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PREVALENCE AND PREDICTORS OF POOR SLEEP QUALITY AMONG INSTITUTIONALIZED ELDERS

M.H. Itani, G. Hamadeh, S. Mroueh, N. Naja, O. Kolokotroni

Jour Nursing Home Res 2020;6:61-68

Objectives: Sleep problems are common in institutionalized elders and are associated with increased mortality and morbidity. Our study evaluates the prevalence of poor sleep quality in a chronic care philanthropic institution and their possible predictors in that setting. Methods: The study involved 192 participants. The Pittsburgh Sleep Quality Index (PSQI) scale was used as an assessment tool for poor sleep quality. Participants with a global PSQI score of 5 or more were classified as poor sleepers. Bivariate analysis was used to study statistical correlation between high PSQI scores and the independent variables of demographic data and lifestyle habits, coexisting chronic medical conditions and current medications. Results: Poor sleep quality was present in 75% of the participants. Decreased ambulatory activity, poor performance on memory tests and Alzheimer disease had positive association with poor sleep quality [OR 2.85 (95% CI, 1.41-5.68), OR 4.21 (95% CI, 1.90-9.33) and OR 2.28 (95% CI, 1.05-4.94) respectively]. Schizophrenia had a negative association [OR 0.46 (95% CI, 0.23-0.92)], while proton pump inhibitors approached statistical significance [OR 1.85 (95% CI, 0.96-3.59)]. Conclusion: Our study showed high prevalence of poor sleep quality in institutionalized elders. Physicians must use a standardized tool for assessment of sleep in that setting and not rely on a single question about sleep quality. The activity of moving the elders out of the bed during the day is a simple intervention that may help in improving their sleep at night. The association between poor sleep and Alzheimer disease and impaired memory reflects the importance of early identification of these problems and early management. Overuse of proton pump inhibitors in institutionalized elders may be associated with poor sleep quality.

CITATION:
M.H. Itani ; G. Hamadeh ; S. Mroueh ; N. Naja ; O. Kolokotroni (2020): Prevalence and Predictors of Poor Sleep Quality among Institutionalized Elders . The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.18

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