Huzurevinde Kalan Yaşlı Bireylerde Uyku Kalitesi ve Düşme Riskinin Belirlenmesi
Yıl 2025,
Cilt: 15 Sayı: 2, 294 - 300, 31.08.2025
Ufuk Demirel
,
Türkan Çalışkan
,
Ayfer Karadakovan
Öz
Bu araştırmanın amacı, huzurevinde kalan yaşlı bireylerin uyku kalitesi ve düşme riskinin belirlenmesidir. Bu araştırma tanımlayıcı bir
araştırmadır. Araştırma Mart-Mayıs 2019 tarihleri arasında bir huzurevinde yapılmıştır. Araştırma verileri kişisel bilgi formu, Pittsburg
Uyku Kalitesi İndeksi (PUKİ) ve Morse Düşme Ölçeği kullanılarak yüz yüze görüşme yöntemiyle toplanmıştır. Araştırma örneklemini
94 yaşlı birey oluşturmuştur. Huzurevinde kalan yaşlı bireylerin uyku kalitesi iyi ve düşme riskleri düşük bulunmuştur. Yaş ile ölçek
puanları arasında ve PUKİ ile Morse Düşme Ölçeği arasında anlamlı bir ilişki belirlenmemiştir. PUKİ ve Morse Düşme Ölçeği puanları
sosyodemografik verilere göre farklılık göstermemiştir. İkiden fazla ilaç kullananların düşme riski diğerlerine göre daha yüksek; uyku ilacı
kullananların ise uyku kalitesi kullanmayanlara göre daha iyi bulunmuştur (p<0.05). Gün içinde uyuma, yastık ya da yatak rahatlığı, gürültü
ve oda arkadaşı varlığı PUKİ puanını etkilememiştir (p>0.05). Uyuduğu odada ışık olmayan ve uyku öncesi alışkanlığı olmayan yaşlıların
PUKİ puanı diğerlerine kıyasla daha yüksek bulunmuştur (p<0.05). Yaşlı bireylerde uyku kalitesinin iyileştirilebilmesi için, yaşlıların uyku
ilacı ihtiyacının değerlendirilmesi ve karanlık ortamın sağlanması önemlidir. Bu çalışmada huzurevinde kalan yaşlılarda düşme riski düşük
bulunmuş olsa da, ikiden fazla ilaç kullananların yüksek riskli olarak değerlendirilmesi önerilmektedir.
Kaynakça
-
Ağargün, M. Y., & Kara H, A. O. (1996). Pittsburgh Uyku Kalitesi
İndeksi’nin geçerliği ve güvenirliği. Turk Psikiyatri Derg, 7,
107–111.
-
Altintas, H. K., Aslan, G. K., Sisman, N. Y., & Kesgin, M. T. (2018).
Effects of pain and sleep quality on falls among nursing home
residents in Turkey. Research in Gerontological Nursing, 11(5),
257–264. https://doi.org/10.3928/19404921-20180810-01
-
Bergen, G., Stevens, M. R., & Burns, E. R. (2016). Falls and fall
injuries among adults aged ≥65 Years — United States, 2014.
MMWR. Morbidity and Mortality Weekly Report, 65(37), 993–
998. https://doi.org/10.15585/mmwr.mm6537a2
-
Bozkurt, C., Cafer Karalar, B., Hoşaf, S., & Karadakovan, A. (2022).
The relationship between activities of daily living and fall risk in
older people. STED, 31(3),219-222. https://doi.org/10.17942/
sted.991482
-
Chen, L., Bell, J. S., Visvanathan, R., Hilmer, S. N., Emery, T., Robson,
L., Hughes, J. M., & Tan, E. C. (2016). The association between
benzodiazepine use and sleep quality in residential aged care
facilities: a cross-sectional study. BMC Geriatrics, 16(1), 196.
https://doi.org/10.1186/s12877-016-0363-6
-
Chen, T. Y., Lee, S., & Buxton, O. M. (2017). A greater extent of
insomnia symptoms and physician-recommended sleep
medication use predict fall risk in community-dwelling older
adults. Sleep, 40(11), zsx142. https://doi.org/10.1093/sleep/
zsx142
-
Correa-Pérez, A., Delgado-Silveira, E., Martín-Aragón, S., Rojo-
Sanchís, A. M., & Cruz-Jentoft, A. J. (2019). Fall-risk increasing
drugs and prevalence of polypharmacy in older patients
discharged from an orthogeriatric unit after a hip fracture.
