Volume 11, Issue 1 (June 2025)
Elderly Health Journal 2025, 11(1): 22-29 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Roohi G, sabzi Z, Mazraei G, Behnampour N, mancheri H. Effect of Sleep Health Education on the Sleep Quality of Elderly Individuals with Diabetes. Elderly Health Journal 2025; 11 (1) :22-29
URL: http://ehj.ssu.ac.ir/article-1-341-en.html
URL: http://ehj.ssu.ac.ir/article-1-341-en.html
Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran , zsgorgan@yahoo.com
Abstract: (178 Views)
Introduction: Sleep disorders significantly impact the daily functioning and overall well-being of elderly individuals. Given that non-pharmacological treatments generally yield more sustainable results than medications, this study aimed to evaluate the effectiveness of sleep health education in improving the sleep quality of elderly individuals with diabetes attending a diabetes clinic in Gorgan, Iran.
Methods: This randomized controlled clinical trial was conducted in 2022. A total of 64 eligible elderly patients with diabetes who visited the Gorgan diabetes clinic were randomly assigned to either the intervention or control group. The intervention group received a one-week sleep health education program. Data were collected using the Pittsburgh Sleep Quality Index, administered to both groups at baseline and again one and two months after the intervention. Chi-square and Friedman tests were used to analyze the data using SPSS 21, with a significance level of p < 0.05.
Results: At baseline, the total sleep quality score was 9.66 in the control group and 8.78 in the intervention group. A statistically significant difference in the total sleep quality score was observed only in the intervention group across the three assessment points (baseline, one month, and two months post-intervention) (p < 0.001). In the intervention group, all components of sleep quality, except for sleep adequacy and use of sleep medications, showed a statistically significant difference across the three stages (p < 0.05).
Conclusion: Considering the demonstrated effectiveness of sleep health education on the sleep quality of elderly individuals with diabetes, it is recommended that healthcare personnel prioritize and integrate sleep health education for this population.
Methods: This randomized controlled clinical trial was conducted in 2022. A total of 64 eligible elderly patients with diabetes who visited the Gorgan diabetes clinic were randomly assigned to either the intervention or control group. The intervention group received a one-week sleep health education program. Data were collected using the Pittsburgh Sleep Quality Index, administered to both groups at baseline and again one and two months after the intervention. Chi-square and Friedman tests were used to analyze the data using SPSS 21, with a significance level of p < 0.05.
Results: At baseline, the total sleep quality score was 9.66 in the control group and 8.78 in the intervention group. A statistically significant difference in the total sleep quality score was observed only in the intervention group across the three assessment points (baseline, one month, and two months post-intervention) (p < 0.001). In the intervention group, all components of sleep quality, except for sleep adequacy and use of sleep medications, showed a statistically significant difference across the three stages (p < 0.05).
Conclusion: Considering the demonstrated effectiveness of sleep health education on the sleep quality of elderly individuals with diabetes, it is recommended that healthcare personnel prioritize and integrate sleep health education for this population.
Type of Study: Research |
Subject:
Special
Received: 2025/02/16 | Accepted: 2025/06/23 | Published: 2025/06/20
Received: 2025/02/16 | Accepted: 2025/06/23 | Published: 2025/06/20
References
1. Bagheri-Nesami M, Meskini L, Rostami-ghadi M. The effect of aromatherapy with essential oils of lavender on sleep quality in the elderly. Journal of Gerontology. 2019; 4(3): 63-73. [Persian]
2. Goli Roshan A, Hosseinkhani SN, Norouzadeh R. The relationship between health literacy of elderly diabetics and adherence to treatment, Babol, Iran, 2021. Qom University of Medical Sciences Journal. 2021; 14(12): 70-80. [Persian]
3. Maresova P, Javanmardi E, Barakovic S, Barakovic Husic J, Tomsone S, et al. Consequences of chronic diseases and other limitations associated with old age–a scoping review. BMC Public Health. 2019; 19(1): 1-7.
4. Noohi E, Khandan M, Mirzazadeh A. Effective of electronic education on knowledge attitude and self-care in patient's diabetic type 2 refer to diabetic center of Kerman University of medical science. Iranian Journal of Nursing Research. 2011; 6(22): 73-80. [Persian]
5. Fadayevatan R, Bahrami M, Mohamadzadeh M, Borhaninejad V. Relationship of sleep quality with mental health and blood sugar control in elderly people with diabetes mellitus. Iranian Journal of Ageing. 2020; 14(4): 380-91. [Persian]
6. Hasanpour F, Mehravar F, Badeleh-Shamushaki MT, Mancheri H. The association of health literacy and medication adherence in type 2 diabetic’s patients referring to comprehensive health centers in Gorgan city. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2024; 9(4): 321-33. [Persian]
7. Budhiraja R, Roth T, Hudgel DW, Budhiraja P, Drake CL. Prevalence and polysomnographic correlates of insomnia comorbid with medical disorders. Sleep. 2011; 34(7): 859-67.
