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Evaluation of sleep quality and associated factors in community-dwelling elderly in a central western Brazil.
The rapid advance of the aging process associated with demographic and epidemiological transition implies consequences for the elderly, leading to the emergence of new health demands, especially “epidemic of chronic diseases and functional disabilities”. Thus, changes in sleep quality stand out, being a deleterious factor for the impairment of the physical, mental health and well-being of older people, resulting in greater and more prolonged use of Health Services at the Primary Health Care level. justifying the social relevance of this research.
To evaluate sleep quality and its relationship with associated factors in the elderly of a community in the Midwest region
Cross-sectional study with elderly people from the Basic Health Unit of Granja do Torto, being considered chosen according to medical appointments made at this unit during 2017. For data collection, sociodemographic and health characteristics were evaluated, and sleep quality was assessed using the Pittsburgh Sleep Quality Index. The scores of these components produce an overall score ranging from 0 to 21 points, so that 0-4 points indicate good sleep quality and ≥ 5 indicate poor sleep quality. The project was approved by the Research Ethics Committee (Opinion 1,861,003) and the participants signed an informed consent form. In the data analysis, the normality of the groups was verified using the Shapiro-Wilk test, followed by the chi-square test, adopting p≤0.05.
Sample of 70 elderly, with a predominance of females (72.9%). The prevalence of poor sleep quality in females and males, respectively, 54.3% and 17.1%.Age ranged from 60 to 90 years (M =71.90; SD =7.07). Among the elderly aged 70-79 years, 38.6% have poor sleep quality. 37.1% who have poor sleep quality are married.No significant differences were found between sociodemographic variables, sleep quality index (SQI), but 34.3% of the elderly with poor sleep use polypharmacy. The variables dyslipidemia (p =0.007) and Regular Physical Activity (p =0.01) showed significant differences when compared to the IQS.
It is of great magnitude to be aware of the aspects related to sleep in Primary Health Care, seeking strategies such as studies using pharmacological and mainly non-pharmacological strategies, enabling greater integration of the Primary Health Care team with the elderly, family members and caregivers
Primary Health Care.Disorder of onset and maintenance of sleep.Family and community medicine. Health services for the elderly.Sleep Medicine
Adriano Filipe Barreto Grangeiro, Lucy de Oliveira Gomes, Tiago Sousa Neiva, Priscila Rejane de Moraes Magalhães, Cristina da Silva Cunha, Otávio de Tolêdo Nóbrega