Correlation of sleep quality with mental state and quality of life in elderly patients with gastroesophageal reflux

Abstract

BACKGROUND Gastroesophageal reflux disease (GERD) is one of the common diseases of the digestive system, and long-term and repeated attacks of the disease greatly affect the quality of life and sleep quality of patients. It is of important significance to improve the sleep quality and mental state of these patients to improve their treatment compliance and quality of life. AIM To investigate the correlation of sleep quality with mental state and quality of life in elderly patients with GERD. METHODS One hundred and twenty elderly patients with GERD treated at the Second Hospital of Jinhua City, Zhejiang Province from January 2018 to September 2019 were enrolled, including 70 without sleep disorders (control group) and 50 with sleep disorders (observation group). Sleep quality, mental status, and quality of life scale scores were evaluated in all patients, and Pearson and Spearman correlation analyses were performed. RESULTS Compared with the control group, the scores of all dimensions of the Pittsburgh Sleep Quality Index (PSQI) scale increased significantly in the observation group (P < 0.05), with the increase in the scores of time to sleep, sleep duration, and sleep disorders more prominent (P < 0.01). Compared with the control group, the scores of somatization, anxiety, depression, paranoia, force, and psychosis of the SCL-90 were significantly higher in the observation group (P < 0.05), while those of hostile, terror, and interpersonal sensitivity showed no significant change (P > 0.05). Compared with the control group, the scores of physical functioning, physical role, general health, vitality, social function, emotional function, and mental health of the SF-36 were significantly lower in the observation group (P < 0.05), while the score of bodily pain increased significantly (P < 0.05). Correlation analysis showed that the scores of the eight dimensions of the SF-36 were negatively correlated with the scores of somatization, anxiety, depression, paranoia, force, and psychosis of the SCL-90 (P < 0.05). CONCLUSION Sleep disorder in elderly GERD patients is an important factor affecting psychological state and quality of life, and quality of life is negatively correlated with somatization, anxiety, depression, paranoia, compulsion, and psychosis of the SCL-90. Therefore, attention should be paid to patients’ mental state to improve their quality of life and sleep in clinical practice.