The Effect of Continuous Care Model on the Sleep Quality of the Elderly

Q3 Medicine

Evidence Based Care Journal Pub Date : 2019-10-01 DOI:10.22038/EBCJ.2019.37528.1977

M. Kamali, F. Ahmadi, A. Rasekhi

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引用次数: 0

Abstract

Background: Aging is accompanied by the mitigation of sleep quality in the elderly, thereby affecting their physical and social dimensions and quality of life. However, studies have not addressed sleep problems in the elderly by means of a holistic approach, such as continuous care model (CCM). Aim: The aim of this study was to determine the effects of CCM on sleep quality among the elderly. Method: This quasi-experimental study was performed on 70 elderly individuals in a retirement center located in Zirab, Iran, in 2017, selected by convenience sampling method and randomly divided into two groups of control and intervention. Consequently, CCM was applied to the intervention group under four stages (i.e., orientation, sensitization, control, and evaluation) for 2 months averagely in 3-8 sessions in the retirement center under study. The data were collected in three stages using the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed in SPSS software (version 21), using generalized estimation equations (GEE). Results: The participants of the control and intervention groups had the mean ages of 66.76±6.13 and 64.73±6.14 years, respectively. The GEE showed that the sleep quality of the intervention group differed significantly from that of the control group 1 and 2 months after the implementation of the CCM (P<0.001). Implications for Practice: Provision of CCM-based care for the elderly could improve their sleep quality. Therefore, this model could be used to promote sleep quality in the elderly in various clinical settings.

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持续照护模式对老年人睡眠质量的影响

背景:衰老伴随着老年人睡眠质量的降低，从而影响老年人的身体和社会维度以及生活质量。然而，研究尚未通过整体方法解决老年人的睡眠问题，如持续护理模型(CCM)。目的:本研究的目的是确定CCM对老年人睡眠质量的影响。方法:选取2017年伊朗Zirab某养老中心的70名老年人，采用方便抽样法随机分为对照组和干预组，进行准实验研究。因此，CCM被应用于干预组，分为四个阶段(即定向、敏化、控制和评估)，平均2个月，在研究的退休中心进行3-8次治疗。使用匹兹堡睡眠质量指数(PSQI)分三个阶段收集数据。数据分析在SPSS软件(版本21)中进行，使用广义估计方程(GEE)。结果:对照组和干预组的平均年龄分别为66.76±6.13岁和64.73±6.14岁。在实施CCM后1个月和2个月，GEE显示干预组的睡眠质量与对照组有显著差异(P<0.001)。对实践的启示:为老年人提供基于ccm的护理可以改善他们的睡眠质量。因此，该模型可用于在各种临床环境中促进老年人的睡眠质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.