Sleep disturbance and its relationship with quality of life in older Chinese adults living in nursing homes

Wang, Fei; Meng, Lu; Zhang, Qing E.; Lu, Li; Nogueira, Bernice O.C. Lam; Ng, Chee H.; Ungvári, Gábor S.; Liu, Lianqi; Zhao, Wei; Jia, Fu‐Jun; Xiang, Yu Tao

doi:10.1111/ppc.12363

Cited by 18 publications

(14 citation statements)

References 29 publications

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“…As expected, older adults with sleep disturbances had poorer QoL in the physical, psychological, social, and environmental domains than those without sleep disturbances, which is similar to previous findings in different age groups. 14,27,28 The lower QoL could be related to the detrimental physical and psychological effects of sleep disturbances.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Sleep Disturbances Between Older Nursing Home Residents in High- and Low-Altitude Areas

Liu

Chow

et al. 2019

J Geriatr Psychiatry Neurol

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Background and Objective: This study compared sleep disturbances between older adults living in nursing home located in high- and low-altitude areas and explored the association between sleep disturbances and quality of life (QoL). Method: In total, 207 participants living in a high-altitude area and 437 participants in a low-altitude area were included. Sleep disturbances (ie, difficulty in initiating sleep, difficulty in maintaining sleep, and early morning awakening) were measured using standardized questions. The independent demographic and clinical correlates of sleep disturbances in high-altitude area were examined using multiple logistic regression analyses. Each type of sleep disturbance was entered as the dependent variable separately, while those with significant group differences in the univariate analyses (ie, male gender, married status, age and depressive symptoms) were entered as independent variables. Results: The prevalence of any type of sleep disturbances in the whole sample was 26.09%, with 41.54% in the high-altitude area and 18.76% in the low-altitude area. Physical, psychological, social, and environmental QoL domains were negatively associated with sleep disturbances in high-altitude area. Multiple logistic regression analyses revealed that male gender and married status were less likely to have sleep disturbances, while those with more severe depressive symptoms were more likely to have sleep disturbances in high-altitude area. Conclusion: Sleep disturbance is common among older nursing home residents in high-altitude areas. Considering the negative impact of sleep disturbance on QoL, regular screening and treatment strategies need to be developed directly for this population.

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Section: Discussionmentioning

confidence: 99%

Comparison of Sleep Disturbances Between Older Nursing Home Residents in High- and Low-Altitude Areas

Liu

Chow

et al. 2019

J Geriatr Psychiatry Neurol

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“…Similarly, Fetveit and Bjorvatn 6 found that 72% of the elderly participants in nursing homes had a sleep efficiency below 85%, while 77.8% reported a sleep-onset latency of more than 30 min. Also, Wilfling et al 37 found that 23.0% of the elderly in German nursing homes had sleep disturbances and, in the same way, Wang et al 38 found that 27.8% of older Chinese adults living in nursing homes had sleep disturbances. One of the important factors that may contribute to the development of a higher prevalence of sleep problems among the elderly in nursing homes is the environment, particularly with respect to the high levels of night-time noise and light, the low levels of daytime light and care routines that do not promote sleep.…”

Section: Discussionmentioning

confidence: 89%

Association between poor sleep quality and depression symptoms among the elderly in nursing homes in Hunan province, China: a cross-sectional study

Zhu

Kaminga

et al. 2020

BMJ Open

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ObjectivesTo examine the association between the prevalence of poor sleep quality and depression symptoms among the elderly in the nursing homes of Hunan province in China.Design, Setting and participantsThis was a cross-sectional study investigating 817 elderly people from 24 nursing homes in China’s Hunan province.Main outcome measuresSleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) such that poor sleep quality was defined as PSQI Score >5. In addition, depression symptoms were assessed using the Geriatric Depression Scale (GDS). Linear regression models and binary logistic regression models were used to analyse the relationship between the prevalence of poor sleep quality and depression symptoms.ResultsThe mean PSQI Score was 8.5±4.9, and the prevalence of poor sleep quality was 67.3%. Additionally, the mean GDS Score was 9.8±7.5, and the prevalence of depression symptoms was 36.0%. Elderly people with poor sleep quality had increased GDS Score (mean difference=2.54, 95% CI 1.66 to 3.42) and increased risk of depression symptoms (OR=3.19, 95% CI 2.04 to 4.98) after controlling for demographics, chronic disease history, lifestyle behaviours, social support, activities of daily living and negative life events.ConclusionsThe prevalence of poor sleep quality was relatively high, and this was associated with increased depression symptoms. Therefore, poor sleep quality could be speculated as a marker of current depression symptoms in the elderly.

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“…Previous studies have shown that sleep quality is related to health status in elders. Poor quality of sleep not only seriously affects the quality of life (Wang F. et al, 2019) but also leads to serious psychosomatic problems (e.g., loneliness and cognitive impairment) among Chinese elders (Suh et al, 2018;Yu et al, 2018). Long-term insomnia would lead to a decline in body function as well as an increase in the risk of various mental disorders, physical illnesses, and mortality (Bazargan et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Resilience Improves the Sleep Quality in Disabled Elders: The Role of Perceived Stress

2021

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The current research aims to prove the impact of resilience on sleep quality and to investigate the mediating function of perceived stress in the paths from resilience to sleep quality among disabled Chinese elders. The participants were 196 elders with visual and physical disability who resided in the nursing houses in Shanghai, including 102 males and 94 females whose mean age was 74.5 years old (standard deviation = 6.81). All the elders were measured with the 10-item Connor-Davidson Resilience Scale, Pittsburgh Sleep Quality Index (PSQI), and Perceived Stress Scale. The results showed that all the demographic variables were significantly related to perceived stress and PSQI scores. High levels of resilience could significantly enhance the quality of sleep in disabled Chinese elders. In addition, the two-step mediation models also confirmed the impact of resilience on sleep quality as mediated through perceived stress in this special aged population. Better knowledge on the mechanisms of sleep quality among older adults could benefit the prevention and treatment of some geriatric diseases.

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Sleep disturbance and its relationship with quality of life in older Chinese adults living in nursing homes

Cited by 18 publications

References 29 publications

Comparison of Sleep Disturbances Between Older Nursing Home Residents in High- and Low-Altitude Areas

Comparison of Sleep Disturbances Between Older Nursing Home Residents in High- and Low-Altitude Areas

Association between poor sleep quality and depression symptoms among the elderly in nursing homes in Hunan province, China: a cross-sectional study

Resilience Improves the Sleep Quality in Disabled Elders: The Role of Perceived Stress

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