Asian Journal of Nursing Education and Research

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Study to Assess the Effects of Nursing Intervention on Quality of Sleep among Elderly People with Sleep Disturbance Residing in Selected Oldagehomes at Trichy in Tamilnadu


Affiliations
1 Maternal and Child Health Officer, Govt. ANM Training School, Samayanallur, Madurai, Tamilnadu, India
2 Sri Ramachandra College of Nursing, Sri Ramachandra University, Ramachandra Nagar, Chennai, Tamilnadu, India
     

   Subscribe/Renew Journal


Background: Sleep is an important component for establishing a proper physical, mental and emotional wellbeing of an individual. It is a highly complex and organized phenomenon and its structure tend to change with advancing age. The consequences of chronic sleep problems are considerable among older adults. It highlights the importance of treating sleep problems in the elderly. The non-pharmacological interventions can be the better choice to manage sleep problems in elderly. Objective: To evaluate the effectiveness of nursing intervention on quality of sleep among elderly people with sleep disturbance. Methods: The study design was quasi experimental, non-randomized, pretest posttest, control group design. A total of 180 participants, 90 in each experimental and control group were included. Quality of sleep was assessed by Pittsburgh Sleep Quality Index. The nursing intervention used for this study includes Sleep Hygiene Education and Progressive Muscle Relaxation. The elderly people in experimental group received 16 weeks of nursing intervention including one week learning session and 15 weeks practice session. Results: There was a highly significant difference between the control group and experimental group on overall sleep quality (p<.001) and also there was a significant difference in all the components of quality of sleep. Conclusion: Sleep disturbance is common among elderly. In geriatric population with sleep disturbance, sleep hygiene education and progressive muscle relaxation are the effective means of interventions in improving their quality of sleep.

Keywords

Sleep Disturbance, Quality of Sleep, Nursing Intervention, Sleep Hygiene Education, Progressive Muscle Relaxation, Elderly People.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Taylor CR et al. Fundamentals of Nursing – the Art and Science of Nursing care. New Lippincott Williams and Wikins, Delhi. 2011.

  • Arbus C and Cochen V. Sleep changes with aging. Psychol Neuropsychiatr Vieil. 8 (1); 2010: 7-14.

  • Ware JC and Morin CM. Understanding sleep: The evaluation of sleep disorders. Application and practice in health psychology.San Diego: Academic press. 1997.

  • Montgomery P. Treatment for sleep problems in elderly people. BMJ. 325 (73); 2002: 1049.

  • Bliwise DL. Treating insomnia: Pharmacological and no pharmacological approaches. Journal of Psychoactive Drugs. 23 (5); 1991: 335-341.

  • Lader M. History of benzodiazepine dependence. Journal of Substance Abuse Treatment. 8 (1); 1991: 53–59.

  • Schneider-Helmert D. Why low-dose benzodiazepine-dependent insomniacs can’t escape their sleeping pills. Acta Psychiatrica Scandinavica. 78 (12); 1988: 706–711.

  • Salzman C. Key concepts in geriatric psychopharmacology. Psychiatric Clinic of North America. 5 (4); 1982: 181–190.

  • Grad RM. Benzodiazepines for insomnia in the community-dwelling elderly: A review of benefit and risk. The Journal of Family Practice. 41 (8); 1995: 473–481.

  • Nishinoue N, et al. Effects of sleep Hygiene Education and Behavioral Therapy on Sleep Quality of White-collar workers: a Randomized Controlled Trial. Industrial Health. 50; 2012: 123-131.

  • Pech M and Kearney R. A randomized controlled trial of problem-solving therapy compared to cognitive therapy for the treatment of insomnia in adults. Sleep. 36 (5); 2013: 739-49.

  • Sun J et al. Self-relaxation training can improve sleep quality and cognitive functions in the older adults: a one-year randomized controlled trial. Journal of Clinical Nursing. 22(9-10); 2013: 1270-80.

  • Saddichha S. Diagnosis and treatment of chronic insomnia. Ann Indian Acad Neurol. 13 (2); 2010: 94-102.

  • Alexandru BV et al. Treating Primary Insomnia: A comparative study of self-help methods and progressive muscle relaxation. Journal of Cognitive and Behavioral Psychotherapies. 9 (1); 2009: 67-82.

  • McCurry SM et al. Increasing walking and bright light exposure to improve sleep in community-dwelling persons with alzheumer’s disease: results of a randomized controlled trial. J Am Geriatrsoc. 59 (8); 2011: 1393 -1402.

  • Bankar MA et al. Impact of long-term yoga practice on sleep quality and quality of life in the elderly. J Ayurveda Integr Med.4 (1); 2013: 28-32


Abstract Views: 308

PDF Views: 0




  • A Study to Assess the Effects of Nursing Intervention on Quality of Sleep among Elderly People with Sleep Disturbance Residing in Selected Oldagehomes at Trichy in Tamilnadu

Abstract Views: 308  |  PDF Views: 0

Authors

J. Fermin
Maternal and Child Health Officer, Govt. ANM Training School, Samayanallur, Madurai, Tamilnadu, India
S. Revathi
Sri Ramachandra College of Nursing, Sri Ramachandra University, Ramachandra Nagar, Chennai, Tamilnadu, India

Abstract


Background: Sleep is an important component for establishing a proper physical, mental and emotional wellbeing of an individual. It is a highly complex and organized phenomenon and its structure tend to change with advancing age. The consequences of chronic sleep problems are considerable among older adults. It highlights the importance of treating sleep problems in the elderly. The non-pharmacological interventions can be the better choice to manage sleep problems in elderly. Objective: To evaluate the effectiveness of nursing intervention on quality of sleep among elderly people with sleep disturbance. Methods: The study design was quasi experimental, non-randomized, pretest posttest, control group design. A total of 180 participants, 90 in each experimental and control group were included. Quality of sleep was assessed by Pittsburgh Sleep Quality Index. The nursing intervention used for this study includes Sleep Hygiene Education and Progressive Muscle Relaxation. The elderly people in experimental group received 16 weeks of nursing intervention including one week learning session and 15 weeks practice session. Results: There was a highly significant difference between the control group and experimental group on overall sleep quality (p<.001) and also there was a significant difference in all the components of quality of sleep. Conclusion: Sleep disturbance is common among elderly. In geriatric population with sleep disturbance, sleep hygiene education and progressive muscle relaxation are the effective means of interventions in improving their quality of sleep.

Keywords


Sleep Disturbance, Quality of Sleep, Nursing Intervention, Sleep Hygiene Education, Progressive Muscle Relaxation, Elderly People.

References