Sleep quality and sleep-disturbing factors of geriatric inpatients
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RESEARCH PAPER
Sleep quality and sleep‑disturbing factors of geriatric inpatients İpek Azizoğlu Şen1 · Cemile Özsürekci2 · Cafer Balcı2 · Hatice Çalışkan2 · Mert Eşme2 · Pelin Ünsal2 · Meltem Gülhan Halil2 · Mustafa Cankurtaran2 · Burcu Balam Doğu2 Received: 4 June 2020 / Accepted: 11 September 2020 © European Geriatric Medicine Society 2020
Key summary points Aim To evaluate the change in sleep patterns and sleep quality in older patients during hospitalization. Findings Sleep duration was shortened; however, sleep quality was not changed during hospitalization. Message Insomnia is associated with geriatric syndromes in hospitalized older adults. Sleep quality and insomnia evaluation should be a routine part of assessment during hospitalization. Abstract Purpose Insomnia, a common problem in older adults, may be precipitated by multiple factors including medical conditions, social, behavioral, and environmental factors. The aims of our study were to evaluate sleep pattern changes during hospitalization, determine the predictors of sleep quality and sleep disorders in geriatric inpatients. Methods In this prospective observational study, all ≥ 65-year-old patients hospitalized in internal medicine wards were assessed at the time of hospitalization and after 1 week. Insomnia Severity Index and Pittsburgh Sleep Quality Index (PSQI) were used to define insomnia and subjective sleep quality. All patients underwent comprehensive geriatric assessment. Data of factors contributing sleep disturbances during hospitalization were recorded. Results Totally 101 patients were recruited. Mean ± SD age was 73.5 ± 5.2 years and 53.5% were female. Frequency of poor sleepers was 58.4% at baseline and 64.7% after 1 week according to PSQI score (p 0.804). Although the total scores and frequency of insomnia did not change in the first week of hospitalization, sleep duration was significantly shortened (6.4 ± 2.6 h vs. 5.9 ± 2.7 h, respectively; p
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