Sleep Quality In Elderly People Research Articles

Living in urban or rural environments affect the sleep quality of the elderly in Bushehr (Southern Iran): emphasizing the active and inactive of the elderly.

Sleep disorders have a significant negative impact on mental and physical health, especially among the elderly. Various factors can affect the sleep quality of elderly people. The aim of this research to investigate the effect of urban and rural environments on the sleep quality of elderly people with emphasis on physical activity. Four hundred and thirty-nine elderly people (226 city residents and 213 village residents) in urban and rural areas of Bushehr (Southern Iran), volunteered to participate in the present study. Information was collected via the General information questionnaire and Petersburg Sleep Questionnaire. The results showed that active elderly women (p < 0.001), and total active elderly (male + female) (p < 0.001) living in urban areas compared to inactive elderly and also in rural areas active elderly women (p < 0.001), active elderly men (p < 0.001) and total active elderly (male + female) (p < 0.001) had better overall sleep quality in compared to inactive elderly. Also, elderly men (p < 0.001) and the total elderly (male + female) (p < 0.001) living in urban areas had better sleep quality than the elderly in rural areas. Based on the findings, it can be concluded that the way of life (being active) as well as the living environment can affect the sleep quality of elderly people, so that active elderly people and also elderly people living in urban environments had better sleep quality.

The effect of progressive muscle relaxation education on the quality of sleep in elderly people with hypertension at the South Cilacap Community Health Center

Background: The elderly experience a decreased sleep phase as a result of poor sleep, meaning that they tend to be restless and easily awakened, which can interfere with sleep quality. It can result in physical tension, which affects the increase in blood pressure. Progressive muscle relaxation therapy can improve sleep quality and control tension and anxiety by training patients to consciously relax their body muscles. Purpose: To analyze the effect of progressive muscle relaxation education on the quality of sleep in elderly people with hypertension at the South Cilacap Community Health Center. Methods: This research was conducted on elderly people with hypertension at the South Cilacap Community Health Center using a quasi-experimental research design with a non-equivalent control group design. Simple random sampling was used with a total of 46 respondents. The data were analyzed using a T-test. Results: The results of the study found an increase in the average score on the sleep quality scale, and after progressive muscle relaxation education, the intervention group found a mean pre-test score of 15.57 and in the post-test section a mean score of 5.57. In the control group, the pre-test had a mean value of 14.52, and in the post-test section, the mean value was 12.70. and the results of further analysis of the independent t-test between the intervention group and the control group showed p = 0.000. Conclusion: There was an effect of progressive muscle relaxation therapy on the sleep quality of elderly people in the intervention group among elderly people with hypertension at the South Cilacap Community Health Center. There was a significant difference in the average PSQI score in the post-test measurements of both the intervention and control groups. Progressive muscle relaxation is an alternative therapy designed to reduce muscle tension, which can then relax muscles ranging from facial muscles to leg muscles

Analysis of Bedroom Light Illumination and Sleep Quality of Elderly People at Bedtime

Increasing age and physiological deterioration make it a safety problem for the elderly to go to the bathroom at night. In order to ensure the safety for the elderly, it is necessary to provide a certain degree of vertical illumination of the eyes and adequate illumination of the ground. However, excessive illumination also affects the rhythm and sleep continuity. This study aims to ensure the safety and rhythmic health of the elderly during the night, and a total of 80 senior citizens were studied. In this study, the type of bedroom light fixtures and night time use were counted, and the sleep quality of older adults was analysed in combination with the Pittsburgh Sleep Quality Index (PSQI) and measured illuminance data. Lighting graphs help to express the problems. The results showed that the mean vertical illuminance of the eyes with the lights on was 75.24 lx (SD=±46.81), and the illuminance of the ground was 25.72 lx (SD=±14.54). 66.25 % of the older adults use the table lamps in the bedroom. The problems with all kinds of the lamps were analysed in light diagrams. The result of the PSQI questionnaire showed a mean score of 8.10 ± 2.463, which scores too high and means bad sleeping condition. There is a high level of ocular illuminance, which affects the rhythm of the elderly people, and the ground illuminance is insufficient, which makes it difficult for the elderly people to notice unsafe factors such as the debris on the ground

