Sleep quality and self-efficacy for managing chronic disease: A cross-sectional study in the elderly Population in Edirne Province

Yıl 2024, Cilt: 18 Sayı: 2, 126 – 132, 28.05.2024

Kübra İncirkuş

https://doi.org/10.21763/tjfmpc.1387989

Öz

Objective: To examine the relationship between sleep quality and self-efficacy for managing chronic diseases in elderly individuals living at home in Edirne province.
Methods: In this cross-sectional study, the data was collected through simple random sampling and home visits from 244 individuals aged 60 years and older between March and December 2018. The Pittsburgh Sleep Quality Index, the Self-Efficacy for Managing Chronic Disease 6-Item Scale, and the Interview Form were used in the study. The data was collected using descriptive analysis, t-test, one-way ANOVA, Pearson correlation, and linear regression analysis.
Results: Most of the individuals (86.1%) had poor sleep quality and the mean Pittsburgh Sleep Quality Index total score was 7.16±3.04. The mean of Self-Efficacy for Managing Chronic Disease 6-Item Scale total score was 4.82±1.79. Sleep quality was worse in individuals who were women, single, retired, perceiving their health as bad, and with comorbidities (p˂0.05). There was a negative and significant relationship between the scales in correlation and regression analyses (p˂0.05).
Conclusions: Self-efficacy in chronic disease management was an important factor in improving sleep quality. Healthcare professionals must be knowledgeable and experienced in practices that increase self-efficacy in primary care.

