Perceived versus objective sleep quality in long-stay hospitalised older adults—a mixed methods study.
Background Hospital inpatients experience substantial sleep problems that have been linked with worse health outcomes, poor quality of life and the post-hospital syndrome. However, little is known about assessing sleep issues in older hospitalised patients. Objective To conduct an in-depth investiga...
| Publicado en: | Age & Ageing Vol. 50; no. 3; pp. 955 - 963 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
May2021
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=150175217&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 150175217 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: May2021 vid: 50 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 150175217 10.1093/ageing/afaa292 ppf: 955 ppct: 8 formats: tig: atl: Perceived versus objective sleep quality in long-stay hospitalised older adults—a mixed methods study. aug: au: Aluzaite, Kristina Wu, Harry Hyslop, Brent Young, Jessica Schultz, Michael Brockway, Ben affil: Department of Medicine, Dunedin School of Medicine, University of Otago , New Zealand Preventative and Social Medicine, Dunedin School of Medicine, University of Otago , New Zealand su: Cross-sectional method Hospital care Quality of life Content analysis Old age Sleep disorder diagnosis Length of stay in hospitals Scientific observation Research methodology Multiple regression analysis Actigraphy Public hospitals Questionnaires Descriptive statistics Thematic analysis sug: subj: Cross-sectional method Hospital care Quality of life Content analysis Old age General Medical and Surgical Hospitals Sleep disorder diagnosis Length of stay in hospitals Scientific observation Research methodology Multiple regression analysis Actigraphy Public hospitals Questionnaires Descriptive statistics Thematic analysis keyword: actigraphy geriatrics hospitals older people quality of life sleep actigraphy geriatrics hospitals older people quality of life sleep ab: Background Hospital inpatients experience substantial sleep problems that have been linked with worse health outcomes, poor quality of life and the post-hospital syndrome. However, little is known about assessing sleep issues in older hospitalised patients. Objective To conduct an in-depth investigation on hospitalised older adults' sleep challenges and methods of sleep assessment. Design Cross-sectional observational study. Setting Public hospital inpatient unit. Subjects Long-stay hospitalised older adults. Methods Data were collected using validated sleep questionnaires, actigraphy devices and qualitative interviews. Quantitative data were analysed with descriptive statistics, multiple logistic regression and Cohen's Kappa. Qualitative data were analysed with qualitative content analysis; findings compared to the quantitative assessments. Results We collected data on 33 older long-stay hospital inpatients, who were mean (SD) 80.2(7.4) years old, 57.6% female and were hospitalised following stroke, medical illness and orthopaedic fracture. Mean (SD) total sleep time and actigraphic sleep efficiency were 480.6(73.6) minutes and 81.5(11.2)%, respectively. About, 57.6% were poor sleepers (Pittsburgh Sleep Quality Index [PSQI]) and 30.8% had indicators of clinical depression/low quality of life (WHO-5 well-being index). Three main themes were identified: "sleep assessment"; "factors that affect sleep"; "expectations of sleep". Bad sleepers were more likely to feel a lack of control over their sleep, while good sleepers spoke about the ability to adjust and accept their circumstances. Conclusions We found high levels of sleep problems and identified substantial discrepancies between the validated sleep questionnaire and qualitative response data. Our findings indicate that standard assessment tools, such as PSQI, may not be suitable to assess sleep in hospitalised older adults and call for further investigations to build more appropriate methods. Further exploring psychological factors and expectations could potentially lead to novel interventions to improve sleep in this setting. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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