Influencing factors of insomnia among the elderly in cold area based on TCM constitution
Objective It is to explore the related influencing factors of insomnia in elderly in cold regions based on tra-ditional Chinese medical(TCM)constitution and their clinical predictive value.Methods A cross-sectional survey was used for questionnaire survey and constitution diagnosis of elderly patients who visited the First Hospital Affiliated to Hei-longjiang University of Traditional Chinese Medicine from September 2021 to December 2022.The subjects were divided in-to normal group(AIS scores<6)and insomnia group(AIS>6)according to Athens Insomnia Scale(AIS),the correla-tion between insomnia and TCM constitution and other influencing factors in elderly people in cold regions was analyzed by single-factor and multifactorial Logistic regression,and the ROC curves of predictive models were plotted to assess the pre-dictive value of TCM constitution and other factors for insomnia in elderly people.Results There were 523 cases in the nor-mal group and 126 cases in the insomnia group,the differences in education and bad habits there were statistically signifi-cant(both P>0.05),but the difference in age,gender,history of allergy and surgery were not statistically significant be-tween the two groups(all P>0.05).The TCM constitution of insomniac elderly people in cold regions mainly was biased constitution;univariate analysis showed that the differences in education level and history of bad habit were statistically sig-nificant among some groups of TCM constitution(all P<0.05);multifactorial logistic regression showed that education lev-el,history of bad hobbies,Yang deficiency constitution,Qi deficiency constitution,Qi depression constitution,and phlegm-dampness constitution were significantly correlated with insomnia in the elderly people in cold regions(all P<0.05),the history of bad hobbies and middle and high education level,Yang deficiency constitution,Qi deficiency consti-tution,Qi depression constitution,and phlegm dampness constitution were the risk factors which influence the sleep of the elderly.ROC curve analysis showed that the predictive model AUC(area under the ROC curve)was 0.808(95%CI:0.765-0.851,P<0.001).Conclusion TCM constitution,history of bad hobbies and education level are indeed associ-ated with insomnia in the elderly in cold regions,and can be used for clinical prediction.We can predict the risk of insom-nia in the elderly based on relevant risk factors,and provide a personalized diagnosis and treatment plan for the elderly combined with"constitution differentiation and treatment".
万方数据
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