PURPOSE
Reported insomnia and decreased sleep quality are common among older adults. The purpose of this study was to identify factors contributing to insomnia and decreased sleep quality among elderly persons living within a community. The data will be verified with Actigraph which is a non-invasive measurement of rest/activity cycles.
METHODS
137 participants over 65 years old were recruited from a senior welfare center. Their mean age was 74.07±5.18 years old and majority was women (69.3%). The quality and quantity of nighttime sleep were assessed using Varren-synder-Halper Sleep Scale and a sleep log. Depression and fatigue were assessed using Geriatric Depression Scale Short Form and Fatigue Severity Scale, respectively. Pain was assessed using 11-point Numeric rating scale. An actigraph was used to verify the self-reported sleep.
RESULTS
Ninety-two participants (67.2%) reported insomnia. Sixty-eight subjects (49.6%) reported good sleep. Of the participants, 56.2% reported depression and 33.6% reported fatigue. In logistic regression, depression was related to insomnia (OR=3.09, p=.003). Sleep quality was related to depression (OR=2.13, p=.045) and fatigue (OR=2.24, p=.044). The data from the Sleep logs correlated with data obtained from the actigraph.
CONCLUSION
Depression significantly influenced insomnia and sleep quality whereas fatigue only influenced sleep quality. Thus, depression and fatigue should be closely monitored among elderly persons with sleep disturbances.

Citations

• Actigraphy-Based Assessment of Sleep Parameters in Intensive Care Unit Patients Receiving Respiratory Support Therapy
  Jiyeon Kang, Yongbin Kwon
  Journal of Korean Critical Care Nursing.2022; 15(3): 115.     CrossRef
• Sleep Patterns of Older Residents in Long-Term-Care Facilities: A Comparison with Older Adults in Home-Care Services and Community-Dwelling Older Adults
  Eunhee Hwang
  Journal of Korean Gerontological Nursing.2021; 23(1): 75.     CrossRef
• The Effect of Auricular Acupressure on Sleep in Older Adults with Sleep Disorders
  Ju Hee Lee, Hyojung Park
  Journal of Korean Gerontological Nursing.2021; 23(2): 117.     CrossRef
• Factors that Influence Sleep among Residents in Long-Term Care Facilities
  Da Eun Kim, Ju Young Yoon
  International Journal of Environmental Research and Public Health.2020; 17(6): 1889.     CrossRef
• Insomnia and its associated factors among  older people of selected ward of Banepa municipality, Nepal
  Manisha Dangol, Sunil Shrestha, Sita Kumari Rai Koirala
  Nursing Open.2020; 7(1): 355.     CrossRef
• Factors Affecting Sleep Disturbances in Hospitalized Patients with Colorectal Cancer undergoing Chemotherapy: A Retrospective Study
  Jihyeon Song, Smi Choi-kwon
  Korean Journal of Adult Nursing.2019; 31(1): 100.     CrossRef
• Characteristics and Factors related to Fatigue in Older Adults at a Senior Welfare Center
  Su Yeon Jeong, Smi Choi-Kwon
  Korean Journal of Adult Nursing.2018; 30(5): 516.     CrossRef