Sleep Quality In Elderly Patients Research Articles

An RCT META analysis based on the effect of tai chi exercise therapy on the outcome of elderly patients with moderate-to-severe sleep disorders-A systematic review study

BackgroundAccording to statistics, about one-fifth of the world's elderly people suffer from sleep disorders, and the problem of sleep disorders in the elderly is extremely serious, and this problem is one of the important causes of chronic diseases such as hypertension, hyperlipidemia, diabetes mellitus, and coronary heart disease in the elderly. The positive effect of Tai Chi exercise therapy on sleep problems has been confirmed, but at present, the effect of the specific duration of Tai Chi exercise on the improvement of elderly people with moderate to severe sleep disorders varies. ObjectiveMETA analysis was used to investigate and find that long-term Tai Chi exercise therapy has the best effect on improving sleep in elderly patients with moderate to severe sleep disorders. Methods: META analysis was performed using Revman 5.3 after searching Web of science, Pubmed, Scopus, The Cochroae Library, OVID, CBM, CNKI, VIP, and other databases, and then filtering and extracting. ResultsA total of seven papers were included. Meta-analysis showed that tai chi exercise was more effective in improving sleep problems in elderly patients with sleep disorders compared to the control group, and the difference was significant. This was demonstrated by a decrease in the global Pittsburgh Sleep Quality Index (PSQI) score [SMD = −0.66, 95 % CI (−0.91, −0.41), P < 0.00001], as well as its subdomains of subjective sleep quality [SMD = −0.79, 95 % CI (−1.06, −0.52), P < 0.00001], sleep latency [SMD = −0.80, 95 % CI (−1.21, −0.40), P < 0.00001], sleep duration [SMD = −0.38, 95 % CI (−0.72, −0.04), P = 0.03], habitual sleep efficiency [SMD = −0.58, 95 % CI (−0.84, −0.31), P < 0.0001], sleep disturbance [SMD = −0.51, 95 % CI (−0.78, −0.25), P = 0.00001] and daytime dysfunction [SMD = −0.33, 95 % CI (−0.59, −0.07), P = 0.01]. Improvement was also observed in the Epworth Sleepiness Scale (ESS) and Insomnia Severity Index Scale (ISI). The results showed that the optimal duration and frequency of Tai Chi exercise therapy for improving moderately severe elderly patients with sleep disorders was long-term. ConclusionThis study systematically assessed the efficacy of Tai Chi exercise therapy for elderly patients with moderate-to-severe sleep disorders. Through a meta-analysis of relevant randomized controlled trials (RCTs), it aims to determine the effectiveness of Tai Chi exercise in improving sleep quality in elderly patients with moderate-to-severe sleep disorders, as well as to compare its effects with those of traditional treatments; to analyze the safety of Tai Chi exercise for this patient population and assess its feasibility as a non-pharmacological therapy; and to fill the research gaps and provide more comprehensive and systematic evidence support. This study provides a practical approach to reducing the risk of medication side effects in older adults with sleep disorders and offers a potentially effective non-pharmacological treatment option, especially for those who are unable or unwilling to use medication. Tai chi exercise may not only improve sleep, but also improve coordination, muscle strength, balance, and reduce stress and anxiety in older adults. It also helps older adults socialize and enhances their social connections and emotional support. This study suggests that community centers or activity centers for the elderly can organize tai chi classes to promote the participation of older adults, and can be used as a scientific exercise rehabilitation tool in clinical treatment, incorporating tai chi practice into daily life, such as tai chi practice at a fixed time every day or every week, which not only helps to improve the sleep disorders of older adults, but also improves their overall quality of life.

Efficacy analysis of non-invasive positive pressure ventilation in elderly patients with heart failure complicated with obstructive sleep apnea syndrome.

