Quality of Sleep and Associated Factors in Elderly at Urban Community, Nakhon Sawan
Keywords:
Quality of sleep, Insomnia, Elderly, Nakhon Sawan ProvinceAbstract
Objective : To study the prevalence and explore factors associated with poor quality of sleep in the elderly.
Method : The cross-sectional analytical study was conducted in elderly aged 60 years old or above in the municipal areas of Nakhon Sawan Province. 184 participants were service recipients at health service centers in the network of Sawanpracharak Hospital. Stratified sampling was used. The data collection was performed using a structured questionnaire on demographics, health factor and Thai-Pittsburgh Sleep Quality Index (Thai-PSQI). Data were collected data from August 2020 to October 2020. The data were analyzed and presented with descriptive statistics. The correlation between factors and poor sleep quality was analyzed using chi-square test and binary logistic regression, by calculating odds ratio (OR) and 95% Confidence interval (CI). The statistical significance level was set P-value < 0.05
Results : Among the participants with mean age 68.8 ± 6.9 years old, the prevalence of poor sleep quality was 59.2%. Binary logistic regression analysis revealed that female (OR=2.79; 95%CI 1.82-4.26, p<0.001), having financial problem (OR=1.65; 95%CI: 1.09-2.50, p=0.02), caffeine drinking (OR=2.93; 95%CI 1.91-4.48, p<0.001), moderate or pool self-perceived health (OR=2.36; 95%CI 1.56-3.59, p<0.001), nocturia (OR=1.58; 95%CI 1.05-2.39, p=0.04) and hypertension (OR=2.66; 95%CI 1.74-4.05, p<0.001) were significantly associated with poor sleep quality.
Conclusion : Poor sleep quality was highly prevalent among elderly in urban Nakorn Sawan province and associated with many factors. Health care professional should assess sleep quality in clinical practice and manage factors associated for good sleep quality of the elderly.
Key words : Quality of sleep, Insomnia, Elderly, Nakhon Sawan Province
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