| ObjectiveThis study conducted a cross-sectional survey to understand the current status of sleep quality and cognitive function of elderly hypertensive patients in the community of Liu yang City.It analyzed the relationship between sleep quality and cognitive function of elderly hypertensive patients in the community,as well as the influencing factors on their cognitive function.Based on the research results,it provided practical basis for maintaining and improving the cognitive function and related quality of life of elderly hypertensive patients in the communityMethodsFrom December 2021 to February 2022,convenience sampling was used to select elderly hypertensive patients who met the inclusion criteria in the community of Liu yang City as the research subjects for a questionnaire survey.Using a general sociological questionnaire to investigate the basic situation of the research subjects;The cognitive function of the study subjects was evaluated using the Simple Cognitive State Assessment Scale(MMSE).The Pittsburgh Sleep Index(PSQI)is used to evaluate the sleep status of research subjects.Data entry and summary were completed using Excel 2019 software,and statistical analysis was conducted using SPSS 22.0 software.Quantitative data were expressed as mean ± standard deviation(x±s),qualitative data were expressed as frequency and percentage,the constituent ratio was compared using χ2 test or Fisher’s exact test;Using multivariate logistic regression analysis to analyze the influencing factors of cognitive function in hypertensive patients;Using Spearman to analyze the correlation between sleep quality and cognitive function;The test level was a=0.05.Results1.A total of 438 questionnaires were distributed in this study,and 421 questionnaires were effectively collected,with a recovery rate of 96.1%.The PSQI score of elderly hypertension patients in community was 8.75±4.00 points,and the scores of seven dimensions were:Subjective sleep quality score was 1.38±0.60 points,sleep time score was 1.91 ±0.93 points,sleep efficiency score was 1.50±0.86 points,sleep time score was 0.90±0.64,sleep obstacle score was 1.18±0.83 points,daytime dysfunction score was 1.43±1.14 points,and hypnotics score was 0.48±0.73 points.In this study,there were 199 elderly people with poor sleep quality among elderly hypertensive patients in the community,accounting for 47.3%of the total population.Among elderly hypertensive patients in the community,222 had better sleep quality,accounting for 52.7%of the total population.2.Among elderly patients hypertensive in the community,there were 182 cases of cognitive impairment,accounting for 43.2%of the total population.Among the population with cognitive impairment,the highest number of people aged 60～70 with cognitive impairment is 88,accounting for 48.4%of The proportion of cognitive impairment in women aged 60-70 and 71-80 is higher than that in men.3.In the population with cognitive impairment,the total score of PSQI and the scores of subjective sleep quality,sleep disorders and daytime dysfunction in various dimensions were significantly higher than those in the population with normal cognitive function(P<0.05);There was no significant difference between the scores of falling asleep time,hypnotics,sleep efficiency and sleep time and cognitive function(P>0.05).4.Univariate analysis showed that different age,marital status,educational level,body mass index,physical exercise,smoking,duration of hypertension,hypertension grading and sleep quality were relevant factors for cognitive function of elderly hypertensive patients in the community,and their differences were statistically significant for cognitive function of elderly hypertensive patients in the community(P<0.05).There were no statistically significant differences in the cognitive function of elderly hypertensive patients in the community,whether they drank tea or coffee,their living conditions,their monthly income(P>0.05).5.Regression analysis shows that Age(≥81 years old OR=2.256,95%CI=1.022～4.979,P=0.044),duration of hypertension(>10 years OR=2.773,95%CI=1.541～4.990,P=0.001),poor sleep quality(OR=1.766,95%CI=1.050～2.791,P=0.032),hypertension grade(Grade 2 OR=3.210,95%CI=1.788～5.762,P<0.001;Grade 3 OR=4.660,95%CI=2.306～9.416,P<0.001)was the risk factor for cognitive function in elderly community hypertension population.Non-smoking(OR=0.391,95%CI=0.219～0.698,P=0.001),overweight(OR=0.488,95%CI=0.273～0.871,P=0.015),physical exercise(≥3 times a week OR=0.480,95%CI=0.258～0.894,P=0.021),education level(junior high school OR=0.137,95%CI=0.065～0.295,P<0.001)were protective factors for cognitive function of elderly hypertension population in community.6.Sleep quality was positively correlated with cognitive function in elderly hypertension patients in the community(rs=0.105,P=0.031).Conclusions1.Among the elderly hypertensive patients in the community of Liu yang City included in this study,199 people had poor sleep quality,accounting for 47.3%,indicating that the number of elderly hypertensive patients with poor sleep quality in the community was at a high level.There were 182 cases of cognitive dysfunction among the elderly hypertensive patients in the community,accounting for 43.2%.It can be seen that the number of elderly hypertensive patients with cognitive impairment in the community is at a high level.2.Age,marital status,educational level,body mass index,physical exercise,smoking status,hypertension course,hypertension grading and sleep quality can affect the cognitive function of elderly hypertensive patients in community.Further regression analysis showed that non-smoking,being thin,overweight,exercising more than 3 times a week,education level,age over 80 years old,hypertension course over 10 years,poor sleep quality,and hypertension grading 2 and grade 3 levels were the main influencing factors for cognitive function in elderly hypertensive patients in the community.3.The sleep quality of elderly hypertensive patients in the community was positively correlated with cognitive function.The better the sleep quality of elderly hypertensive patients in the community,the better their cognitive function. |
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