It is recommended to use non-invasive positive pressure ventilation in elderly patients with heart failure combined with obstructive sleep apnea syndrome (OSAS). To study the therapeutic effect of non-invasive positive pressure ventilation on elderly patients with heart failure complicated with OSAS. Using the random number table method, 119 elderly patients with heart failure complicated with OSAS who were admitted to our hospital from April 2020 to April 2021 were divided into the observation (60 cases) and control (59 cases) groups. On the basis of conventional drug treatment, patients in the observation group were treated with non-invasive positive pressure ventilation, and patients in the control group were treated with low-flow oxygen inhalation. The sleep quality, hemoglobin, red blood cells, erythropoietin, pro-brain natriureticpeptide (pro-BNP) levels and blood pressure were compared. After treatment, levels of hemoglobin, erythrocytes, erythropoietin, pro-BNP, blood pressure and sleep apnea-hypopnea index in the observation group were lower before treatment and in the control group in the same period. The oxygen saturation was higher before treatment and the control group in the same period (P< 0.05). The overall satisfaction with sleep quality in the observation group was higher (P< 0.05). Non-invasive positive pressure ventilation can improve blood oxygen saturation and sleep quality in elderly patients with heart failure complicated with OSAS, and reduce pro-BNP level.

Can dexamethasone improve postoperative sleep and postoperative delirium in elderly patients undergoing robot-assisted laparoscopic radical prostatectomy? Protocol for a prospective, randomized, double-blind, controlled study

BackgroundPerioperative sleep disorders (PSD) are an independent risk factor for postoperative delirium (POD), which is a common complication after surgery. Elderly patients who undergo robot-assisted radical prostatectomy (RARP) often experience perioperative sleep disorders (PSD). Dexamethasone, a medication that works by inhibiting the hypothalamic-pituitary-suprarenal cortical axis, can reduce the negative effects of surgical stress. The objective of this study was to determine whether intravenous administration of dexamethasone at the time of anesthesia induction could improve postoperative sleep quality in elderly patients, thereby indirectly reducing the risk of postoperative cognitive impairment and accelerating postoperative rehabilitation.Methods/designThis study is a randomized, double-blind, placebo-controlled trial that was conducted at a single center. A sample size of 116 patients was determined through calculation, and these patients were randomly assigned to either the dexamethasone group (group D, n = 58) or the blank control group (group C, n = 58). On the day of surgery, the anesthesia nurse prepared either diluted dexamethasone or saline in advance, according to the patient's assigned group. The blinded anesthesiologist administered the medication during induction, and a dedicated person followed up with the patient for three consecutive postoperative days. All other aspects of care were managed equally between the two groups. The primary outcome measure was sleep quality, while secondary outcome measures included postoperative sleep time, postoperative delirium (POD), pain scores, and other complications. Relevant test measures were recorded for analysis.DiscussionThis study aims to investigate the impact of intravenous dexamethasone on sleep quality and duration of patients undergoing robot-assisted radical prostatectomy (RARP). If the findings of this study protocol are affirmative, it could enhance the sleep quality of elderly patients after surgery, thereby minimizing the risk of postoperative delirium (POD), and providing substantial evidence for the perioperative enhanced recovery management of elderly patients.Trial registrationChinese clinical trial registry: ChiCTR2200063488, Registered on 5 October 2022.

Evaluation of low-dose esketamine on sleep quality in elderly patients undergoing painless gastroscopy

Purpose: To investigate the effect of low-dose esketamine on sleep quality in elderly patients undergoing painless gastroscopy. &#x0D; Methods: A total of 84 patients (ASA grade II - III, &gt; 65 years old) who were to undergo painless gastroscopy in Guanggu District, Wuhan Third Hospital from June to July 2021 were enrolled. The diagnosis of sleep disorder was performed using Pittsburgh Sleep Quality Index (PSQI) before surgery. Patients with PSQI ≥ 5 were diagnosed with a sleep disorder (group E, n = 42), while those with PSQI &lt; 5 were normal (group C, n = 42). Patients in both groups were given a single intravenous injection of esketamine 0.2 mg/kg 3 min before anesthesia induction, followed by an intravenous loading dose of propofol 1.5 mg/kg. Maintenance of anesthesia was achieved by intravenous pumping with propofol at 4 mg/kg per hour. &#x0D; Results: Sleep quality of patients in both groups improved after surgery, but the PSQI scores decreased more than that of group E (p &lt; 0.05), especially on the night after surgery. Compared with group C, anesthesia induction time was longer and the number of propofol supplementation was increased in group E (p &lt; 0.05). Groups C and E manifested no significant differences in postoperative satisfaction and occurrence of adverse reactions (p &gt; 0.05). &#x0D; Conclusion: Low-dose esketamine improves the sleep quality of elderly patients with painless gastroscopy without increasing the risk of circulating breathing during surgery. However, multi-center large-scale studies will be required in further investigations in order to validate the findings of this study.

