Self-reported napping and nocturnal sleep in Taiwanese elderly insomniacs.
Abstract The aim of this study was to investigate the relationships between self-reported nocturnal sleep quality and napping patterns in elderly persons with insomnia and to compare the nocturnal sleep quality between napping and non-napping groups. Convenience sampling was used to recruit 60 community-dwelling elderly residents of Taichung City, Taiwan (age range 60-83 years, mean 67.1 years) who reported insomnia. All participants scored greater than 5 on the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Napping prevalence, frequency, and duration were assessed by participant interview. Self-reported sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbance, use of sleep medication, and daytime dysfunction were measured with the PSQI. Sixty-four percentage of participants (n = 38) reported napping. There were no age, gender, and ethnicity differences on napping patterns. Global sleep quality, sleep efficiency, and sleep disturbance were significantly associated with prevalence of napping (r = 0.24-0.26, p < 0.05). A significant correlation was also found between global sleep quality and nap duration (r = 0.31, p < 0.05). Elders in the napping group reported better global sleep quality (t = 2.2, p < 0.05) and sleep efficiency (t = 2.1, p < 0.05) than those in the non-napping group. The findings suggest that there is no need for health care providers to restrict elderly insomniacs' daytime napping.
Nursing Department, Buddhist Tzu Chi General Hospital. snowjade@mail.tcu.edu.tw
Hui-Ling
HL
Lai
D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D016009:Chi-Square Distribution; D005260:Female; D015577:Geriatric Assessment; D006184:Habits; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D009730:Nursing Assessment; D015404:Nursing Methodology Research; D015995:Prevalence; D011637:Public Health Nursing; D012648:Self Care / Q000379:methods* / Q000523:psychology; D007319:Sleep Initiation and Maintenance Disorders / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology; D012894:Sleep Stages; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology; D013997:Time Factors; D014504:Urban Health