Latent profiles and influencing factors of sleep quality in patients with chronic obstructive pulmonary disease

慢性阻塞性肺疾病患者睡眠质量的潜在特征和影响因素

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Abstract

OBJECTIVE: This study aims to elucidate the classification characteristics and determinants of sleep quality in individuals with chronic obstructive pulmonary disease (COPD) to inform tailored interventions. METHODS: A total of 231 COPD patients were selected using convenience sampling from January to June 2025 at the respiratory and critical care department of a tertiary hospital in Inner Mongolia. Data were collected through a general questionnaire, Pittsburgh Sleep Quality Index, COPD Assessment Test, and Self-Efficacy for Managing Chronic Disease 6-Item Scale. Latent profile analysis was employed to categorize sleep quality, and logistic regression was conducted to identify factors influencing each profile. RESULTS: Sleep quality among COPD patients exhibited three distinct categories: better sleep group (40.6%), low efficiency-maintenance group (46%), and high hypnotic-use with daytime dysfunction group (13.4%). Sex, COPD Assessment Test score, and self-efficacy score were found to influence sleep quality in COPD patients. CONCLUSION: There is population heterogeneity in sleep quality among patients with COPD. Special attention should be given to individuals with low efficiency-maintenance and high hypnotic-use with daytime dysfunction groups to implement targeted interventions aimed at enhancing sleep satisfaction and overall quality of life.

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