Sleep Quality and Associated Factors in Elderly Patients with Type-2 Diabetes Mellitus

Objective: The prevalence of poor sleep quality has been greatly escalating over the past years, along with the surging of type 2 Diabetes Mellitus (DM). The aging population is most concerned as sleep quality is notably impaired and influences the diabetic condition. This study aimed to observe the sleep quality and factors related to poor sleep quality in elderly patients with type-2 DM. Materials and Methods: A cross-sectional study of patients with type 2 DM, aged 60 years and above was conducted. The questionnaires included demographic data, the Thai version of the Pittsburgh Sleep Quality Index (T-PSQI), the Thai version of the Diabetic-39, and the Thai Geriatric Depression Scale-15. Factors associated with sleep quality were analyzed using the logistic regression model. Results: Among 385 participants with a mean age of 67 years old was 63.90% female. The prevalence of poor sleep quality was 9.88%. No association was found between sleep quality and glycemic levels. The related factors for poor sleep quality were sex (aOR = 2.57, p = 0.035, 95%CI = 1.06-5.93), body mass index (aOR =1.09, p = 0.028, 95% CI = 1.00-1.20), and diabetic complications. Diabetic retinopathy showed highest odd ratio (aOR = 6.28, p = 0.021, 95% CI = 1.32-29.94). Conclusion: The prevalence of poor sleep quality was low in the current study. We found a strong association between diabetic complications and poor sleep quality. Evaluation of sleep quality may help to enhance overall health and care for diabetic geriatric patients.

Effect of Benson’s relaxation training on fatigue and sleep quality of elderly patients after surgery for with glioma

Effect of Benson’s relaxation training on fatigue and sleep quality of elderly patients after surgery for with glioma

[Ultrasound-guided stellate ganglion block improves sleep quality in elderly patients early after thoracoscopic surgery for lung cancer: a randomized controlled study].

To investigate the effects of ultrasound-guided stellate ganglion block (SGB) on sleep quality in elderly patients with lung cancer early after thoracoscopic surgery. A total of 86 patients with lung cancer (ASA class I-III, aged 60-80 years) undergoing elective thoracoscopic surgery were randomized into stellate ganglion block (SGB) group (n=43) and control group (n=43) to receive ultrasound-guided right SGB with 7 mL of 0.5% ropivacaine at the C6-7 level and injection of 7 mL saline at the same site 30 min before anesthesia induction, respectively. On the day before surgery and the first two days after the surgery, sleep duration, sleep efficiency index (SEI) and N3 sleep stage of the patients were monitored using a BIS-Vista monitor, and Athens Insomnia Scale (AIS) scores were recorded. The plasma levels of norepinephrine and cortisol of the patients were measured before SGB (T1), at 5 min after extubation (T2) and at 6:00 on the first morning after the surgery (T4). Urine levels of 6-hydroxysulfate melatonin (6-HMS) were measured at 6:00 in the morning for 3 consecutive days starting on the day of surgery (T3, T4 and T5, respectively). VAS score, incidences of postoperative delirium and depression, sufentanil consumption after surgery, and discharge time of the patients were recorded. Thirty-six patients in SGB group and 35 in the control group were analyzed. In both groups, most of the patients had insomnia after surgery, but compared with those in the control group, the patients in SGB group had significantly longer sleep duration (P < 0.05) with a higher sleep efficiency index (P < 0.05) and a longer sleep time in N3 stage (P < 0.05) on the first two nights after surgery. The mean postoperative AIS score and incidence of insomnia were significantly lower in SGB group than in the control group (P < 0.05). Compared with the control group, SGB group showed significantly lower plasma levels of norepinephrine and cortisol at T2 and T4 (P < 0.05), a higher urine level of 6-HMS at T5 (P < 0.05), and a shorter discharge time after the surgery (P < 0.05). The VAS scores, postoperative incidences of delirium and depression, or postoperative sufentanil consumption did not differ significantly between the two groups. Ultrasound-guided SGB improves objective and subjective sleep quality in elderly patients early after thoracoscopic surgery for lung cancer to alleviate stress responses and sleep disorders, reduce postoperative hospital stay, and accelerate postoperative recovery of the patients.