Aging Clinical and Experimental Research, 31, 969–975.
https://doi.org/10.1007/s40520-018-1046-2
-
Essien, S. K., Feng, C. X., Sun, W., Farag, M., Li, L., & Gao, Y. (2018).
Sleep duration and sleep disturbances in association with
falls among the middle-aged and older adults in China: A
population-based nationwide study. BMC Geriatrics, 18,196.
https://doi.org/10.1186/s12877-018-0889-x.
-
Florence, C. S., Bergen, G., Atherly, A., Burns, E., Stevens, J., &
Drake, C. (2018). Medical costs of fatal and nonfatal falls in
older adults. Journal of the American Geriatrics Society, 66(4),
693–698. https://doi.org/10.1111/jgs.15304
-
Ganz, D. A., & Latham, N. K. (2020). Prevention of falls in
community-dwelling older adults. N Engl J Med, 382(8), 734–
743. https://doi.org/10.1056/nejmcp1903252
-
Helbig, A. K., Döring, A., Heier, M., Emeny, R. T., Zimmermann,
A. K., Autenrieth, C. S., … Meisinger, C. (2013). Association
between sleep disturbances and falls among the elderly:
results from the German Cooperative Health Research in the
Region of Augsburg-Age study.Sleep Medicine, 14(12), 1356–
1363. https://doi.org/10.1016/j.sleep.2013.09.004
-
Hu, C. P., Zhao, Y. H., Zhao, X. D., Zhu, B. G., & Qin, H. Y. (2021).
Correlation between sleep characteristics and cognitive
decline in the elderly people: A cross-sectional study in China.
International Journal of Clinical Practice, 75(7), 1–10. https://
doi.org/10.1111/ijcp.14225
-
Huo, S., Cheng, L., Li, S., & Xu, F. (2022). Effects of eszopiclone
on sleep quality and cognitive function in elderly patients
with Alzheimer’s disease and sleep disorder: A randomized
controlled trial. Brain and Behavior, 12(2), e2488. https://doi.
org/10.1002/brb3.2488
-
Karami, Z., Golmohammadi, R., Heidaripahlavian, A., Poorolajal, J.,
& Heidarimoghadam, R. (2016). Effect of daylight on melatonin
and subjective general health factors in elderly people. Iranian
Journal of Public Health, 45(5), 636–643.
-
Kobayashi, K., Ando, K., Nakashima, H., Suzuki, Y., Nagao, Y.,
& Imagama, S. (2021). Relationship between use of sleep
medication and accidental falls during hospitalization. Nagoya
Journal of Medical Science, 83(4), 851–860. https://doi.
org/10.18999/nagjms.83.4.851
-
Lafontant, K., Tice, A. L., Suarez, J. R. M., Blount, A., Banarjee, C.,
Fukuda, D. H., … Thiamwong, L. (2025). Potential influence of
acute dysregulated sleep on fall ıncidence among low-ıncome
older women: A case study. Journal of Gerontological Nursing,
1–5. https://doi.org/10.3928/00989134-20250626-02
-
Lee, S., & Chung, J. H. (2021). Association between sleep quality
and falls: A nationwide population-based study from South
Korea. International Journal of General Medicine, 14, 7423–
7433. https://doi.org/10.2147/IJGM.S331103
-
Min, Y., Kirkwood, C. K., Mays, D. P., & Slattum, P. W. (2016). The
effect of sleep medication use and poor sleep quality on
risk of falls in community-dwelling older adults in the US: A
prospective cohort study. Drugs and Aging, 33(2), 151–158.
https://doi.org/10.1007/s40266-015-0339-9
-
Musich, S., Wang, S. S., Ruiz, J., Hawkins, K., & Wicker, E. (2017).
