发现心理困扰与慢性疾病和持续性疼痛有关。然而,很少有研究探索它们之间的潜在途径。本研究旨在通过睡眠质量和自我评估健康状况来分析慢性病和持续疼痛对心理困扰的路径。山东省共有2748名农村老年人,中国被纳入本研究。使用Mplus8.3进行路径分析,以检查慢性病之间的关联,持续性疼痛,睡眠质量,自我评估的健康,调整年龄后的心理困扰,性别,教育,和家庭收入。在这项研究中,老年人的心理困扰患病率为47.49%。慢性疾病和持续性疼痛通过六个中介途径与心理困扰间接相关:(1)通过睡眠质量(β=0.041,95CI:0.015-0.067)和自我评估的健康(β=0.064,95CI:0.038-0.091),从慢性疾病到心理困扰的路径。分别,并且存在链调解(β=0.007,95%CI:0.000-0.014);(2)持续疼痛和心理困扰通过睡眠质量(β=0.058,95%CI:0.014-0.102)和自测健康(β=0.048,95%CI:0.000-0.096)的路径,分别,还发现了链介导(β=0.009,95%CI:0.005-0.014)。在中国农村老年人中,通过睡眠质量下降和自我评估健康状况,心理困扰与慢性病和持续疼痛有关。对于患有慢性疾病和持续性疼痛的老年人,应采取多管齐下的针对性干预措施。
Psychological distress were found to be associated with chronic conditions and persistent pain. However, few studies explored the underlying pathways between them. This study aimed to analyze the path of chronic conditions and persistent pain on psychological distress through sleep quality and self-rated health. A total of 2,748 rural older people in Shandong,
China were included in this study. Path analysis was performed by using Mplus 8.3 to examine the associations between chronic conditions, persistent pain, sleep quality, self-rated health, and psychological distress after adjusting for age, gender, education, and household income. The prevalence of psychological distress among the older adults in this study was 47.49%. Chronic conditions and persistent pain were indirectly associated with psychological distress through six mediating pathways: (1) the path from chronic conditions to psychological distress through sleep quality (β = 0.041, 95%CI: 0.015-0.067) and self-rated health (β = 0.064, 95%CI: 0.038-0.091), respectively, and a chain mediation existed (β = 0.007, 95% CI: 0.000-0.014); (2) the path of persistent pain and psychological distress through sleep quality (β = 0.058, 95% CI: 0.014-0.102) and self-rated health (β = 0.048, 95% CI: 0.000-0.096), respectively, also the chain mediation found (β = 0.009, 95% CI: 0.005-0.014). Psychological distress was associated with chronic conditions and persistent pain through decreased sleep quality and self-rated health among Chinese rural older people. Multi-pronged targeted intervention should be taken for older adults with chronic conditions and persistent pain.