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Sleep patterns and it's influencing factors of hospitalized elderly in long-term care hospital
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 Title & Authors
Sleep patterns and it's influencing factors of hospitalized elderly in long-term care hospital
Jang, Hyo-Yoel; Kim, Tae-Im;
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This study was conducted to identify the sleep patterns and influencing factors of hospitalized elderly in a long-term care hospital. The sleep patterns of 142 subjects were recorded using Sleep Charts. The average sleep time of subjects was 10.7 hours a day (3.9 hours in daytime and 6.8 hours in nighttime). Sleep regularity among participants were 71.7% in all day (58.1% in day time and 80.5% in night time). The presence of dementia patients in the room (PDPR) has been identified to be a statistically significant predictor of all day sleep, and pain, PDPR, and physical function have been found to be a significant predictors of sleep regularity in all day among subjects. It suggested that elderly patients in a long-term care hospital do not slept well during night, which leads to increase in daytime sleep and decrease the quality of their sleep. Therefore, an intervention program should be developed to promote the quality of sleep among hospitalized elderly.
Elderly patient;hospitalization;sleep;sleep pattern;
 Cited by
Alessi, C. A., Martin, J. L., Webber, A. P., Cynthia Kim, E., Harker, J. O. and Josephson, K. R. (2005). Randomized, controlled trial of a nonpharmacological intervention to improve abnormal sleep/wake patterns in nursing home residents. Journal of the American Geriatrics Society, 53, 803-810. crossref(new window)

Auyeung, T. W., Kwok, T., Leung, J., Lee, J. S. W., Ohlsson, C., Vandenput, L., Wing, Y. K. and Woo, J. (2015). Sleep duration and disturbances were associated with testosterone level, muscle mass, and muscle strength? A cross-sectional study in 1274 older men. Journal of the American Medical Directors Association, 16, 630.e1-630.e6. crossref(new window)

Barthlen, G. M. (2002). Sleep disorders: Obstructive sleep apnea syndrome, restless legs syndrome, and insomnia in geriatric patients. Geriatrics, 57, 34-40.

Chae, K. S. (2008). A study on sleeping pattern of the elderly with dementia in geriatric hospital, Master Thesis, Hanyang University, Seoul.

Chen, J. C., Espeland, M. A., Brunner, R. L., Lovato, L. C., Wallace, R. B., Leng, X., Phillips, L. S., Robinson, J. G., Kotchen, J. M., Johnson, K. C., Manson, J. E., Stefanick, M. L., Sarto, G. E. and Mysiw, W. J. (2016). Sleep duration, cognitive decline, and dementia risk in older women. Alzheimer's & Dementia, 12, 21-33.

Driscoll, H. C., Serody, L., Patrick, S., Maurer, J., Bensasi, S., Houck, P. R., Mazumdar, S., Nofzinger, E. A., Bell, B., Nebes, R. D., Miller, M. D. and Reynolds, C. F. (2008). Sleeping well, aging well: A descriptive and cross-sectional study of sleep in "successful agers" 75 and older. The American Journal of Geriatric Psychiatry, 16, 74-82. crossref(new window)

Faubel, R., Lopez-Garcia, E., Guallar-Castillon, P., Balboa-Castillo, T., Gutierrez-Fisac, J. L., Banegas, J. R. and Rodriguez-Artalejo, F. (2009). Sleep duration and health-related quality of life among older adults: A population-based cohort in Spain. American Academy of Sleep Medicine, 32, 1059-1068.

Floyd, J. A. (1984). Interaction between personal sleep-wake rhythms and psychiatric hospital rest-activity schedule. Nursing Research, 33, 255-259.

Gabor, J. Y., Cooper, A. B. and Hanly, P. J. (2001). Sleep disruption in the intensive care unit. Current Opinion in Critical Care, 7, 21-27. crossref(new window)

Han, S. J., Lee, E. Y., Kim, K. M. and Park, S. N. (2007). Comparison of sleep pattern, factors of sleep disturbance and sleep enhancement behaviors between sleep disturbance and non-sleep disturbance aged patients.The Korean Journal of Fundamentals of Nursing , 14, 62-71.

Hidalog, J. L., Gras, C. B., Garcia, Y. D., Lapeira, J. T., DelCampo, J. M. and Verdejo, M. A. (2007). Functional status in the elderly with insomnia. Quality of Life Research , 16, 279-286. crossref(new window)

Hong, S. J. and Kim, E. H. (2014). Effect of aroma head and neck massage on sleep disturbance and problematic behaviors, depression, blood serotonin, blood cortisol, and the vital signs on elders with dementia. Journal of Safety and Crisis Management, 10, 75-92.

