Sleep hygiene education in older adults: effectiveness and association with comprehensive geriatric assessment.

IF 2.8 3区医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2025-01-20 DOI:10.1080/13607863.2025.2451121

Merve Hafızoğlu, Pınar Gürün, Arzu Okyar Baş, Ceyda Kayabaşı, Didem Karaduman, Cansu Atbaş, Mert Eşme, Cafer Balcı, Meltem Halil, Mustafa Cankurtaran, Burcu Balam Doğu

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Abstract

Objectives: This study aimed to evaluate the results of sleep hygiene education via a comprehensive geriatric assessment.

Method: A cross-sectional research was conducted on insomnia outpatients at a tertiary hospital, and all participants received sleep hygiene education as well as a comprehensive geriatric assessment. Sleep parameters were assessed before and four weeks after education.

Results: The study included 141 participants. A significant improvement was obtained in all four scales' scores before and after education (PSQI score 11 [8-13] vs. 5 [3-9], p < .001; SHI score 12 [8-16] vs. 4 [1-8], p < .001; ESS score 6 [3-8] vs. 2 [0-6], p < .001; Jenkins SS score 15 [10-19] vs. 7 [5-11], p < .001). Female gender ratios, as well as the presence and risk of malnutrition, differed between groups with and without the PSQI score improvement. In the regression analyses, female gender and the presence of malnutrition or malnutrition risk were evaluated as possible factors affecting the PSQI responses (respectively, OR: 3.48, CI 95%: 1.21-10.00, p = .020; OR: 0.29, CI 95%: 0.09-0.949, p = .041).

Conclusion: Sleep hygiene education and interdisciplinary interventions are crucial in the management of sleep disorders in older adults.

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老年人睡眠卫生教育：有效性及其与综合老年评估的关联。

目的：本研究旨在通过全面的老年评估来评估睡眠卫生教育的效果。方法：对某三级医院失眠症门诊患者进行横断面研究，对所有患者进行睡眠卫生教育和老年综合评估。在教育前和教育后四周评估睡眠参数。结果：该研究包括141名参与者。教育前后四个量表得分均有显著改善(PSQI评分11分[8-13]比5分[3-9]，p < 0.001；SHI评分12分[8-16]比4分[1-8]，p < .001；ESS评分6分[3-8]vs. 2分[0-6]，p < 0.001；Jenkins评分15分[10-19]比7分[5-11]，p < 0.001)。女性性别比例，以及营养不良的存在和风险，在PSQI评分改善和没有改善的组之间有所不同。在回归分析中，评估女性性别和存在营养不良或营养不良风险是影响PSQI反应的可能因素(分别or: 3.48, CI 95%: 1.21-10.00, p = 0.020；OR: 0.29, CI 95%: 0.09-0.949, p = 0.041)。结论：睡眠卫生教育和跨学科干预对老年人睡眠障碍的管理至关重要。

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

Aging & Mental Health 医学-精神病学

CiteScore

7.00

自引率

2.90%

发文量

176

审稿时长

4-8 weeks

期刊介绍： Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.