Factors Associated with Poor Sleep Quality among Older Adult

Document Type : Original Article


1 Gerontological nursing department-Faculty of nursing-Mansoura university

2 Lecturer of Gerontological Nursing, Faculty of Nursing - Mansoura University

3 Assistant Professor of Gerontological Nursing Department, Faculty of Nursing - Mansoura University


Background: One of the most prevalent and poorly addressed issues with ageing is sleep disturbance and
sleeping difficulties. It is estimated that approximately 67% of people over 60 reports having at least one sleep-related
problem. Aim: to estimate the prevalence of poor sleep quality and its associated factors among older adults. Method: A
descriptive search design was used through a sample of 245 older adults selected from the outpatient clinics of the
Specialized Medical Hospital affiliated to Mansoura University. Tools: Data was gathered using five tools;
Demographic characteristic and Factors Affecting Sleep Structured Interview Schedule, The Pittsburgh Sleep Quality
Index, The Geriatric Depression Scale Short Form, Numerical Rating Pain Scale, and UCLAL one lines Scale. Results:
Poor sleep quality was prevailing among 79% of studied older adults. A statistical significant relation found between
poor sleep quality and sex(p=0.002), marital status (p<0.001), general health status (p=0.004), obesity (p<0.001), level
of dependency (p<0.001), medication, complaining of hyperacidity (p<0.001), restless leg syndrome (p<0.001), dyspnea
(p=0.002), nocturia (p=0.003), snoring (p=0.005), cough (p<0.001), apnea (p=0.009), frequent toileting at night
(p<0.001), taking naps (p=0.04), presence of depression (p=0.036), and feeling of loneliness (p=0.018). Conclusion:
More than three-quarter of the studied elderly have poor sleep quality, living condition, environmental factors,
psychological factors, pain were the main predictors for poor sleep quality among the studied older adults.
Recommendation: Educational program for elders about the factors associated with poor sleep quality to enhance sleep
should be designed through emphasizing on the importance of sleep hygiene practice, behavioral and nonpharmacological
interventions, and healthy lifestyle.