Impact of Lavender Herbal Tea on Sleep Quality in Elderly Patients with Poor Sleep Quality: A Randomized Study

Objective: Aromatherapy has been used as a complementary alternative therapy in elderly adults with poor sleep quality. Lavender has sedative, anxiolytic, and analgesic properties. This study aimed to evaluate effect of lavender herbal tea in different doses on sleep quality of elderly people. &#x0D; Material-Method: This study has been designed as a prospective, randomized study with a two-arm parallel design. There were 94 patients aged between 65 and 75 years with a Richards-Campbell Sleep Questionnaire (RCSQ) score of 0.05) or in terms of baseline RCSQ scores (p=0.685). However, 1st-month and 3rd-month RCSQ scores in patients who used 2 g lavender tea bags were significantly higher than those who used 1 g herbal tea bags (p

Effect of the Quality Control Circle Nursing on Rehabilitation, Resilience and Sleep Quality of Elderly Patients with Coronary Heart Disease

Effect of the Quality Control Circle Nursing on Rehabilitation, Resilience and Sleep Quality of Elderly Patients with Coronary Heart Disease

Evaluation of the correlation between frailty and sleep quality among elderly patients with osteoporosis: a cross-sectional study

BackgroundThe incidence of osteoporosis increases with age. Frailty is a distinct characteristic seen in older osteoporosis patients. Poor sleep quality is common in elderly individuals. However, there are few studies on the correlation between frailty and sleep quality in elderly patients with osteoporosis in China.MethodsThis cross-sectional study was conducted from December 8, 2020, to April 30, 2021. A total of 247 patients who met the inclusion and exclusion criteria were recruited in outpatient departments at West China Hospital. A self-designed demographic data questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Frailty Phenotype scale were used to evaluate the sleep quality and frailty of the participants. Multivariate logistic regression was performed to evaluate the factors affecting frailty and sleep quality in osteoporosis patients.ResultsA total of 231 valid questionnaires were statistically analysed. The mean frailty score was 3.2 ± 1.6 and a total of 152 (65.8%) were frailty. The mean PSQI score was 11.9 ± 4.5 and a total of 183 (79.2%) patients had poor sleep quality (PSQI > 7). Multiple logistic regression showed that female, pain, polypharmacy, activities of daily living status (ADLs), and sleep quality were independent influencing factors for frailty, while comorbidity, ADLs and frailty status were independent influencing factors for sleep quality.ConclusionWe found that frailty and sleep quality were prevalent and that frailty was positively correlated with the PSQI score in elderly patients with osteoporosis in China. The higher the frailty score is, the worse the sleep quality. It means the frailer old patients were, the worse their sleep quality, and poor sleep quality may increase the risk of frailty in elderly patients with osteoporosis. To manage elderly patients with osteoporosis effectively, medical staff should pay attention to frailty, sleep quality and its influencing factors.

Sleep quality in elderly patients diagnosed with osteoarthritis at orthopedic outpatient clinic

Background: Elderly patients have osteoarthritis pain who suffering from sleep latency, difficulty maintaining sleep, sleep fregmentation and early morning are all symptoms of poor sleep. Aim: This study aims to assess sleep quality in elderly patients diagnosed with osteoarthritis. Study Design: : A descriptive research design was used for conducted this study. Setting: The study was conducted at the orthopedic outpatient clinic of Fayoum General Hospital. Sample: A purposive sample was used in this study and included 169 of elderly patients diagnosed with osteoarthritis (demographic characteristics, past and present medical history and patients’ knowledge about osteoarthritis). Tool II: Two standardize tools; Part I- Pittsburgh Sleep Quality Index  to assess sleep quality. Part II- The Visual Analog Pain Scale to assess pain severity. Results: the presenting study showed that, (90.9%) of patients with osteoarthritis were found to have poor sleep quality, 80% had unsatisfactory knowledge, 92.9% of females were having poor sleep more than men. 60 % of patients had severe pain (VAS &gt; 7). 55.7% of patients had sleep latency, 59.2% had short sleep duration. Statistically significant relation between total knowledge, sleep quality and pain  with p value (p=0.001*). 

