Study of the management effects of a smart living environment based on professional medical guidance in older adults with functional impairments

OBJECTIVE: To evaluate the management effects of a smart living environment based on professional medical guidance in older adults with functional impairments. METHODS: A total of 170 older patients with functional impairments who sought care at the People's Hospital of Guangxi Zhuang Autonomous Region from June 2023 to September 2025 were included and divided into an observation group and a control group according to whether they received smart living environment management based on professional medical guidance. After 6 months of follow-up, the two groups were compared in terms of the risk of adverse events, mental health status, sleep quality, and improvements in social and cognitive function. RESULTS: After 6 months of follow-up, the observation group had a lower risk of falls than the control group (P=0.011). In the observation group, the total PSQI score and scores for dimensions such as sleep quality, sleep latency, and daytime dysfunction decreased from preintervention levels and were lower than those in the control group (all P<0.05). Scores on the responsibility and planning factor of the Social Disability Screening Schedule decreased from preintervention levels in both groups, with a more pronounced decrease in the observation group (all P<0.05). After the intervention, the total MoCA score and scores for executive function, delayed recall, and visual perception were higher in the observation group than in the control group (all P<0.05). CONCLUSIONS: A smart living environment management model based on professional medical guidance can reduce the risk of falls in older adults with functional impairments, improve patients' sleep quality, shorten sleep latency, improve daytime function, and slow cognitive decline.