The relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facility

Abstract Background Due to the frequency of pain, sleep disorders and the complexity of their associated factors, the diagnosis of these disorders may be of great importance in identifying factors linked to care dependency in older people staying in long-term care facilities. The aim of the study wa...

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Main Authors: Grażyna Puto, Anna Kliś-Kalinowska, Agata Musiał
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-024-05665-z
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author Grażyna Puto
Anna Kliś-Kalinowska
Agata Musiał
author_facet Grażyna Puto
Anna Kliś-Kalinowska
Agata Musiał
author_sort Grażyna Puto
collection DOAJ
description Abstract Background Due to the frequency of pain, sleep disorders and the complexity of their associated factors, the diagnosis of these disorders may be of great importance in identifying factors linked to care dependency in older people staying in long-term care facilities. The aim of the study was to investigate the relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facility. Methods The study was conducted among older people staying in a long-term care facility between October 2022 and September 2023. The study used a survey questionnaire including questions about demographic and social characteristics, clinical condition and the following scales: ADL, IADL, GSD-15, GPM-24, CDS, PSQI. Results The analysis showed a statistically significant relationship between the deterioration of sleep quality by 1 unit and: an increase in the level of pain (B = 0.68; SE = 0.17; 95% CI [0.38; 1.10]), dependency in ADL (B = -0.09; SE = 0.04; 95% CI [-0.17; -0.02]), feeling depressed (B = 0.18; SE = 0.06; 95% CI [0 0.06, 0.31]) and care dependency (B = -0.78, SE = 0.24, 95% CI [-1.25, -0.31]). A statistically significant effect was noted between: pain level (B = -0.18; SE = 0.06; 95% CI [-0.30; -0.05], dependency in ADL (B = 1.98; SE = 0.35; 95% CI [1.28; 2.68]), instrumental activities of daily living (B = 1.86; SE = 0.28; 95% CI [1.30; 2.42]], feelings of depression (B = -0.96; SE = 0.17; 95% CI [-1.30; -0.62]) and care dependency. Conclusions The study is a valuable addition to research showing a strong link between pain, sleep quality and care dependency. The results support the need for a holistic approach in assessing pain, sleep quality, care dependency in older adults living in a long-term care facility.
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spelling doaj-art-ef8bf2ebcdf64593aac3f1bf66c433f82025-02-02T12:41:51ZengBMCBMC Geriatrics1471-23182025-02-0125111210.1186/s12877-024-05665-zThe relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facilityGrażyna Puto0Anna Kliś-Kalinowska1Agata Musiał2Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical CollegeInstitute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical CollegeDepartment of Anatomy, Jagiellonian University Medical CollegeAbstract Background Due to the frequency of pain, sleep disorders and the complexity of their associated factors, the diagnosis of these disorders may be of great importance in identifying factors linked to care dependency in older people staying in long-term care facilities. The aim of the study was to investigate the relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facility. Methods The study was conducted among older people staying in a long-term care facility between October 2022 and September 2023. The study used a survey questionnaire including questions about demographic and social characteristics, clinical condition and the following scales: ADL, IADL, GSD-15, GPM-24, CDS, PSQI. Results The analysis showed a statistically significant relationship between the deterioration of sleep quality by 1 unit and: an increase in the level of pain (B = 0.68; SE = 0.17; 95% CI [0.38; 1.10]), dependency in ADL (B = -0.09; SE = 0.04; 95% CI [-0.17; -0.02]), feeling depressed (B = 0.18; SE = 0.06; 95% CI [0 0.06, 0.31]) and care dependency (B = -0.78, SE = 0.24, 95% CI [-1.25, -0.31]). A statistically significant effect was noted between: pain level (B = -0.18; SE = 0.06; 95% CI [-0.30; -0.05], dependency in ADL (B = 1.98; SE = 0.35; 95% CI [1.28; 2.68]), instrumental activities of daily living (B = 1.86; SE = 0.28; 95% CI [1.30; 2.42]], feelings of depression (B = -0.96; SE = 0.17; 95% CI [-1.30; -0.62]) and care dependency. Conclusions The study is a valuable addition to research showing a strong link between pain, sleep quality and care dependency. The results support the need for a holistic approach in assessing pain, sleep quality, care dependency in older adults living in a long-term care facility.https://doi.org/10.1186/s12877-024-05665-zPainSleep qualityCare dependencyLong-term careOlder people
spellingShingle Grażyna Puto
Anna Kliś-Kalinowska
Agata Musiał
The relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facility
BMC Geriatrics
Pain
Sleep quality
Care dependency
Long-term care
Older people
title The relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facility
title_full The relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facility
title_fullStr The relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facility
title_full_unstemmed The relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facility
title_short The relationship between pain, sleep quality, and care dependency in older adults living in a long-term care facility
title_sort relationship between pain sleep quality and care dependency in older adults living in a long term care facility
topic Pain
Sleep quality
Care dependency
Long-term care
Older people
url https://doi.org/10.1186/s12877-024-05665-z
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