Qualidade do sono em pacientes idosos com patologias vasculares periféricas

Corrêa, Karina; Ceolim, María Filomena

doi:10.1590/s0080-62342008000100002

Cited by 25 publications

(33 citation statements)

References 14 publications

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“…In a similar study (8) , pain complaints were reported by 33% of the elderly. Pain is a recognized factor of nocturnal sleep disorder, generally more prevalent in the elderly, and associated to reflexes in performance during wakefulness (12) .…”

Section: Evaluation Of Sleep Quality and Its Componentsmentioning

confidence: 99%

Qualidade do sono de idosos residentes em instituição de longa permanência

Araújo¹,

Ceolim²

2010

Rev. esc. enferm. USP

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This study was aimed at evaluating sleep quality and identifying sleep related problems among elderly people living in longterm care institutions in the city of São Paulo, Brazil. Subjects were 38 cognitively preserved elders living in these institutions for at least a year. Data collection was performed using the following instruments: Identification Form, Katz Index and Pittsburgh Sleep Quality Index (PSQI). Results showed that 81.6% of the studied elders reported their sleep quality was good or very good. Nevertheless, there was an elevated frequency of sleep related problems such as: getting up to go to the bathroom (63.2%); getting up in the middle of the night or very early in the morning (50%); feeling too hot (23.7%); feeling pain (21.1%). These findings show an evident contradiction between elders' perception of their sleep quality and the actual elevated number of identified sleep problems. Sleep. Aged. Homes for the Aged. Nursing. KEY WORDS RESUMENEste estudio tuvo como objetivo evaluar la calidad del sueño de ancianos residentes en cuatro instituciones de larga permanencia para ancianos (ILPI, siglas en portugués) de una ciudad del interior del estado de San Pablo, Brasil, e identificar problemas relacionados con el sueño. Participaron 38 anciano, cuyas funciones cognitivas estaban preservadas y que habían residido en las ILPI por lo menos por un año. Fueron empleados los instrumentos Ficha de Identificación, Índice de Katz e Índice de Calidad del Sueño de Pittsburgh (PSQI), todos completados por la investigadora. Los resultados demostraron que el 81,6% de los ancianos referían calidad de sueño buena o muy buena, mientras que os siguientes problemas relacionados al sueño se destacaron por su elevada frecuencia: levantarse para ir al baño (63,2%), despertar en medio de la noche o por la maña-na demasiado temprano (50%), sentir mucho calor (23,7%), sentir dolores (21,1%). Se evidencia una contradicción entre la percepción de la calidad del sueño y la elevada cantidad de problemas identificados. DESCRIPTORES

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Section: Evaluation Of Sleep Quality and Its Componentsmentioning

confidence: 99%

Qualidade do sono de idosos residentes em instituição de longa permanência

Araújo¹,

Ceolim²

2010

Rev. esc. enferm. USP

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Section: Discussionmentioning

confidence: 99%

“…The prevalence of sleep-disordered breathing and disorders related to increased nocturnal myoclonic activity are also more common over 60 years of age, so that the complaints of insomnia symptoms are most frequent among the elderly (4)(5) .…”

Section: Introductionmentioning

confidence: 99%

“…The univariate logistic regression analysis showed several factors associated with symptoms of insomnia in the interviewees, such as: being female, living alone or with the family, not being retired, report of urinary incontinence, rheumatoid arthritis, depression and a health self-evaluation rated as good, fair, poor or very poor. Most of these factors, such as being female (4)(5) , urinary incontinence (7)(8) and (7)(8) , have traditionally been associated with complaints of this nature.Subsequently, the results of the multivariate logistic regression analysis model showed the permanence of rheumatoid arthritis as a significant factor in insomnia symptoms, even in the presence of other important factors, such as depression and health self-evaluation. Other recent studies have indicated the association between rheumatoid arthritis and sleep problems in the elderly (7)(8) .…”

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Associação entre sintomas de insônia e artrite reumatóide em idosos