Prevalence of Poor Sleep Quality and Associated Factors Among the Elderly in Amirkola City, Iran

Background &amp; Aims: One of the problems affecting elderly people's quality of life is sleep problems which has an adverse impact on their social, occupational and other activities. This study was conducted aiming to determine the prevalence of poor sleep quality among the elderly in …, northern Iran.&#x0D; Methods: This cross-sectional study is part of the second phase of … Health and Ageing Project (…HAP) which is a cohort study that has been conducted on all elderly people aged 60 and over in … city, north of Iran since 2011. The sleep quality and its related factors were assessed through Pittsburgh Sleep Quality Index (PSQI-P) and interviews, respectively. &#x0D; Results: Of the 1675 elderly people, 914 (54.6%) were male and 761 (45.4%) were female, among them 714 (42.6%) had poor sleep quality. The prevalence of poor sleep quality in women and men was 56.9% and 30.7%, respectively (p &lt;0.001). Poor sleep quality was significantly more frequent among unmarried elderly (50.4%) (p = 0.004), ones with lower education level (p&lt;0.001), and individuals who were living alone (51.3%)(p&lt;0.001) and those with more chronic disease (p&lt;0.001), relative to other groups. Logistic regression analysis revealed that sex, (OR = 2.34, 95% CI (2.85-95.95)) and chronic diseases (OR=4.48, 95% CI (2.02-9.93)) had the most important roles poor sleep quality.&#x0D; Conclusion: This study showed relatively high prevalence of poor sleep quality in elderly people, particularly among females. So sleep quality inquiry of the elderly seems pivotal in routine public health assessments by physicians and health care providers.&#x0D; Key Words: Aging, Sleep quality, Prevalence, Sleep

Association of sociodemographic characteristics, mental health, and sleep quality with COVID-19 fear in an elderly Brazilian population

Aim: This study determined whether COVID-19 fear is correlated with sociodemographic characteristics, general health, mental health, and sleep quality in an elderly Brazilians. Methods: Elderly people aged ≥ 60 years replied to an online survey containing questions about their sociodemographic characteristics; general health; levels of stress, anxiety, and depression; sleep quality; and COVID fear. Results: Data were statistically analyzed using descriptive statistics (α = 5%). In total, 705 elderly people with mean age of 66 ± 5 years, and most (82.7%) respondents were women, graduated and from southeastern Brazil. COVID-19 fear correlated positively and moderately with sleep quality and symptoms of depression, anxiety, and stress (all p &lt; 0.001). It was associated with females. Elderly people from northern and northeastern Brazil and diabetics had increased COVID-19 fear (all p &lt; 0.05). Conclusion: The fear of COVID-19 exists among Brazilian female old people, diabetics, increases anxiety and stress symptoms, and worsen sleep quality in elderly people.

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

A field study on the thermal environments of bedrooms and the sleep quality of elderly people in summer in the urban and rural areas of Nara Prefecture

A field study on the thermal environments of bedrooms and the sleep quality of elderly people in summer in the urban and rural areas of Nara Prefecture

Effect of Auriculotherapy on Sleep Quality in Elderly With Chronic Low Back Pain: A Single-blind Randomized Clinical Trial

