Sleep quality of vulnerable elderly people: associated factors.
Ariene Angelini Dos Santos-Orlandi, Ana Carolina Ottaviani, Elén Dos Santos Alves and 2 others
PMID 39630845WHAT IT FOUND
Higher stress and taking multiple medications were linked to poor sleep quality in dependent older adults living in socially vulnerable areas, while physical activity was linked to better sleep.
Key findings
01Poor sleep quality was present in 76.27% of the 59 dependent older adults.
02Stress scores were higher in those with poor sleep quality (mean 24.86) than in those without poor sleep quality (mean 18.00).
03After adjustment for sex and age group, stress (OR=1.12), polypharmacy (OR=7.39) and physical activity (OR=0.15) were associated with poor sleep quality.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a cross-sectional convenience study, so it cannot show that stress, polypharmacy or physical activity caused poor sleep quality. Only 59 dependent older adults from five Family Health Units in one Brazilian municipality were included, so the results may not apply to other older adults. The authors reported low to moderate explanatory power for the models, even after including many variables. The study excluded people with hearing or speech deficits, so it does not describe how those older adults sleep. No sample calculation was performed; the sample came from a list of 168 potential participants and 59 who met criteria and were available.
Declared interests
The supplied text reports funding from the National Council for Scientific and Technological Development (CNPQ). It does not report author conflicts of interest.
The easy way to misread this
Do not conclude that reducing stress, stopping multiple medications or adding physical activity will improve sleep. This was a cross-sectional study of 59 dependent older adults, so it shows associations, not effects.