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KMID : 0388519980100010001
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Nursing Science - Ewha Womans University
1998 Volume.10 No. 1 p.1 ~ p.17
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Sleep pattern and related factors of before and after hospitalized elderly
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김미영/Kim, Mi Young
조성희/이상미/정수정/박경숙/Cho, Sung Hee/Lee, Sang Mi/Jung, Su Jung/Park, Kyung Sook
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Abstract
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Sleep is a necessity for survival. Disruption of sleep leads to numerous adverse physiological and psychological consequences. These could be particularly undesirable for older patients, who are subject to many additional factors. But there are limited research related to hospitalized elderly in Korea.
The purpose of the study is to explore sleep pattern, related factors of before and after hospitalized elderly, in order to present basic information elerly sleep and develop nursing intervention.
The sample was consisted of 32 elderly between the ages of 60 and 87. Data collection was done for September to November 1997. Measures of sleep patterns and related factors were obtained from self =reported sleep questionnaires. Analysis of data was done by use of t-test, paired t-test, ANOVA, Pearson Correlation Coefficient.
The results of this study was summarized as follows
1. In comparision berween before and after admission of their sleep pattern, `sleep onset" tends to be delayed and nocturnal sleep time has significantly reduced. So, hospitalized lderly wer reported less total sleep time than befor admission.
2. Regarding sleep disturbing factor, medication (hypnotics ; 37.5%), physiological factor (snoring ; 59.4%) environmental factor (pillow ; 78.1%), emotional factor (anxiety related to disease; 37.5%), illness factor (fatigue; 34.7%) were reported.
3. Significant differences in gender were found : Man had more disturbances in sleep than woman owing to difficulty in falling asleep, lack of nocturnal sleep. Women consumed more sleep inducing drugs. Significnt increase was reported in napping during the day with increasing age.
4. Significant differences between good sleeper and poor sleeper were found for the following variables : nocturnal sleep time, total sleep time, bed time, sleep onset latency time, sleep latency time after nocturnal awakening, time spent in bed upon arousal, environmental factor emotional factor.
In conclusion, it was found that the quantity and quality of sleep have become significantly poor in hospitalized elderly but did not practice adequate strategies for better sleep. Replication in various areas are suggested to compate sleep pattern with other age groups and settings. Further researches are needed to develop intervention stategies to promote sleep and to p-event sleep problems.
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