Objective: One of the common problems that leads to poor sleep quality in the elderly is low back pain. This study aims to evaluate the effect of auriculotherapy (ear acupressure) on the sleep quality of elderly people with chronic low back pain. Methods: This single-blind randomized clinical trial was conducted in 2019 on 70 older adults with chronic low back pain in Kashan, Iran, who were selected using a convenience sampling technique. After obtaining a written informed consent, they were assigned into intervention and sham groups using the block randomization method. In the intervention group, the pressure was applied to ShenMen, sympathetic, subcortex and low back points of the ear, while in the sham group, the pressure was applied to the points that were not associated with the low back pain. The Pittsburgh Sleep Quality Index (PSQI) and McGill Pain Questionnaire (MPQ) were completed at the beginning of the study, at the end of intervention, and one month after the end of intervention. Six patients from the Sham group and 2 patients from the intervention group were excluded from the study. The data of 62 elderly (in sham group 29 and in intervention group 33) according to Per-Protocol (PP) and data of all samples as Intention to Treat (ITT) were analyzed using covariance analysis and repeated measures ANOVA. Results: There was a statistically significant difference between the intervention and sham groups in terms of the duration of disease at baseline (P=0.012). The interaction effect of time and group on the sleep quality was significant (P&lt;0.0001). Sleep quality in the intervention group was significantly better than in the sham group at the end of the intervention and also during the one-month follow-up period (P&lt;0.0001). Within-group comparison results reported a significant difference in the sleep quality between three evaluation times in the intervention group (P&lt;0.0001). Conclusion: Auriculotherapy can improve sleep quality in the elderly with chronic low back pain. It is recommended to use auriculotherapy as a complementary therapy for treating these elderly groups.

Modified Yi Jin Jing Efficacy on Sleep Quality of Elderly People with Sleep Disorders in Community

Modified Yi Jin Jing Efficacy on Sleep Quality of Elderly People with Sleep Disorders in Community

The Effect of Inhalation Aromatherapy with Lavender on Sleep Quality of the Elderly in Nursing Care Homes: A Randomized Clinical Trial

Background: Nurses who take care of elderly people have witnessed sleep disorders as one of the most common problems in these geriatric patients. As a major non-pharmaceutical method, aromatherapy is considered as a holistic nursing intervention. The purpose of this study was to investigate the effect of lavender aromatherapy on sleep quality of elderly people in nursing care homes. Methods: This study conducted “randomized controlled field trial” on 50 elderly people in the nursing care home of Zabol County. The representatives were selected with the help of available sampling method and randomly divided into 2 experimental and control groups. The participants of the experimental group were exposed to lavender essential oil for 7 nights from 10 pm to 6 am. However, placebo (water) was used in the control group. The PSQI questionnaire was completed before and after the intervention by both groups. The data was analyzed using the SPSS software and the statistical tests of chi-square, Fisher exact test, Independent t-test, and paired t-test. This study was a randomized controlled field trial, with the purpose of determining the effect of aromatherapy on sleep quality of elderly people in nursing care homes in the eastern region of Iran (Zabol County) in 2016. Results: There was no significant difference between experimental and control groups as far as the mean score of sleep quality at the beginning was concerned. However, a notable distinction between the 2 (experimental- 6.48 ± 3.33 and control- 9.84 ± 3.76) groups was found in the end. The comparison of sleep mean scores before and after the intervention showed that there was a statistically significant relationship in terms of delay in falling sleep, sleep disorders, and impaired daily functioning. The comparison of sleep mean score change between the experimental and control groups observed delays in falling sleep, sleep duration, sleep disorders, taking sleep medications, and impaired daily functioning (P < 0.05). Conclusions: Lavender aromatherapy had a positive impact on improving the sleep quality of elderly people and may be used as a non-invasive, easy, and low-cost method.

Effect of Natural Sunlight on Sleep Problems and Sleep Quality of the Elderly Staying in the Nursing Home.