Freitas

Schlosser

Santos

et al. 2013

Rev. esc. enferm. USP

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INTRODUCTIONThe aging of the population is a worldwide phenomenon, highlighting the significant increase in the population aged 70 years and older. In 2009, the results of the National Household Sample Survey indicated a total of 11.3 million in this age group. The decrease of the children and youth and the consequent increase in adult population and elderly is related to the continued decline in the fertility and mortality rate combined with an increased life expectancy (1) .Simultaneously, the most prevalent diseases among elderly are also changing, with a sharp decline in the morbidity and mortality from infectious and contagious diseases and an increase in chronic non-communicable diseases (CNCDs) (2) . With aging, the probability of acquiring CNCD increases while functional capacity and body reserves decrease, leading to a greater susceptibility to these diseases and other health problems (3) . Thus, there may be a direct association between the demographic and epidemiological transition.According to the Brazilian Institute of Geography and Statistics, in 2008, the most prevalent diseases in seniors were: high blood pressure (53.3%), back pain (35.1%), rheumatoid arthritis or rheumatism (24.2%), heart diseases (17.3%), diabetes mellitus (16.1%) and other diseases (20.9%) (1) . The CNCDs may result in losses in the overall health and functionality of the elderly, negatively affecting their quality of life, including the standard and quality of sleep (4) .Aging by itself can bring changes in the usual pattern of sleep, such as quantitative reduction of deep sleep stages and increase in the light sleep stages, nocturnal sleep disruption, increased sleep onset latency, reduced duration of nocturnal sleep, and more frequent transitions between the sleep stages during the night. The prevalence of sleep-disordered breathing and disorders related to increased nocturnal myoclonic activity are also more common over 60 years of age, so that the complaints of insomnia symptoms are most frequent among the elderly (4)(5) .There are four essential symptoms for the diagnosis of sleep disorders and insomnia: difficulty falling asleep, difficulty staying asleep, early awakening and non-restorative sleep. Various international classification manuals for sleep disorders shared these criteria, including the Research Diagnostic Criteria of the American Academy of Sleep Medicine (RDC), the International Classification of Sleep Disorders (ICSD-2) and the International Classification of Diseases Organization of the World Health Organization (ICD 10) (6) .Changes in sleep patterns and insomnia symptoms in seniors may occur as a consequence of CNCDs. Other prevalent diseases in this age group may influence sleep quality, among them, we highlight depression, bladder weakness and neurological problems, such as Parkinson's disease and stroke (7)(8) . In addition, lifestyles changes that are often linked to aging, such as retirement and widowhood, may contribute to these sleep modifications (9) .Among the examples of CNCDs, rheumatoid ar...

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“…Adicionalmente, períodos mais curtos de sono foram associados à angina, enquanto períodos curtos e longos foram associados ao infarto agudo do miocárdio e acidente vascular cerebral. 29,30 Com relação a qualidade do sono, no presente estudo foi verificado que 38,6% dos participantes avaliados apresentaram qualidade do sono ruim, resultado inferior ao de outras pesquisas, [31][32][33] algo que pode ser explicado em parte devido aos pacientes estarem participando de um programa de reabilitação cardiopulmonar e metabólica, que tem como objetivo a adoção de um estilo de vida mais saudável associado à prática regular de exercício físico, que pode ser explicado devido aos pacientes possuírem doenças crônicas cardíacas e metabólicas.…”

Section: Estado Nutricionalunclassified

Qualidade Do Sono De Participantes De Programa De Reabilitação Cardiopulmonar E Metabólica

et al. 2015

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RESUMOObjetivo: avaliar a qualidade do sono em participantes de programa de reabilitação cardiopulmonar e metabólica. Método: trata-se de um estudo descritivo de corte transversal com amostragem não probabilís-tica. A amostra constituiu-se de participantes de um programa de reabilitação cardiopulmonar e metabólica (RCPM). A qualidade do sono foi avaliada pela versão adaptada do Índice de Qualidade do Sono de Pittsburg (PSQI). Foram avaliados 101 indivíduos de ambos os sexos, sendo 52,5% homens, com média de idade de 66,05 (±9,13) anos. Resultados: todos os componentes do PSQI apresentaram variação entre 0 e 3; o escore total apresentou variação entre 0 e 17, com média de 5,36 (±3,64). Os componentes do instrumento que obtiveram pontuação mais elevada foram: alterações do sono (1,20 ± 0,60); qualidade subjetiva do sono (0,92 ± 0,61) e duração do sono (0,83 ± 1,01). No escore total, 38,6% dos participantes apresentaram pontuação acima de cinco, sendo a qualidade do sono considerada ruim. Considerações finais: conforme a classificação do escore total, mais de um terço dos participantes do programa de reabilitação apresentou má qualidade do sono. Os componentes mais comprometidos foram às alterações do sono, a qualidade subjetiva do sono e a duração do sono.

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Qualidade do sono em pacientes idosos com patologias vasculares periféricas

Cited by 25 publications

References 14 publications

Qualidade do sono de idosos residentes em instituição de longa permanência

Qualidade do sono de idosos residentes em instituição de longa permanência

Associação entre sintomas de insônia e artrite reumatóide em idosos

Qualidade Do Sono De Participantes De Programa De Reabilitação Cardiopulmonar E Metabólica

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