Non-pharmacological interventions for the elderly with psychogenic insomnia: A Scoping Review Protocol

Abstract

Background: The elderly grow as age, sleep quality becomes worse, and psychogenic insomnia occupies a large proportion, which can lead to cognitive impairment and an increased risk of cardiovascular disease, even leading to suicide. It also places a psychological and financial burden on families. It is because of the characteristics of psychogenic insomnia: the two-way effect of negative emotions and insomnia, coupled with the aging of the elderly themselves, that psychogenic insomnia in the elderly is more difficult to treat. Considering the side effects of medication in the elderly, therefore, identifying non-pharmacological interventions for the elderly with psychogenic insomnia is a matter of urgent research for a solution that will help health professionals and stakeholders (nursing staff, patients, and community). Methods and analysis: We will undertake the review using the Joanna Briggs Institute (JBI) methodology. We develop search strategies and will search 6 databases without a date limit, and select articles published in Chinese and English. Retrieve and store all the records in Endnote 20 and NoteExpress, followed by the title and abstract screening as well as a full-text review. Results will be reported using PRISMA flow charts. Use standardized data extraction tables to extract data. All screening and extraction will be performed independently by two authors. We will present the final results in the form of descriptive summaries and charts. Discussion We anticipate that the scoping review will highlight the available resources and evidence on interventions that improve the sleep quality of the elderly. This may contribute to informed empirical evidence for professionals to enhance the functional recovery of the elderly. It may also reveal what interventions nurses could do. Scoping review registration The protocol has been registered prospectively on the Open Science Framework: http：//osf.io/urdhy/