Falls-related drug use and risk of falls among older adults: A
study in a US medicare population. Drugs and Aging, 34, 555–
565. https://doi.org/10.1007/s40266-017-0470-x
-
Özvurmaz, S., Asgarpour, H., & Güneş, Z. (2018). Yaşlılarda uyku
kalitesi ve yaşam kalitesi arasındaki ilişki: Kesitsel bir çalışma.
Medical Sciences, 13(3), 72–79. https://doi.org/10.12739/
nwsa.2018.13.3.1b0053
-
Salari, N., Darvishi, N., Ahmadipanah, M., Shohaimi, S., &
Mohammadi, M. (2022). Global prevalence of falls in the older
adults: Acomprehensive systematic review and meta-analysis.
Journal of Orthopaedic Surgery and Research, 17(1), 334.
https://doi.org/10.1186/s13018-022-03222-1
-
Sasongko, H.,P., & Nanda, D.,F. (2024). The effect of lighting on
sleep quality in the elderly in Sidodadi Village. International
Journal of Medicine and Health, 3(4);144-150. https://doi.
org/10.55606/ijmh.v3i4.4783
-
Serrano-Checa, R., Hita-Contreras, F., Jiménez-García, J. D.,
Achalandabaso-Ochoa, A., Aibar-Almazán, A., & Martínez-
Amat, A. (2020). Sleep quality, anxiety, and depression are
associated with fall risk factors in older women. International
journal of environmental research and public health, 17(11),
4043. https://doi.org/10.3390/ijerph17114043
-
Sharif, S. I., Al-Harbi, A. B., Al-Shihabi, A. M., Al-Daour, D. S.,
& Sharif, R. S. (2018). Falls in the elderly : Assessment of
prevalence and risk factors. Pharmacy Practice, 16(3), 1206.
https://doi.org/10.18549/PharmPract.2018.03.1206
-
Soysal, T., Akın, S., Taşçı, İ., Taşar, P. T., Savaş, S., Çinçin, A. T., ... &
Saka, B. (2021). Prevalence of care problems in older adults
in Turkish hospitals. European Journal of Geriatrics and
Gerontology https://doi.org/10.4274/ejgg.galenos.2021.460
-
Şimşek Keskin, H., Alıumuerova, Z., Aköz, A., Eren, E. B. ve ark.
(2022). İzmir’de huzurevinde yaşayan yaşlılarda uyku kalitesi
ve uyku süresinin düşmelerle ilişkisi. Turkish Journal of Public
Health, 20(2), 195-204. https://doi.org/10.20518/tjph.942775
-
Takada, S., Yamamoto, Y., Shimizu, S., Kimachi, M., Ikenoue, T.,
Fukuma, S., … Fukuhara, S. (2018). Association between
subjective sleep quality and future risk of falls in older people:
Results from LOHAS. The Journals of Gerontology. Series A,
Biological Sciences and Medical Sciences, 73(9), 1205–1211.
https://doi.org/10.1093/gerona/glx123
-
Wu, L., & Sun, D. (2017). Sleep duration and falls: a systemic review
and meta-analysis of observational studies. Journal of Sleep
Research, 26(3), 293–301. https://doi.org/10.1111/jsr.12505
-
Xu, X., Zhou, X., Liu, W., Ma, Q., Deng, X., & Fang, R. (2022).