Effect of Physical Exercise on Sleep Quality in Elderly Adults: A Systematic Review with a Meta-Analysis of Controlled and Randomized Studies

Introduction: Aging is directly related to sleep problems. Primary insomnia has a negative impact on the lives of elderly adults, altering cognitive and metabolic functions. Physical activity is positively related to improvement in sleep quality. The objective of this systematic review was to analyze the effects of physical activity programs in healthy elderly individuals aged 60 years or older, using the Pittsburgh Sleep Quality Index (PSQI) as a tool. Methods: The search was performed in the PubMed and Scielo databases, July 2021. Only randomized clinical trials that evaluated the role of physical exercise in the sleep quality of elderly patients were selected by two independent reviewers. Results: The result of the PSQI analysis showed that compared with the control condition, the exercise intervention was beneficial for the groups with insomnia (SMD: −0.57; 95% CI: −0.73 to −0.4; p &lt; 0.00001; I2 = 53%) and without insomnia (SMD: −0.61; 95% CI: −0.75 to −0.47; p &lt; 0.00001; I2 = 73%) and for the two groups combined (SMD: −0.59; 95% CI: −0.70 to −0.49; p &lt; 0.0001, I2 = 68%). Conclusion: The systematic and continuous practice of physical exercise significantly improves perceived sleep quality in elderly individuals. Therefore, physical activities can be used as a tool to prevent sleep disorders and improve health in general. Future studies may clarify the comparison between aerobic and resistance exercises, evaluate the dose–response relationship and include more participants.

Investigation and Analysis of Influencing Factors of Sleep Quality in Elderly Patients with Coronary Heart Disease

Investigation and Analysis of Influencing Factors of Sleep Quality in Elderly Patients with Coronary Heart Disease

Effect of propofol-based total intravenous anaesthesia on postoperative cognitive function and sleep quality in elderly patients.

This study aimed to observe the effect of propofol-based total intravenous anaesthesia (TIVA) on postoperative cognitive function and sleep quality in elderly patients. From August 2019 to August 2020, 130 cases of elderly patients who underwent abdominal surgery in The Third Hospital of Hebei Medical University were enrolled in this study. All participants were randomly divided into TIVA group (n=65, receiving propofol-based TIVA) and control group (n=65, receiving inhaled of sevoflurane anaesthesia). Intra-operative indicators were recorded in both groups. The cognitive function, sleep quality, urine melatonin sulphate, free cortisol, S-100 β protein and interleukin-6 (IL-6) levels were compared at different times. On 1, 3, 7 and 15days after operation, the cognitive function of the TIVA group was better than that of the control group, with statistically significance (P<.05, respectively). On the day of surgery, the two groups had similar sleep quality. The sleep quality of the TIVA group was better than that of the control group on 1, 3 and 7days after surgery (P<.05, respectively). On the day of surgery, the levels of melatonin, cortisol, S-100β protein and IL-6 in the two groups were equivalent (P>.05). On 1, 3, 7 and 15days after surgery, cortisol and IL-6 in the TIVA group were lower than those of the control group, and melatonin was higher than that of the control group (P<.05, respectively). On 1, 3 and 7days after operation, the S-100 β protein in the TIVA group was lower than that in the control group (P<.05, respectively). Propofol-based TIVA has little effect on the cognitive function and sleep quality of elderly patients after surgery, and it is worthy of clinical application.

Effect of mindfulness-based stress reduction therapy on psychological status and sleep quality of elderly patients with gastroesophageal reflux disease during COVID-19 pandemic