Hur, B. Y. (2008). Sleep disorders of elders with dementia in a long-term care hospital, Master Thesis, Inha University, Incheon.

Jung, I. K., Kwak, D. I., Shin, D. K., Lee, M. S., Lee, H. S. and Kim, J. Y. (1997). A reliability and validity study of geriatric depression scale. Journal of the Korean Neuropsychiatric Association , 36, 103-112.

Kang, Y. O. (2006). A Normative Study of the Korean-Mini Mental State Examination (K-MMSE) in the elderly. The Korean Journal of Clinical Psychology, 25, 1-12.

Kang, Y. O., Na, D. R. and Han, S. H. (1997). A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. Journal of the Korean Neurological Association, 15, 300-308.

Kim, C. S., Yoo, K. S. and Hong, S. H. (2014). The effects of foot reflexology on arthralgia, ankylosis, depression and sleep in community-dwelling elderly women with osteoarthritis. Journal of Korean Academic of Community Health Nursing, 25, 207-216. crossref(new window)

Kim, D. G. (2011). The causes of sleep disturbance in hospitalized elderly patients, Master thesis, Kyunghee University, Seoul.

Kim, E. H. and Moon, S. Y. (2014). The effect of health status on sleep quality and quality of life among elderly patient in geriatric hospitals. Journal of Digital Convergence, 12, 415-426.

Kim, G. D. (2000a). A study on sleep patterns, sleep disturbing factors and quality of sleep in the institutionalized elderly.Korean Journal of Gerontological Social Welfare, 10, 247-270.

Kim, G. D. (2000b). A study on quality of sleep and sleep disturbing factors among community dwelling elderly. Korean Journal of Gerontological Social Welfare, 7, 173-192.

Kim, H. J., Lee, Y. and Sohng, K. Y. (2016). The effects of footbath on sleep among the older adults in nursing home: A quasi-experimental study. Complementary Therapies in Medicine, 26, 40-46. crossref(new window)

Kim, J. Y., Ryu, H. S., Nam, S. H. and Park, K. S. (2014). Effects of auricular acupressure therapy on nocturia and insomnia in the elderly. Korean Journal of Rehabilitation Nursing, 17, 1-9. crossref(new window)

Kim, M. S. and Kim, J. I. (2015). Relationship among the health state, daily living activities (ADL, IADL), sleep state, and depression among old people at elderly care facilities. Journal of the Korea Academia-Industrial Cooperation Society, 16, 2609-2619. crossref(new window)

Kim, M. Y., Cho, S. H., Lee, S. M., Chung, S. J. and Park, K. S. (1999). Elderly sleep pattern and disturbing factors before and after hospitalization. Journal of Korean Academy of Nursing, 29, 61-71.

Ko, Y. J. and Hyun, M. Y. (2013). Effects of laughter therapy on pain, depression, and quality of life of elderly people with osteoarthritis. Journal of Korean Academic Psychiatric and Mental Health Nursing, 22, 359-367. crossref(new window)

Krueger, P. M. and Friedman, E. M. (2009). Sleep duration in the United States: a cross-sectional population-based study. American journal of epidemiology, 169, 1052-1063. crossref(new window)

Kwon, K. H. (2009).The development of measurement tool of sleep quality of the elderly, Ph. D. Thesis, Kyungpook University, Daegu.

Kwon, K. H., Seo, S. R., and Seo, B. D. (2010). Sleep patterns and factors influencing sleep in institutionalizedelders and elders living at home. Journal of Korean Gerontological Nursing, 12, 131-141.

Kwon, Y. R. (2008). A study on the physical function, quality of sleep and quality of life in the elderly people living at home, Master Thesis, Ewha Womans University, Seoul.

Lee, C. Y., Low, L. P. L. and Twinn, S. (2008). Older patients'experiences of sleep in the hospital: Disruptions and remedies. The Open Sleep Journal, 1, 29-33. crossref(new window)

Lee, H. S. (2011). Factors of sleep disturbance and sleep patterns according to age in older hospitalized women patients. The Korean Journal of Fundamentals of Nursing, 18, 186-194.

Lee, J. M. and Kim, N. H. (2011). Sleep patterns and factors related to sleep disturbance in mechanically ventilated patients. Journal of Korean Clinical Nursing Research, 17, 421-432.

Leggett, A., Pepin, R., Sonnega, A. and Assari, S. (2016). Predictors of new onset sleep medication and treatment utilization among older adults in the United States. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, glv227.