Evaluation of the correlation between frailty and sleep quality
among elderly patients with osteoporosis: a cross-sectional
study. BMC Geriatrics, 22(1), 1–9. https://doi.org/10.1186/
s12877-022-03285-z
-
Yaremchuk, K. (2018). Sleep disorders in the elderly. Clinics in
geriatric medicine, 34(2), 205–216. https://doi.org/10.1016/j.
cger.2018.01.008
-
Yılmaz Demir, N., & Seren İntepeler, Ş. (2012). Morse Düşme
Ölçeği̇ni̇n Türkçe’ye uyarlanması ve duyarlılık-seçi̇ci̇li̇k
düzeyi̇ni̇n beli̇rlenmesi̇. Ege Üniversitesi Hemşirelik Fakültesi
Dergisi, 28(1), 57–71.
Determination of Sleep Quality and Fall Risk in Elderly People Residens in A Nursing Home
Yıl 2025,
Cilt: 15 Sayı: 2, 294 - 300, 31.08.2025
Ufuk Demirel
,
Türkan Çalışkan
,
Ayfer Karadakovan
Öz
The aim of this study is to determine the sleep quality and fall risk of elderly individuals staying in a nursing home. This is a descriptive
study. The research data were collected in a nursing home between March and May 2019. The collection of research data was conducted via face-to-face interview method using a personal information form, Pittsburg Sleep Quality Index (PSQI) and Morse Falls Scale. The
study sample consisted of 94 elderly individuals. The sleep quality of elderly individuals staying in nursing homes was found to be good
and the risk of falls was found to be low. There was no significant relationship between age and scale scores and between PSQI and morse
falls scale. PSQI and morse falls scale scores did not differ according to sociodemographic data. The risk of falls was found to be higher in
those who used more than two medications and sleep quality was found to be better in those who used sleeping pills compared to nonusers(
p<0.05). Sleeping during the day, comfort of pillow or mattress, noise and presence of roommates did not affect the PSQI score
(p>0.05). In a study, elderly individuals who slept in a room without light and had no pre-sleep habits were found to have higher PSQI
scores compared to others (p < 0.05). To improve sleep quality in older adults, it is important to assess their need for sleep medication and
ensure a dark sleeping environment. Although the fall risk among elderly people in the nursing home was found to be low in this study, it
is recommended that those taking more than two medications be evaluated as high-risk.
Kaynakça
-
Ağargün, M. Y., & Kara H, A. O. (1996). Pittsburgh Uyku Kalitesi
İndeksi’nin geçerliği ve güvenirliği. Turk Psikiyatri Derg, 7,
107–111.
-
Altintas, H. K., Aslan, G. K., Sisman, N. Y., & Kesgin, M. T. (2018).
Effects of pain and sleep quality on falls among nursing home
residents in Turkey. Research in Gerontological Nursing, 11(5),
257–264. https://doi.org/10.3928/19404921-20180810-01
-
Bergen, G., Stevens, M. R., & Burns, E. R. (2016). Falls and fall
injuries among adults aged ≥65 Years — United States, 2014.
MMWR. Morbidity and Mortality Weekly Report, 65(37), 993–
998. https://doi.org/10.15585/mmwr.mm6537a2
-
Bozkurt, C., Cafer Karalar, B., Hoşaf, S., & Karadakovan, A. (2022).
The relationship between activities of daily living and fall risk in
older people. STED, 31(3),219-222. https://doi.org/10.17942/
sted.991482
-
Chen, L., Bell, J. S., Visvanathan, R., Hilmer, S. N., Emery, T., Robson,
L., Hughes, J. M., & Tan, E. C. (2016). The association between
benzodiazepine use and sleep quality in residential aged care
facilities: a cross-sectional study. BMC Geriatrics, 16(1), 196.
https://doi.org/10.1186/s12877-016-0363-6
-
Chen, T. Y., Lee, S., & Buxton, O. M. (2017). A greater extent of
insomnia symptoms and physician-recommended sleep
medication use predict fall risk in community-dwelling older
adults. Sleep, 40(11), zsx142. https://doi.org/10.1093/sleep/
zsx142
-
Correa-Pérez, A., Delgado-Silveira, E., Martín-Aragón, S., Rojo-
Sanchís, A. M., & Cruz-Jentoft, A. J. (2019). Fall-risk increasing
drugs and prevalence of polypharmacy in older patients
discharged from an orthogeriatric unit after a hip fracture.
