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KMID : 0388320220290010067
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Journal of Korean Academy of Fundamental Nursing
2022 Volume.29 No. 1 p.67 ~ p.83
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Effects of Non-Pharmacological Interventions to Improve the Sleep of Korean Elderly: A Systematic Review
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Park Yun-Hee
Yun Hyun-Jung
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Abstract
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Purpose: This systematic review investigated the effects of non-pharmacological interventions to improve the sleepof the Korean elderly at home and in facilities.
Methods: A literature search was performed using electronicdatabases (RISS, KISS, KMbase, KoreaMed, DBpia) from 2010 to 2021. Participants’ characteristics, interventioncharacteristics, and measured sleep outcomes were systematically reviewed. A qualitative appraisal of studies wasperformed using the RoB 2.0 and ROBINS-I tools.
Results: Of 954 publications identified, 23 met the inclusioncriteria. Two studies were randomized controlled trials and 21 studies were quasi-experimental designs with anon-equivalent control group. The contents of 23 intervention studies that aimed to improve sleep includedmassage, auricular acupressure therapy, laughter therapy, heat therapy, exercise, and aromatherapy. The KoreanSleep Scale A was the most frequently used sleep instrument, in 18 studies. Most interventions were effective inimproving sleep, but some inconsistent results were reported.
Conclusion: Non-pharmacological interventions forthe improvement of sleep in the elderly are useful as therapeutic interventions as part of nursing care, becausethey are simple and easy to apply. However, to draw clear conclusions about the effect of interventions, it will benecessary to gather results from intervention studies using rigorous methodologies in the future.
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KEYWORD
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Aged, Sleep, Systematic Review
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