Lewis, H. E. and Masterton, J. P. (1957). Sleep and wakefulness in the arctic. Lancet , 1, 1262-1266.

Liao, W. C., Wang, L., Kuo, C. P., Lo, C., Chiu, M. J. and Ting, H. (2013). Effect of a warm footbath before bedtime on body temperature and sleep in older adults with good and poor sleep: An experimental crossover trial. International Journal of Nursing Studies, 50, 1607-1616. crossref(new window)

Makhlouf, M. M., Ayoub, A. I. and Abdel-Fattah, M. M. (2007). Insomnia symptoms and their correlates among elderly in geriatric homes in Alexandria, Egypt. Sleep and Breathing , 11, 187-194. crossref(new window)

Mauk, K. L. (2005). Promoting sound sleep habits in older adults. Nursing2015, 35, 22-25.

National Health Insurance Service (2013). Press release No. 286,

Newman, D. K. (2002). Managing and treating urinary incontinence, Health Professional Press, Baltimore.

Ohayon, M. M. (2010). Nocturnal awakenings and difficulty resuming sleep: Their burden in the European general population. Journal of Psychosomatic Research, 69, 565-571. crossref(new window)

Ohayon, M. M. and Vecchierini, M. F. (2002). Daytime sleepiness and cognitive impairment in the elderly population. Archives of Internal Medicine, 162, 201-208. crossref(new window)

Pace-Schott, E. F. and Spencer, R. M. C. (2011). Age-related changes in the cognitive function of sleep. Progress in Brain Research, 191, 75?89. crossref(new window)

Park, B. U. (2011). Correlation between sleep and depression of long-term hospitalized elderly patients, Master Thesis, Catholic University of Pusan, Busan.

Park, C. and Choi, H. S. (2014). A study of the factors influential on a health-related quality of life using complex sample design. Journal of the Korean Data & Information Science Society, 25, 829-846. crossref(new window)

Park, M. J. (2013). Factors related to sleep of the elderly inpatients, Master thesis, Catholic University of Pusan, Busan.

Park, Y. H. (2007). Physical activity and sleep patterns in elderly who visited a community senior center. Journal of Korean Academy of Nursing, 37, 5-13.

Redeker, N. S. (2000). Sleep in acute care settings: An integrative review. Journal of Nursing Scholarship, 32, 31-38. crossref(new window)

Reyes, S., Algarin, C., Bunout, D. and Peirano, P. (2013). Sleep/wake patterns and physical performance in older adults. Aging Clinical and Experimental Research, 25, 175-181. crossref(new window)

Rogers, A. E., Caruso, C. C., and Aldrich, M. S. (1993). Reliability of sleep diaries for assessment of sleep/wake patterns. Nursing Research, 42, 368-371.

Sartain, J. B. and Barry, J. J. (1999). The impact of an acute pain service on postoperative pain management. Anesthesia & Intensive Care, 27, 375-380.

Sheikh, J. I. and Yesavage, J. A. (1986). Geriatric depression scale(GDS): Recent evidence and development of a shorter version. Clinical Gerontologist, 5, 165-173. crossref(new window)

Shim, H. J., Kim, J. S. and Kim, G. H. (2008). Factors affecting sleeping patterns among hospitalized elderly. Korean Journal of Adult Nursing , 20, 573-587.

Sim, S. and Choi, K. (2013). An implementation of sample size and power calculations in testing differences of normal means. Journal of the Korean Data & Information Science Society, 24, 477-485. crossref(new window)

Statistics Korea (2012). Population projections for Korea: 2010 2060 , Publication No. 11-1240000-000125-13,{$\backslash$_}01List.jsp?grp{$\backslash$_}no=1002.

Stone, K. L., Ensrud, K. E. and Ancoli-Israel, S. (2008). Sleep, insomnia and falls in elderly patients. Sleep Medicine, 9, S18-S22. crossref(new window)

Taylor, D. J., Mallory, L. J., Lichstein, K. L., Durrence, H., Riedel, B. W. and Bush, A. J. (2007). Comorbidity of chronic insomnia with medical problems. SLEEP, 30, 213-218.

Tune, G. S. (1968). Sleep and wakefulness in normal human adults. British Medical Journal, 2, 269. crossref(new window)

Won, C. W. (2002). Korea activities of daily living scale and Korea instrumental activities of daily living scale. Journal of The Korean Geriatrics Society, 6, 1-10.

Yang, S. J. and Kim, J. S. (2010). Factors affecting the quality of sleep among community dwelling elders. Journal of Korean Gerontological Nursing, 12, 108-118.