This study was designed as an intervention study to determine the effect of light therapy on sleep problems and sleep quality of elderly people. The study sample was composed of a total of 61 elderly persons from Social Security Institution Narlıdere Municipal Nursing Home, 30 in the test group and 31 in the control group. Those 65 years and older, not diagnosed with major depression, not exercising regularly, not having sun allergy, not using sleeping pills, independent in activities of daily living, and having bad sleep quality were included in the study. The Pittsburgh Sleep Quality Index, the Demographic Data Form, and the Follow-up Form for Elderly were used for data collection, whereas the Pittsburgh Sleep Quality Index was used for sample selection. It was found that exposure to direct sunlight between 8 AM and 10 AM for 5 days seems to be effective in increasing the global sleep quality score (P < .001). In light of the findings in this study, it is suggested that allocating living places in the institution's architectural setting and providing social opportunities for elderly persons to get direct sunlight exposure can help increase the sleep quality of older adults.

Investigation effect of oral chamomilla on sleep quality in elderly people in Isfahan: A randomized control trial.

BACKGROUND:Elderly people often suffer from sleep disorders. Chamomile due to the many health benefits such as sedation may be effective in improving sleep quality in elderly people. This study aimed to determine the effect of Matricaria chamomilla extract on sleep quality in elderly people admitted to nursing homes of Isfahan in 2014.MATERIALS AND METHODS:The present study is a quasi-experimental clinical trial. The study population was 77 cases of elderly hospitalized in nursing homes. Participants were selected through random continuous sampling and divided into intervention and control groups. The intervention group received 400 mg oral capsules of chamomile twice daily, after lunch and after dinner for 4 weeks. The control group did not receive the intervention. Sleep quality in older adults before and after intervention were compared using the Pittsburgh Sleep Quality Index questionnaire. Data were analyzed using descriptive statistics and paired t- and independent t-tests, one-way analysis of variance and liner regression analysis, using SPSS software version 17.RESULTS:Before intervention, the mean score of sleep quality both experimental and control groups showed no significant difference (P > 0.05). After intervention, the mean score of sleep quality was a significant difference between experimental and control groups (P < 0.001).CONCLUSIONS:Oral administration of chamomile extract has sedative properties in sleep quality of hospitalized elderly patients in nursing homes. Therefore, it can be used in similar cases and nursing care.

Lower-limb warming improves sleep quality in elderly people living in nursing homes.

Sleep disturbances are common in older people. This study was conducted to examine the effects of a hot pack, which was used to warm the lower limbs, on the sleep of elderly people living in a nursing home. This is a prospective cohort involving seven elderly women. Subjects aged 74-93 years old were treated by warming the lower limbs for 40 minutes using hot packs every night over 8 weeks. A hot pack made of a dense polymer and warmed in a microwave oven was used as a warming device. In the first and last week, the subjects were required to wear an activity monitor to determine their sleep-awake status. During the second to ninth week, they received limb-warming treatment by a hot pack heated to 42ºC for 40 min every night. Surface skin temperature data were collected by thermographic measurement. As a result, lower-limb warming by a hot pack significantly improved the quality of sleep in the subjects. During warming, the surface temperature of the hands and face rose by approximately 0.5-1.5ºC. This study showed that lower-limb warming with a hot pack reduced sleep latency and wake episodes after sleep onset; thus, improving the quality of sleep in elderly people living in a nursing home.

