Idosos institucionalizados: organização cronológica das rotinas diárias e qualidade do sono

Abstract

This is a descriptive cross-sectional study, which aimed to identify the perception of nursing home elderly residents related to the chronological organization of their daily routines and to their sleep quality. The study was conducted with 37 elderly (14 women and 23 men, mean age of 75 years) who lived in a long term care facility located in the municipality of Campinas-SP, Brazil. The results showed that 81% of the elderlies had complaints compatible with poor sleep, but 70% of them reported that they had good sleep quality when directly questioned about it. All elderlies adequately realized the chronological organization of their routines, but this perception did not appear to contribute to the good sleep quality, as most of them had complaints compatible with poor sleep. It becomes evident that nurses should perform detailed assessment of sleep quality in order to minimize or prevent these problems and their possible consequences.

Pain and sleeping problems in the elderly

“…According to Augusti, Falsarella, and Coimbra 22 , national and international studies have presented a female profile in the population over 60 years old, a fact attributed to the greater acceptance by women concerning health treatments throughout their lives and self-care conditions. There was a predominance of younger elderly in this research, a condition that corroborates other studies 23,24 .…”

“…In our country, studies indicate that the low education level of the elderly can be explained by the culture of the time when they grew up. In the past, the level of education was not as relevant as the need to work the land or learn to do chores, as well as the socioeconomic conditions that made it hard to attend school 23 . The Catholic religion was predominant (61%).…”

Nursing care for women´s physical comfort with Acute Myocardial Infarction: a research-care / Cuidados de enfermagem para conforto físico de mulheres com infarto agudo do miocárdio: uma pesquisa-cuidado / Los cuidados de enfermería para mujeres de confort físicos con infarto agudo de miocardio..

“…A manutenção do sono e repouso, também são fatores determinantes para o conforto. O conhecimento da qualidade do sono das pessoas cuidadas é importante para o planejamento de ações capazes de atender a esta demanda, haja vista que estes fatores interferem na saúde física e cognitiva com repercussões na qualidade de vida (9) . O profissional de saúde deve avaliar as condições de sono e repouso do paciente já na admissão em terapia intensiva, pois auxilia no planejamento de cuidados integrais, deste modo, o enfermeiro realiza intervenções voltadas para a melhoria da qualidade e quantidade do sono, buscando assistência mais humanizada (10) .…”

Nursing Diagnoses Using The International Classification For Nursing Practice (ICNP®) For Institucionalized Elderly

“…Having identified the importance of sleep, the nurse can look for ways to promote good quality sleep for their patients and educate other professionals about it. [30] Typical changes in the aging process, such as sensory decline, cognitive loss, physical limitations and weaknesses, cause a reduction in the functional capacity of the elderly, affecting their ability to perform hygiene. [5] It is noteworthy that 50% of the elderly were diagnosed with impaired ability to perform hygiene, making them prone to dependence, needing help in care.…”