staying in bed after awake, living alone, the level of social support, anxiety, depression, stages of osteoporosis, type of osteoporosis, pain or not, position of pain, level of pain, fatigue, walking slowly, muscle cramps, vertebral compression, self-report health, self-care ability, BMI, nutritional status, self-management behaviors and anti-osteoporosis treatment were associated with sleep disorders among the elderly patients with osteoporosis, and the difference was statistically significant(P<0.05). 2 The related multiple factors of sleep disorders among the elderly patients with osteoporosis: Multivariate Logistic regression analysis showed that marital status, regular bedtime, worrying about sleep, depression, stages of osteoporosis, level of pain, fatigue, walking slowly, vertebral compression, anti-osteoporosis treatment were the related factors of sleep disorders among the elderly patients with osteoporosis. 3 The intervention effect of standardized sleep management, pulsed electric-magnetic fields(PEMFs) combined with pain management on the elderly patients with osteoporosis: There were no statistical significances between intervention group and control group in general factors, level of pain, quality of sleep before the intervention(P>0.05). The level of pain decreased among patients in intervention group after intervention, compared with patients in control group. The difference was statistically significant(P<0.05). The scores of sleep quality in intervention group were less than that in control group in total scores and the remaining dimensions scores, except the sleep time dimension after intervention. The difference was statistically significant(P<0.05).Conclusions 1 Divorced or widowed, irregular bedtime, worrying about sleep, depression, severe osteoporosis, moderate pain, walking slowly, vertebral compression were the risk factors of sleep disorders among the elderly patients with osteoporosis, while anti-osteoporosis treatment was the protective factor. 2 Standardized sleep management, pulsed electric-magnetic fields(PEMFs) combined with pain management can ease the pain effectively and improve the quality of sleep.