0759 BIDIRECTIONAL ASSOCIATIONS BETWEEN WHITE MATTER INTEGRITY AND SLEEP QUALITY IN THE ELDERLY. THE ROTTERDAM STUDY

White matter microstructure may underlie the structural and functional brain differences observed in people with sleep complaints. Insomnia patients were shown to have lower white matter integrity measured by diffusion tensor imaging (DTI), compared to healthy controls. However, previous findings are based on cross-sectional data of small, clinical samples and cannot be generalized to the general population. In the Rotterdam Study, 2808 participants (mean age 59.3 ± 7.7, 54.4% women) underwent repeated brain MRI imaging, and filled in the Pittsburg Sleep Quality Questionnaire at baseline and follow-up. Average follow up was 5.6 years. Using diffusion tensor imaging, we studied the strength and direction of the longitudinal associations between white matter microstructure (global and tract specific) and sleep quality in elderly people from the general population. Higher global mean diffusivity (MD) at baseline predicted a decrease in sleep quality, which was driven by a lower fractional anisotropy (FA) (β=-0.05, p-value=0.009) and higher MD (0.05, p-value=0.009) in the uncinate fasciculus and several other association tracts. Sleep complaints at baseline were not associated with global diffusion metrics, but predicted an increase in MD in the parahippocampal part of the cingulum (β=0.07, p-value=0.004) across the follow up. Low white matter integrity across the brain predicts a decrease of sleep quality in the elderly. Vice versa, bad sleep quality at baseline is related to a decrease in white matter integrity, but this effect seems to be specific for limbic tracts around the hippocampus. This tract has previously been implicated in aging and cognitive decline. This study provides evidence for bidirectional associations between sleep quality and white matter microstructure in the aging brain. ERAWEB scholarship grant financed by the European Commission was granted to DK (grant agreement 2013–2548/001-001-EMA-2). Financial support was recived by Erasmus Medical Center, The Netherlands Organization for Health Research and Development, the Dutch Technology Foundation STW, which is part of the Netherlands Organisation for scientific research (NWO) and partly funded by the Dutch Ministry of Economic Affairs.

EVALUATION THE STATUS OF SLEEP QUALITY IN ELDERLY PEOPLE IN KERMANSHAH CITY

Background and Aim: Sleeping is composed of two physiologic mode of slow and fast eye movement. Sleeping disorder in elderly people can cause different side effects such as falling, depression, mind disorders, irritability, tiredness, concentration problems, and so on. Current study was done with the aim of determining sleep quality among elderly people in Kermanshah. Materials and Methods: This current survey is a cross-sectional descriptive study which was performed among 100 elderly people in Kermanshah in 1392.The sample was selected according to the simple random sampling among the elderly people settling in Mehregan Sanatorium of elderly. The tools used for data collection were a questionnaire consisted of two demographic information parts and a questionnaire of Pittsburgh sleep standards, which were completed after interviewing the participants. Data was analyzed using SPSS16 software. Results: Mean age of participants was 66.7% ±2.7% years old. Most of the participants (67%), were undereducated. Half of them were women and the other half were men. 77.6% of participants were married and the others were single, widow, or got divorce. 10.2% reported having mental disorders history. 4.1% of participants in this study had used drugs before according to the achieved information from questionnaire. 39.8% of participants had moderate and 24.5% of them had severe sleep quality problems. Conclusion: The findings show that prevalence of improper sleep quality among elderly people is increasing which can cause serious problems. So, identifying effective factors in sleep quality in elderly people and designing proper intervention based on those factors in the direction of improving the quality of elderly people are suggested. Key Words: Elderly people, sleep quality , Kermanshah.

The Effect of Matricaria Chamomilla on Sleep Quality of Elderly People Admitted to Nursing Homes

Elderly people often suffer from sleep disorders. Chamomile due to the many health benefits such as sedation may be effective in improving sleep quality in elderly people. This study aimed to determine the effect of Matricaria chamomilla extract on sleep quality in elderly people admitted to nursing homes of Isfahan in 2014. Materials and Methods: The present study is a quasi-experimental clinical trial. The study population was 77 cases of elderly hospitalized in nursing homes. Participants were selected through random continuous sampling and divided into intervention and control groups. The intervention group received 400 mg oral capsules of chamomile twice daily after lunch and after dinner for 4 weeks. The control group did not receive the intervention. Sleep quality in older adults before and after intervention, were compared using the Sleep Quality Questionnaire Index (PSQI). Data's were analyzed using descriptive statistics and paired t and independent t tests. Results: Before intervention, the mean score of sleep quality both experimental and control groups showed no significant difference (P>0.05). After intervention, the mean score of sleep quality was a significant difference between experimental and control groups (P<0.001). Conclusion: Oral administration of chamomile extract has sedative properties in sleep quality of hospitalized elderly patients in nursing homes. Therefore, it can be used in similar cases and nursing care.