Aging Clinical and Experimental Research, 31, 969–975.
https://doi.org/10.1007/s40520-018-1046-2
-
Essien, S. K., Feng, C. X., Sun, W., Farag, M., Li, L., & Gao, Y. (2018).
Sleep duration and sleep disturbances in association with
falls among the middle-aged and older adults in China: A
population-based nationwide study. BMC Geriatrics, 18,196.
https://doi.org/10.1186/s12877-018-0889-x.
-
Florence, C. S., Bergen, G., Atherly, A., Burns, E., Stevens, J., &
Drake, C. (2018). Medical costs of fatal and nonfatal falls in
older adults. Journal of the American Geriatrics Society, 66(4),
693–698. https://doi.org/10.1111/jgs.15304
-
Ganz, D. A., & Latham, N. K. (2020). Prevention of falls in
community-dwelling older adults. N Engl J Med, 382(8), 734–
743. https://doi.org/10.1056/nejmcp1903252
-
Helbig, A. K., Döring, A., Heier, M., Emeny, R. T., Zimmermann,
A. K., Autenrieth, C. S., … Meisinger, C. (2013). Association
between sleep disturbances and falls among the elderly:
results from the German Cooperative Health Research in the
Region of Augsburg-Age study.Sleep Medicine, 14(12), 1356–
1363. https://doi.org/10.1016/j.sleep.2013.09.004
-
Hu, C. P., Zhao, Y. H., Zhao, X. D., Zhu, B. G., & Qin, H. Y. (2021).
Correlation between sleep characteristics and cognitive
decline in the elderly people: A cross-sectional study in China.
International Journal of Clinical Practice, 75(7), 1–10. https://
doi.org/10.1111/ijcp.14225
-
Huo, S., Cheng, L., Li, S., & Xu, F. (2022). Effects of eszopiclone
on sleep quality and cognitive function in elderly patients
with Alzheimer’s disease and sleep disorder: A randomized
controlled trial. Brain and Behavior, 12(2), e2488. https://doi.
org/10.1002/brb3.2488
-
Karami, Z., Golmohammadi, R., Heidaripahlavian, A., Poorolajal, J.,
& Heidarimoghadam, R. (2016). Effect of daylight on melatonin
and subjective general health factors in elderly people. Iranian
Journal of Public Health, 45(5), 636–643.
-
Kobayashi, K., Ando, K., Nakashima, H., Suzuki, Y., Nagao, Y.,
& Imagama, S. (2021). Relationship between use of sleep
medication and accidental falls during hospitalization. Nagoya
Journal of Medical Science, 83(4), 851–860. https://doi.
org/10.18999/nagjms.83.4.851
-
Lafontant, K., Tice, A. L., Suarez, J. R. M., Blount, A., Banarjee, C.,
Fukuda, D. H., … Thiamwong, L. (2025). Potential influence of
acute dysregulated sleep on fall ıncidence among low-ıncome
older women: A case study. Journal of Gerontological Nursing,
1–5. https://doi.org/10.3928/00989134-20250626-02
-
Lee, S., & Chung, J. H. (2021). Association between sleep quality
and falls: A nationwide population-based study from South
Korea. International Journal of General Medicine, 14, 7423–
7433. https://doi.org/10.2147/IJGM.S331103
-
Min, Y., Kirkwood, C. K., Mays, D. P., & Slattum, P. W. (2016). The
effect of sleep medication use and poor sleep quality on
risk of falls in community-dwelling older adults in the US: A
prospective cohort study. Drugs and Aging, 33(2), 151–158.
https://doi.org/10.1007/s40266-015-0339-9
-
Musich, S., Wang, S. S., Ruiz, J., Hawkins, K., & Wicker, E. (2017).
