Sleep quality of vulnerable elderly people: associated factors

Rev Bras Enferm. 2024 Nov 29;77Suppl 3(Suppl 3):e20230283. doi: 10.1590/0034-7167-2023-0283. eCollection 2024.
[Article in English, Portuguese]

Abstract
in English, Spanish

Objective: To identify factors associated with poor sleep quality in elderly dependent individuals in social vulnerability.

Method: Cross-sectional study with 59 elderly dependent individuals assisted by Family Health Units in São Carlos/SP. The following tools were used: Katz Index, Lawton and Brody Scale, Pittsburgh Sleep Quality Index, Addenbrooke's Cognitive Examination Revised, Fried's Frailty Phenotype, Geriatric Depression Scale (15 items), Perceived Stress Scale, Family APGAR, Social Support Scale from the Medical Outcomes Study, and World Health Organization Quality of Life, abbreviated and "old" versions.

Results: The majority of participants were women (52.5%), aged 60-74 years (71.1%), and had poor sleep quality (76.2%). Stress (OR=1.12; 95%CI=1.02-1.22) and polypharmacy (OR=7.39; 95%CI=1.22-44.73) increased the chances of poor sleep quality, while physical activity decreased these chances (OR=0.15; 95%CI=0.02-0.79).

Conclusion: Stress and polypharmacy are associated with poor sleep quality in elderly dependent individuals.

Objetivo:: Identificar factores asociados con la mala calidad del sueño en personas mayores dependientes en situación de vulnerabilidad social.

Método:: Estudio transversal, con 59 personas mayores dependientes asistidas por Unidades de Salud de la Familia de São Carlos/SP. Se utilizaron las siguientes herramientas: Escala de Katz, Escala de Lawton y Brody, Índice de Calidad del Sueño de Pittsburgh, Examen Cognitivo Revisado de Addenbrooke’s, Fenotipo de Fragilidad de Fried, Escala de Depresión Geriátrica (15 ítems), Escala de Estrés Percibido, APGAR de Familia, Escala de Apoyo Social del Medical Outcomes Study, y Calidad de Vida de la Organización Mundial de la Salud, versiones abreviada y “old”.

Resultados:: La mayoría de los participantes eran mujeres (52,5%), en el rango de edad de 60-74 años (71,1%), y presentaban mala calidad del sueño (76,2%). El estrés (OR=1,12; IC95%=1,02-1,22) y el uso de polifarmacia (OR=7,39; IC95%=1,22-44,73) aumentaron las probabilidades de mala calidad del sueño, mientras que la actividad física disminuyó dichas probabilidades (OR=0,15; IC95%=0,02-0,79).

Conclusión:: El estrés y la polifarmacia están asociados con la mala calidad del sueño en personas mayores dependientes.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Brazil
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment / methods
  • Humans
  • Male
  • Middle Aged
  • Polypharmacy
  • Quality of Life / psychology
  • Risk Factors
  • Sleep Quality*
  • Surveys and Questionnaires
  • Vulnerable Populations* / psychology
  • Vulnerable Populations* / statistics & numerical data

Grants and funding

National Council for Scientific and Technological Development – CNPQ. Process No. 429310/2018-8.