Melatonin Increases Bladder Capacity via GABAergic System and Decreases Urine Volume in Rats

Impaired melatonin production is involved in disruption of the normal circadian pattern of sleep, which leads to nocturia in older adults. Melatonin improves nocturia. We hypothesized that melatonin could alleviate urinary frequency by suppressing the brain micturition center. We investigated the central contribution of melatonin to bladder function and urine volume. Cystometry was done in conscious female Sprague-Dawley rats (Japan SLC, Hamamatsu, Japan). We examined the effect of melatonin alone (4.3 x 10(-1) to 4.3 x 10 pmol intracerebroventricularly) or with the gamma-aminobutyric acid(A) antagonist bicuculline (5.0 x 10(-5) mg/kg intravenously) on bladder function. The influence of melatonin (4.3 x 10 pmol intracerebroventricularly) on urine volume was investigated in water loaded rats. Blood samples were collected to determine antidiuretic hormone, atrial natriuretic peptide and brain natriuretic peptide 4 hours after melatonin administration. Melatonin significantly increased bladder capacity dose dependently by 27.0%, 40.8% and 63.5% at 4.3 x 10(-1), 4.3 and 4.3 x 10 pmol, respectively, but had no significant effect on bladder contraction pressure. Bicuculline inhibited the melatonin induced increases in bladder capacity. Melatonin decreased urine volume in water loaded rats but plasma antidiuretic hormone, atrial natriuretic peptide and bladder contraction pressure were not changed. Results suggest that melatonin increases bladder capacity via gamma-aminobutyric acid(A) receptor in the brain and decreases urine volume. Thus, melatonin could be beneficial for nocturia via a central nervous system effect.

Integrated Group Program for Improving Sleep Quality of Elderly People

ABSTRACT This article reports an exploratory study on the effects of an integrated group program for improving the sleep quality of elderly people in Hong Kong. Elderly people aged over 55 who had obtained a Pittsburgh Sleep Quality Index (PSQI) score >5 were recruited as subjects of the study. While 19 subjects of the treatment group were taking part in an integrated group program involving social group work intervention as well as Chinese medicine therapeutics, 9 subjects of comparison group received no intervention. Using a pretest and posttest design, the study revealed positive effects of the integrated group program. It has added knowledge serving the development of interventions that can help to improve the sleep quality of elderly people.

Improvement of sleep quality in elderly people by controlled-release melatonin

SummaryMelatonin, produced by the pineal gland at night, has a role in regulation of the sleep-wake cycle. Among elderly people, even those who are healthy, the frequency of sleep disorders is high and there is an association with impairment of melatonin production. We investigated the effect of a controlled-release formulation of melatonin on sleep quality in 12 elderly subjects (aged 76 [SD 8] years) who were receiving various medications for chronic illnesses and who complained of insomnia.In all 12 subjects the peak excretion of the main melatonin metabolite 6-sulphatoxymelatonin during the night was lower than normal and/or delayed in comparison with non-insomniac elderly people. In a randomised, double-blind, crossover study the subjects were treated for 3 weeks with 2 mg per night of controlled-release melatonin and for 3 weeks with placebo, with a week's washout period. Sleep quality was objectively monitored by wrist actigraphy. Sleep efficiency was significantly greater after melatonin than after placebo (83 [SE 4] vs 75 [3]%, p<0·001) and wake time after sleep onset was significantly shorter (49 [14] vs 73 [13] min, p<0·001). Sleep latency decreased, but not significantly (19 [5] vs 33 [7] min, p=0·088). Total sleep time was not affected. The only adverse effects reported were two cases of pruritus, one during melatonin and one during placebo treatment; both resolved spontaneously.Melatonin deficiency may have an important role in the high frequency of insomnia among elderly people. Controlled-release melatonin replacement therapy effectively improves sleep quality in this population.