The Relationship Between Sleep and Quality of Life in Older People Living in Nursing Homes

Year 2024, Volume: 3 Issue: 4, 161 - 166, 27.12.2024

Fatma Gürsoy , Kamile Silay

Abstract

INTRODUCTION: Sleep problems are more prevalent in older adults compared to the general population. This study aims to assess the relationship between sleep quality, sleep propensity and quality of life among nursing home residents

METHODS: A total of 107 nursing home residents who attended the geriatric outpatient clinic between May and July 2016 were included in the study. Demographic data and comorbidities were recorded. Sleep quality and sleepiness were evaluated using the Pittsburgh Sleep Quality Index (PSQI) and Stanford Sleepiness Scale (SSS), with higher scores indicating worse sleep quality and increased sleep propensity. Quality of life was measured using the SF-36 Quality of Life Scale. Statistical analyses were conducted using the Statistical Package for Social Sciences (SPSS) for Windows 21. Correlation analysis was performed using Spearman’s rho, with statistical significance set at p < 0.05.

RESULTS: Among the 107 participants, 67 (62.6%) were women. The mean score of PSQI in the study population was found to be 6.33 ± 4.03. Of the participants, 65.3% were classified as having poor sleep quality. A positive and statistically significant correlation was observed between PSQI scores and all sub-dimensions of the SF-36 scale except pain. The correlation between the SSS and each sub-dimension of the SF-36 scale is statistically significant except pain and mental health status.

DISCUSSION AND CONCLUSION: Our study demonstrates that poor sleep quality and daytime sleepiness are common among nursing home residents and are associated with lower quality of life. Dementia was identified as the most common comorbidity related to sleep problems. To improve the quality of life in nursing home residents, addressing sleep disturbances should be a key focus of care.

Keywords

Older People, Quality of Life, Sleep Quality, SF-36, Quality of Life Scale

References

• 1) Tatineny P, Shafi F, Gohar A, Bhat A. Sleep in the Elderly. Mo Med. 2020; 117(5):490-495.
• 2) Rose KM, Lorenz R. Sleep disturbances in dementia. J Gerontol Nurs. 2010 May;36(5):9-14.
• 3)Feinsilver SH. Normal and Abnormal Sleep in the Elderly. Clin Geriatr Med. 2021;37(3):377-386.
• 4) Fadıloğlu Ç, İlkbay Y, Kuzeyliyıldırım Y. Huzurevinde kalan yaşlılarda uyku kalitesi.Turk J Geriatrics. 2006;9(3):165–169.
• 5) Pappas JA, Miner B. Sleep Deficiency in the Elderly. Clin Chest Med. 2022;43(2):273-286.
• 6) Zalai D, Bingeliene A, Shapiro C. Sleepiness in the Elderly. Sleep Med Clin. 2017;12(3):429-441.
• 7) Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213.
• 8) Hoddes E, Dement W, Zarcone V. The development and use of the Stanford Sleepiness Scale. Psychophysiology, 1972 ; 9:150
• 9) Cetinel B, Ozkan B, Can G. ICIQ-SF Türkçe versiyonu validasyon (geçerlilik) çalışması. Türk Üroloji Dergisi 2004; 30: 332-8.
• 10) Milner CE, Cote KA. Benefits of napping in healthy adults: impact of nap length, time of day, age, and experience with napping. J Sleep Res. 2009;18(2):272–281.
• 11) Chiu HF, Leung T, Lam LC, et al. Sleep problems in Chinese elderly in Hong Kong. Sleep. 1999 Sep 15;22(6):717-26.
• 12) Malakouti SK, Foroughan M, Nojomi M, Ghalebandi M. Sleep Pattern, Sleep Disturbances And Sleepiness In The Retired Iranian Elderly, European Psychiatry. 2009;24(11):1201-8.
• 13) Çalık İ. Yaşlılarda fiziksel aktivite ile uyku kalitesi arasındaki ilişki. Fizyoterapi Rehabilitasyon. 2013;24(1):110-117.
• 14) Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep. 2004;27(7):1255–1273.
• 15) Floyd JA, Medler SM, Ager JW, Janisse JJ. Age-related changes in initiation and maintenance of sleep: a meta-analysis. Res Nurs Health. 2000;23(2):106–11.
• 16) Schubert CR, Cruickshanks KJ, Dalton DS, Klein BE, Klein R, Nondahl DM. Prevalence of sleep problems and quality of life in an older population. Sleep: Journal of Sleep and Sleep Disorders Research. 2002 Dec;25(8):889-93.
• 17) Mousavi F. Prevalence and associated factors of insomnia syndrome in the elderly residing in Kahrizak nursing home, Tehran, Iran. Iran J Public Health. 2012;41:96–106.
• 18) Salo P, Vahtera J, Ferrie JE, et al. Trajectories of sleep complaints from early midlife to old age: Longitudinal modeling study. Sleep. 2012;35:1559–1568.
• 19) Hayashino Y, Yamazaki S, Takegami M, Nakayama T, Sokejima S, Fukuhara S. Association between number of comorbid conditions, depression, and sleep quality using the Pittsburgh Sleep Quality Index: results from a population-based survey. Sleep medicine. 2010;11(4):366-71.
• 20) Richards KC, Beck C, O'Sullivan PS, Shue VM. Effect of individualized social activity on sleep in nursing home residents with dementia. J Am Geriatr Soc. 2005;53:1510–1517.
• 21) Gindin J, Shochat T, Chetrit A, et al. SHELTER project. Insomnia in long-term care facilities: a comparison of seven European countries and Israel: the Services and Health for Elderly in Long TERm care study. J Am Geriatr Soc. 2014 Nov;62(11):2033-9.