Comparing Sleep Quality, Duration, and Efficiency Among Low-Income Community-Dwelling Older Adults With and Without Physical Disabilities.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2024-07-01 DOI:10.3928/00989134-20240618-03

James D Brightman, Kworweinski Lafontant, Jethro Raphael M Suarez, Jennifer M Crook, Ladda Thiamwong

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引用次数: 0

Abstract

Purpose: Physical disabilities may exacerbate the natural decline in sleep quality that occurs with aging. In the current study, we assessed sleep quality and medicinal sleep aid use among 87 community-dwelling older adults with (n = 24) and without (n = 63) physical disabilities.

Method: Sleep quality, duration, and efficiency were assessed subjectively with the Pittsburgh Sleep Quality Index. Sleep duration and efficiency were objectively measured with actigraphy. Participants self-reported medicinal sleep aid use.

Results: Significant group differences were observed in sleep duration measured objectively (p = 0.01) and subjectively (p = 0.04). No other group differences were observed for sleep factors (p > 0.05) or medicinal sleep aid use (p = 0.41).

Conclusion: Findings show that physical disability may be a factor in sleep duration; however, physical disability was not found to be associated with worsened sleep perception or greater reliance on medicinal sleep aids. Future research should consider longer objective actigraphy assessment windows and explore potential subgroup differences in sex and race/ethnicity. [Journal of Gerontological Nursing, 50(7), 12-18.].

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有身体残疾和没有身体残疾的低收入社区老年人的睡眠质量、持续时间和效率比较。

目的：随着年龄的增长，身体残疾可能会加剧睡眠质量的自然下降。在本研究中，我们对 87 名居住在社区的有身体残疾（24 人）和无身体残疾（63 人）的老年人的睡眠质量和使用药物助眠的情况进行了评估：方法：采用匹兹堡睡眠质量指数对睡眠质量、持续时间和效率进行主观评估。睡眠持续时间和效率则通过行动记录仪进行客观测量。参试者自我报告了使用助眠药物的情况：结果：客观测量的睡眠持续时间（p = 0.01）和主观测量的睡眠持续时间（p = 0.04）存在显著的组间差异。在睡眠因素（p > 0.05）或使用助眠药物（p = 0.41）方面没有观察到其他群体差异：研究结果表明，肢体残疾可能是影响睡眠时间的一个因素；然而，研究并未发现肢体残疾与睡眠感知恶化或更多依赖药物助眠剂有关。未来的研究应考虑更长的客观动图评估窗口，并探索性别和种族/民族的潜在亚组差异。[老年护理杂志》（Journal of Gerontological Nursing），50（7），12-18。

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来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.