Clinical characteristics of sleep quality in elderly patients with hypertension
Main Article Content
Abstract
Sleep disturbance is important to control blood pressure and is a predictor of depression and suicidal ideation in the elderly. To get an overview of the clinical characteristics of sleep quality, a cross-sectional survey was performed based on the PSQI scale for 306 inpatients. The average age of the participants was 75.26 ± 8.44 years old, female accounted for 70.3%. The rate of poor sleep quality was 83.3%. Clinically, the average sleep duration of patients is 5.0 ± 1.9 hours per night, <65% sleep efficiency is accounted for 45.8%. Common sleep disruption problems were waking up in the middle of the night (92.5%), going to the bathroom (92.2%), not being able to fall asleep within 30 minutes (88.2%), and about half of patients experiencing daytime dysfunction. We suggest the need for clinicians to screen and treat sleep disorders in addition to good blood pressure control, in order to improve the physical and mental health of ederly patients.
Article Details
Keywords
Sleep quality, hypertension, elderly patient
References
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2. Kim HC, Cho MC. Korea hypertension fact sheet 2018. Clinical hypertension. 2018;24:13.
3. Zhao S, Fu S, Ren J, Luo L. Poor sleep is responsible for the impaired nocturnal blood pressure dipping in elderly hypertensive: A cross-sectional study of elderly. Clinical and experimental hypertension (New York, NY : 1993). 2018;40(6):582-588.
4. Uchmanowicz I, Markiewicz K, Uchmanowicz B, Kołtuniuk A, Rosińczuk J. The relationship between sleep disturbances and quality of life in elderly patients with hypertension. Clinical interventions in aging. 2019;14:155-165.
5. Zhang H, Li Y, Zhao X, et al. The association between PSQI score and hypertension in a Chinese rural population: the Henan Rural Cohort Study. Sleep medicine. 2019;58:27-34.
6. Ostroumova TM, Parfenov VA, Ostroumova OD, Kochetkov AI. [Hypertension and insomnia]. Terapevticheskii arkhiv. 2020;92(1):69-75.
7. Słomko J, Zawadka-Kunikowska M, Kujawski S, et al. Do Changes in Hemodynamic Parameters Depend Upon Length of Sleep Deprivation? Comparison Between Subjects With Normal Blood Pressure, Prehypertension, and Hypertension. Frontiers in physiology. 2018;9:1374.
8. Oume M, Obayashi K, Asai Y, et al. Objective sleep quality and night-time blood pressure in the general elderly population: a cross-sectional study of the HEIJO-KYO cohort. J Hypertens. 2018;36(3):601-607.
9. WorldHealthOrganization. International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2019-covid-expanded. World Health Organization. 2019.
10. Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. 14 The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213.
11. Nguyễn Thị Phương Thảo, Nguyễn Trần Tố Trân, Nguyễn Văn Trí. Chất lượng giấc ngủ và các yếu tố liên quan ở bệnh nhân cao tuổi tại một phòng khám đa khoa. Tạp chí Y học TP Hồ Chí Minh. 2018;22(1):205-210.
12. Wang P, Song L, Wang K, et al. Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study. Aging clinical and experimental research. 2020;32(1):125-131.
13. Dasdemir Ilkhan G, Celikhisar H. The effect of incontinence on sleep quality in the elderly. International journal of clinical practice. 2021;75(5):e13965.
14. Mannion H, Molloy DW, O'Caoimh R. Sleep Disturbance in Older Patients in the Emergency Department: Prevalence, Predictors and Associated Outcomes. International journal of environmental research and public health. 2019;16(19).
15. Bertrand E, Frances Y, Lafay V. [Physical training and blood pressure]. Bulletin de l'Academie nationale de medecine. 1995;179(7):1471-1480; discussion 1481.
16. Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep. 2004;27(7):1255-1273.
17. Sun XH, Ma T, Yao S, et al. Associations of sleep quality and sleep duration with frailty and pre-frailty in an elderly population Rugao longevity and ageing study. BMC geriatrics. 2020;20(1):9.
18. Li J, Vitiello MV, Gooneratne NS. Sleep in Normal Aging. Sleep medicine clinics. 2018;13(1):1-11.
19. Pan A, De Silva DA, Yuan JM, Koh WP. Sleep duration and risk of stroke mortality among Chinese adults: Singapore Chinese health study. Stroke. 2014;45(6):1620-1625.
20. Kodaira K, Silva MT. Sleeping pill use in Brazil: a population-based, cross-sectional study. BMJ open. 2017;7(7):e016233.
21. Lee JE, Ju YJ, Chun KH, Lee SY. The Frequency of Sleep Medication Use and the Risk of Subjective Cognitive Decline (SCD) or SCD With Functional Difficulties in Elderly Individuals Without Dementia. The journals of gerontology Series A, Biological sciences and medical sciences. 2020;75(9):1693-1698.
22. Son J, Jung S, Song H, Kim J, Bang S, Bahn S. A Survey of Koreans on Sleep Habits and Sleeping Symptoms Relating to Pillow Comfort and Support. International journal of environmental research and public health. 2020;17(1).
23. Hla KM, Young T, Hagen EW, et al. Coronary heart disease incidence in sleep disordered breathing: the Wisconsin Sleep Cohort Study. Sleep. 2015;38(5):677-684.