Poor sleep quality in older adults is closely associated with a range of adverse health outcomes. Strengthening sleep health and rehabilitation management within existing primary healthcare for older adults can help prevent or slow the onset and progression of many chronic diseases, thereby saving substantial medical resources. However, a comprehensive sleep-rehabilitation management system has yet to be established at the primary healthcare level. To address this gap, the Community Rehabilitation Working Committee of Chinese Rehabilitation Medical Association, has developed the Chinese Expert Consensus on Sleep Health and Rehabilitation Management for Community-dwelling Older Adults (2025 Edition), in collaboration with experts from multiple domestic institutions. Grounded in evidence-based research on sleep rehabilitation and informed by multidisciplinary clinical experience, the consensus considers the current availability of community-level rehabilitation resources and future trends in primary healthcare. It offers consensus-based recommendations on age-related changes in sleep physiology, goals and requirements for sleep management, rehabilitation screening and assessment, management content, and procedural workflows. The publication of this consensus is expected to play a pivotal role in guiding primary healthcare institutions to implement standardized and evidence-based management of sleep rehabilitation in older adults.

老年人睡眠不良与多种健康结局密切相关，基层医疗卫生机构若在现有的老年人健康管理基础上强化睡眠健康与康复管理，将有助于预防、延缓诸多老年慢性疾病的发生与发展，从而节约大量医疗资源。然而，目前基层医疗卫生机构尚未建立完善的睡眠健康与康复管理体系。为填补这一领域空白，由中国康复医学会社区康复工作委员会牵头发起，联合国内多家机构的专家学者共同制订《社区老年人睡眠健康与康复管理中国专家共识（2025年版）》。该共识立足于睡眠康复相关领域的循证医学证据，结合多学科专家临床实践经验、我国基层康复资源情况及未来基层医疗发展趋势，围绕老年人的睡眠生理变化、基层睡眠健康与康复管理目标与要求、康复筛查与评估、康复管理内容、康复管理流程等方面形成共识性意见。本共识的发布对推动基层医疗卫生机构规范开展老年人睡眠健康与康复管理工作具有重要意义。