BACKGROUND With the increase of age, the incidence of gastroesophageal reflux disease increases in elderly patients Due to a lack of an understanding of the disease, high psychological pressure, and other factors, the patients may develop negative emotions, which thus affects their quality of sleep AIM To investigate the effect of mindfulness-based stress reduction therapy on psychological status and sleep quality of elderly patients with gastroesophageal reflux disease during the COVID-19 pandemic METHODS A total of 120 elderly patients with gastroesophageal reflux disease admitted to our hospital from May 2020 to October 2020 were selected and randomly divided into either a control group or an observation group with 60 patients each Both groups were given routine medical care, such as diet care, health education, medication care, sports care, psychological care, and disease-related knowledge consultation The observation group was additionally given mindfulness-based stress reduction therapy five times, with each intervention lasting 30 min To ensure the completion of the study, the intervention was performed every 2 d, with each participant completing the intervention within 10 d and receiving eight times of intervention The Depression-Anxiety-Stress Scale (DASS-21), Mood State Scale (POMS), and Pittsburgh Sleep Quality Scale (PSQI) were used for scoring before and after the intervention RESULTS Compared with the scores before intervention, the scores of the dimensions of depression, anxiety, and stress and the total score of DASS-21 were significantly decreased in both groups after intervention (P 0 05) Compared with the values before intervention, the scores of sleep quality, sleeping time, sleeping time, sleep efficiency, sleep disorder, hypnotic drugs, and daytime dysfunction and total score of the PSQI decreased significantly in both groups after intervention (P < 0 05);the decrease in the observation group was significantly greater than that of the control group (P < 0 05) CONCLUSION Mindfulness-based stress reduction therapy can effectively reduce anxiety and depression in elderly patients with gastroesophageal reflux disease during the COVID-19 epidemic, and positively improve their sleep quality

Effect of Guided Imagery Along With Breathing Relaxation on Sleep Quality of the Elderly Patients Under Abdominal Surgery: A Randomized Clinical Trial.

Elderly patients undergoing surgery often suffer from sleep disorder. Holistic therapies might help them sleep better. The aim of this research was to determine the effect of guided imagery along with breathing relaxation on sleep quality in elderly patients undergoing abdominal surgery. A double-blind randomized clinical trial was conducted on 90 elderly patients undergoing abdominal surgery in 2 educational hospitals in 2018, Mashhad, Iran. The elderly patients with different abdominal surgical procedures were distributed to the wardrooms and then the rooms were randomly assigned into 2 groups. In the intervention group, the patients learned breathing relaxation the day before surgery and then an audiotape was provided to perform the guided imagery from the day before surgery for 5 days (twice) along with breathing relaxation. St Mary's Hospital Sleep Inventory was completed the night before, 48 hours and 96 hours after the surgery. Data analysis was done using SPSS 21 through analytical tests. Results of the test indicated that the score of sleep quality was significantly higher in the intervention group the night before surgery (P = .001). The total scores of sleep quality in the intervention group 48 and 96 hours after the surgery were significantly higher (P < .001). Based on results of generalized estimating equation model, the score of sleep quality for patients was 8.76 units higher in the intervention group than in the control group by controlling for the effects of time. Guided imagery along with breathing relaxation improved the sleep quality of the elderly patients undergoing abdominal surgery.Trial registration: IRCT20180731040652N1.

Effects of eight weeks of simple mindfulness stress reduction training on anxiety, depression, and sleep quality in elderly patients with functional dyspepsia

Effects of eight weeks of simple mindfulness stress reduction training on anxiety, depression, and sleep quality in elderly patients with functional dyspepsia

Association between Demographic Characteristics and Sleep Quality of Elderly Patients with Coronary Artery Disease Hospitalized in Imam Ali Hospital during 2018

Association between Demographic Characteristics and Sleep Quality of Elderly Patients with Coronary Artery Disease Hospitalized in Imam Ali Hospital during 2018

HUBUNGAN TINGKAT KECEMASAN DENGAN KUALITAS TIDUR PADA LANSIA PENDERITA HIPERTENSI

Sleep quality of elderly is influenced by psychological conditions. Elderly with hypertension are affected not only by physical but also pshychological conditions. Anxiety is a part of its. This study was used a cross-sectional approach to identify the relationship between anxiety level (independent variable) and sleep quality in the elderly (dependent variable) with hypertension in the working area of ​​Karangmulya Health Center, Garut Regency. This study was used Zung Self-rating Anxiety Scale (ZSAS) and the Pitsburgh Sleep Quality Index (PSQI) questionnaires. The results showed that the majority of respondents were female, 63 respondents (65.6%) and widow/widower (69.8%). The Correlation analysis between the level of anxiety and sleep quality of elderly patients with hypertension showed results P-value = 0.041(p&lt;0.05), which means there was a relationship between the level of anxiety and sleep quality in elderly patients. It is expected that health care workers especially nurses can help the elderly to improve sleep quality through handling anxiety in elderly people with hypertension.

Correlation among mental resilience, perceived stress, and sleep quality in elderly patients with functional dyspepsia

Correlation among mental resilience, perceived stress, and sleep quality in elderly patients with functional dyspepsia