Falls-related drug use and risk of falls among older adults: A
study in a US medicare population. Drugs and Aging, 34, 555–
565. https://doi.org/10.1007/s40266-017-0470-x
-
Özvurmaz, S., Asgarpour, H., & Güneş, Z. (2018). Yaşlılarda uyku
kalitesi ve yaşam kalitesi arasındaki ilişki: Kesitsel bir çalışma.
Medical Sciences, 13(3), 72–79. https://doi.org/10.12739/
nwsa.2018.13.3.1b0053
-
Salari, N., Darvishi, N., Ahmadipanah, M., Shohaimi, S., &
Mohammadi, M. (2022). Global prevalence of falls in the older
adults: Acomprehensive systematic review and meta-analysis.
Journal of Orthopaedic Surgery and Research, 17(1), 334.
https://doi.org/10.1186/s13018-022-03222-1
-
Sasongko, H.,P., & Nanda, D.,F. (2024). The effect of lighting on
sleep quality in the elderly in Sidodadi Village. International
Journal of Medicine and Health, 3(4);144-150. https://doi.
org/10.55606/ijmh.v3i4.4783
-
Serrano-Checa, R., Hita-Contreras, F., Jiménez-García, J. D.,
Achalandabaso-Ochoa, A., Aibar-Almazán, A., & Martínez-
Amat, A. (2020). Sleep quality, anxiety, and depression are
associated with fall risk factors in older women. International
journal of environmental research and public health, 17(11),
4043. https://doi.org/10.3390/ijerph17114043
-
Sharif, S. I., Al-Harbi, A. B., Al-Shihabi, A. M., Al-Daour, D. S.,
& Sharif, R. S. (2018). Falls in the elderly : Assessment of
prevalence and risk factors. Pharmacy Practice, 16(3), 1206.
https://doi.org/10.18549/PharmPract.2018.03.1206
-
Soysal, T., Akın, S., Taşçı, İ., Taşar, P. T., Savaş, S., Çinçin, A. T., ... &
Saka, B. (2021). Prevalence of care problems in older adults
in Turkish hospitals. European Journal of Geriatrics and
Gerontology https://doi.org/10.4274/ejgg.galenos.2021.460
-
Şimşek Keskin, H., Alıumuerova, Z., Aköz, A., Eren, E. B. ve ark.
(2022). İzmir’de huzurevinde yaşayan yaşlılarda uyku kalitesi
ve uyku süresinin düşmelerle ilişkisi. Turkish Journal of Public
Health, 20(2), 195-204. https://doi.org/10.20518/tjph.942775
-
Takada, S., Yamamoto, Y., Shimizu, S., Kimachi, M., Ikenoue, T.,
Fukuma, S., … Fukuhara, S. (2018). Association between
subjective sleep quality and future risk of falls in older people:
Results from LOHAS. The Journals of Gerontology. Series A,
Biological Sciences and Medical Sciences, 73(9), 1205–1211.
https://doi.org/10.1093/gerona/glx123
-
Wu, L., & Sun, D. (2017). Sleep duration and falls: a systemic review
and meta-analysis of observational studies. Journal of Sleep
Research, 26(3), 293–301. https://doi.org/10.1111/jsr.12505
-
Xu, X., Zhou, X., Liu, W., Ma, Q., Deng, X., & Fang, R. (2022).
Evaluation of the correlation between frailty and sleep quality
among elderly patients with osteoporosis: a cross-sectional
study. BMC Geriatrics, 22(1), 1–9. https://doi.org/10.1186/
s12877-022-03285-z
-
Yaremchuk, K. (2018). Sleep disorders in the elderly. Clinics in
geriatric medicine, 34(2), 205–216. https://doi.org/10.1016/j.
cger.2018.01.008
-
Yılmaz Demir, N., & Seren İntepeler, Ş. (2012). Morse Düşme
Ölçeği̇ni̇n Türkçe’ye uyarlanması ve duyarlılık-seçi̇ci̇li̇k
düzeyi̇ni̇n beli̇rlenmesi̇. Ege Üniversitesi Hemşirelik Fakültesi
Dergisi, 28(1), 57–71.