8. Alshehri MM, Alkathiry AA, Alenazi AM, Alothman SA, Rucker JL, Phadnis MA, et al. Sleep efficiency and total sleep time in individuals with Type 2 diabetes with and without insomnia symptoms. Sleep Disorders. 2020; 2020(1): 1-12.
9. Tanaka H, Shirakawa S. Sleep health, lifestyle and mental health in the Japanese elderly: ensuring sleep to promote a healthy brain and mind. Journal of Psychosomatic Research. 2004; 56(5): 465-77.
10. Li J, Yao YS, Dong Q, Dong YH, Liu JJ, Yang LS, et al. Characterization and factors associated with sleep quality among rural elderly in China. Archives of Gerontology and Geriatrics. 2013; 56 (1): 237-43.
11. Amini A, Shirvani H, Bazgir B. Effect of rhythmic neural, musculoskeletal exercises on sleep quality in armed forces retirement. Journal of Military Medicine. 2021; 23(2): 10-26. [Persian]
12. Safa A, Adib-Hajbaghery M, Fazel-Darbandi AR. The relationship between sleep quality and quality of life in older adults. Iranian Journal of Psychiatric Nursing. 2015; 3(3): 53-62. [Persian]
13. Taheri Tanjani P, Khodabakhshi H, Etemad K, Mohammadi M. Effect of sleep hygiene education on sleep quality and general health of elderly women with sleep disorders living in Birjand City, Iran, in 2016. Iranian Journal of Ageing. 2019; 14(2): 248-59. [Persian]
14. Torabi A, Ilali ES, Emadian SO, Mousavinasab N. Comparison of the effect of sleep hygiene education with the cognitive and behavioral method on the quality of sleep in elderly. Journal of Gerontology. 2019; 4 (3): 9-17. [Persian]
15. Asiri S, Rahimi H, Kazemnezhad Leyli E, Pourvakhshoori N. The effect of sleep health education based on mobile application on sleep quality of the elderly: a quasi-experimental study. Iranian Journal of Ageing. 2025; 20(1): 136-55. [Persian]
16. Foley DJ, Monjan A, Simonsick EM, Wallace RB, Blazer DG. Incidence and remission of insomnia among elderly adults: an epidemiologic study of 6,800 persons over three years. Sleep. 1999; 22: S366-72.
17. Agargun MY, Kara H, Anlar O. The reliability and validity of Turkish version of Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996; 7: 107-15.
18. Mirzaei M, Gholamrezaei E, Bidaki R, Fallahzadeh H, Ravaei J. Quality of sleep and methods of management of sleep disorders in elderly of Yazd city in 2016. Journal of Shahid Sadoughi University of Medical Sciences. 2017 Sep 15; 25(6):467-75. [Persian]
19. Moradi M, Mohammadzadeh H, Noori R, Basiri Moghadam K, Sadeghmoghadam L. Effect of a sleep hygiene education program using telephone follow-up method on the sleep quality of the elderly. Iranian Journal of Ageing. 2021; 15(4): 484-95. [Persian]
20. Hoch CC, Reynolds III CF, Buysse DJ, Monk TH, Nowell P, Begley AE, et al. Protecting sleep quality in later life: a pilot study of bed restriction and sleep hygiene. The Journals of Gerontology. 2001; 56(1): 52-9.
21. Montazeri Lemrasky M, Shamsalinia A, Hajiahmadi M, Nasiri M. The effectiveness of education on factors affecting elderly women's sleep. Caspian Journal of Health and Aging. 2018; 3 (1): 59-68. [Persian]
22. Mottaghi R, Kamkar A, Maredpoor A. Effectiveness of cognitive behavior therapy on the quality of sleep in elderly people with insomnia disorder. Iranian Journal of Ageing. 2016; 11(2): 234-43. [Persian]
23. Bahrami M, Dehdashti AR, Karami M. A survey on sleep quality in elderly people living in a nursing home in Damghan city in 2017: A short report. Journal of Rafsanjan University of Medical Sciences. 2017; 16(6): 581-90. [Persian]
24. Shin JC, Kim J, Grigsby-Toussaint D. Mobile phone interventions for sleep disorders and sleep quality: systematic review. JMIR mHealth and UHealth. 2017; 5(9): 7244.
25. McCrae CS, Rowe MA, Dautovich ND, Lichstein KL, Durrence HH, Riedel BW, et al. Sleep hygiene practices in two community dwelling samples of older adults. Sleep. 2006; 29(12): 1551-60.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
