Effects of Sleep Restriction Therapy versus Progressive Muscles Relaxation Technique on Sleep Quality among Older Adults | ||
| Egyptian Journal of Health Care | ||
| Article 64, Volume 11, Issue 3, September 2020, Pages 978-992 PDF (656.96 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2020.215099 | ||
| Authors | ||
| Reham Magdy Mohammed Abd Elsalam; Samia El Husseini Abd El Mageed El Kholy | ||
| Assistant Professor Gerontological Nursing, Faculty of Nursing, Alexandria University | ||
| Abstract | ||
| In comparison to younger adults, older adults show age‐related sleep changes and greater sleep problems with substantial adverse short- and long-term health consequences. Although behavioral training is recommended for sleep problems, the value of sleep restriction therapy (SRT) in comparison to progressive muscles relaxation technique (PMR) on sleep quality among older adults remains unknown and not well established. Objective: Determine the effect of sleep restriction therapy versus progressive muscles relaxation technique on sleep quality among older adults. Setting: Four assisted living facilities affiliated to Alexandria Governorate, Egypt were included. Subjects: 50 older adults who aged 60 years and more were randomly assigned to two equal study groups; group 1, older adults who received sleep restriction therapy (SRT) and group 2: older adults who received progressive muscles relaxation technique (PMR). Tools: Four tools were used for data collection: 1) Mini-Mental State Examination (MMS) Scale. 2) Geriatric Depression Scale- Short Form (GDS-SF). 3) Sleep quality of older adults structured interview questionnaire. 4) Socio demographic and health profile of older adults structured interview questionnaire. Results: sleep quality significantly increased after implementation of proposed interventions with mean percent score of 63.0± 5.05 for SRT and with mean percent score of 44.50± 5.50 for PMR with statistically highly significant differences, P < 0.001. A higher significant reduction in sleep latency among the studied subjects who received SRT than those who received PMR was observed, P < 0.001. Conclusion: Sleep restriction therapy showed highly statistically significant greater improvement on sleep quality among the studied older adults than progressive muscles relaxation technique. Recommendations: implementation of suitable cost effective cognitive behavioral therapies such as SRT and PMR by the geronological nurses to enhance sleep quality among older adults at the assisted living facilities. Also, gerontological nurses should Develop and conduct educational programs to all care providers and older adults themselves about; age related changes in sleeping patterns, and how to enhance sleep quality in old age. | ||
| Keywords | ||
| Older adults; Sleep quality; Sleep restriction therapy; progressive muscles relaxation technique | ||
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