Anahtar Kelimeler

Chronic disease, disease management, elderly, self-efficacy, sleep hygiene

Kaynakça

• 1. World Health Organization. Decade of healthy aging 2020-2030. 2020. Accessed from: https://www.who.int/docs/default-source/decade-of-healthy-ageing/final-decade-proposal/decade-proposal-final-apr2020-fr.pdf. Accessed: 05 January 2023.
• 2. Turkish Statistical Institute. Elderly by statistics, 2022. 2023. Accessed from: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2022-49667&dil=1. Accessed: 26 July 2023.
• 3. Ahn SN, Jiang L, Smith ML, Ory MG. Improvements in sleep problems among the chronic disease self-management program participants. Family&Community Health 2014;37(4):327-335. https://doi.org/1.1097/FCH.0000000000000045
• 4. Baser G, Hisar F. Nonpharmacological interventions towards the sleep problems in the elderly: a systematic review. Journal of Hacettepe University Faculty of Nursing 2021;8(2):178-185. https://doi.org/1.31125/hunhemsire.966442
• 5. Khan S, Totuka N. Self-efficacy in sleep disorder patients. Asian J Home Sci 2018;13(2):528-531. https://doi.org/1.15740/HAS/AJHS/13.2/528-531
• 6. Nazari M, Taher M, Keshavarzi, S, Javadpour A. The relationship between sleep quality, self-efficacy, and stages of change among the elderly: a pilot study. J Health Sci Surveillance Sys 2014;2(2):72-77.
• 7. Wu CY, Su TP, Fang CL, Chang MY. Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates. Journal of the Chinese Medical Assoc 2012;75(2012):75-78. https://doi.org/1.1016/j.jcma.2011.12.011
• 8. Amarnath R, et al. Improving sleep quality through heartfulness meditation technical aspects and benefits. International Journal of Health Sciences and Research 2017;7(5):368-381.
• 9. Vézina-Im LA, Moreno JP, Nicklas TA, Baranowski T. Behavioral interventions to promote adequate sleep among women: protocol for a systematic review and meta-analysis. Systematic Reviews 2017;6:95. https://doi.org/1.1186/s13643-017-0490-y
• 10. Kaynak SU, Peker S, Cankurtaran ES, Soygur AH. Sleep problem in the geriatric population. The Journal of Academic Geriatrics 2010;2:61-67.
• 11. Koyanagi A, et al. Chronic conditions and sleep problems among adults aged 50 years or over in nine countries: a multi-country study. PLoS One 2014;9(12):e114742. https://doi.org/1.1371/journal.pone.0114742
• 12. Ghose SM, Dzierzewski JM, Dautovich ND. Sleep and self-efficacy: The role of domain specificity in predicting sleep health. Sleep Health 2023;9(2):190-195. https://doi.org/1.1016/j.sleh.2022.09.008
• 13. Incirkus K, Nahcivan NO. Validity and reliability study of the Turkish version of the self-efficacy for managing chronic disease 6-item scale. Turk J Med Sci 2020;50:1254-1261. https://doi.org/1.3906/sag-1910-13
• 14. Rutledge CM, Guardia ACL, Bluestein D. Predictors of self-efficacy for sleep in primary care. Journal of Clinical Nursing 2012;22:1254-1261.
• 15. Miro E, et al. When is pain related to emotional distress and daily functioning in fibromyalgia syndrome? The mediating roles of self-efficacy and sleep quality. Br J Health Psychol 2011;16(4):799-814.
• 16. Byun E, et al. Self-efficacy is associated with better sleep quality and sleep efficiency in adults with subarachnoid hemorrhage. J Clin Neurosci 2020;73:173-178. https://doi.org/1.1016/j.jocn.2019.12.010
• 17. Grah SC, et al. General and domain-specific self-efficacy and sleep in older adults. Sleep 2017;40:A315.
• 18. Esenyel C. Determination of the life and sleep quality of the elderly living in Edirne nursing home. (Unpublished master thesis). Trakya University; 2012.
• 19. Gungen C, et al. Reliability and validity of the standardized mini mental state examination in the diagnosis of mild dementia in Turkish population. Turkish Journal of Psychiatry 2002;13(4):273-281.
• 20. Bilgili, N, Kitis Y, Ayaz S. Assessment of loneliness, quality of sleep and affecting factors in elders. Turkish Journal of Geriatrics 2012;15(1):81-88.
• 21. Buysse DJ, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research 1989;28:193-213.
• 22. Agargun MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh sleep quality index. Turkish Journal of Psychiatry 1996;7(2):107-115.
• 23. Lorig KR, et al. Effect of a self-management program for patients with chronic disease. Effective Clinical Practice 2001;4:256-262.
• 24. Akoglu H. User’s guide to correlation coefficients. Turkish Journal of Emergency Medicine 2018;18:91-93. https://doi.org/10.1016/j.tjem.2018.08.001
• 25. Fidanci I, Iscan G. The assessment of relationship between sleep quality and chronical illnesses and drug usage in elders who applied to family health center. Medical Journal of Ankara Training and Research Hospital 2016;49(3):142-147.
• 26. Thichumpa W, Howteerakul N, Suwannapong N, Tantrakul V. Sleep quality and associated factors among the elderly living in rural Chiang Rai, northern Thailand. Epidemiol Health 2018;40:e2018018. https://doi.org/1.4178/epih.e2018018
• 27. Wolkove N, Elkholy O, Baltzan M, Palayew M. Sleep and aging: 1. sleep disorders commonly found in older people. CMAJ 2007;176(9):1299-304. https://doi.org/1.1503/cmaj.060792
• 28. Pehlivan S, Karadakovan A, Pehlivan Y, Onat AM. Sleep quality and factors affecting sleep in elderly patients with rheumatoid arthritis in Turkey. Turk J Med Sci 2016;46(4):1114-1121. https://doi.org/1.3906/sag-1506-82
• 29. Vukoja M, et al. Sleep quality and daytime sleepiness in patients with COPD and asthma. Clin Respir J 2018;12(2):398-403. https://doi.org/1.1111/crj.12528
• 30. Schmutte T, Davidson L, O’Connell M. Improved sleep, diet, and exercise in adults with serious mental illness: results from a pilot self-management intervention. The Psychiatric quarter 2018;89(1):61–71. https://doi.org/1.1016/j.jocn.2019.12.010
• 31. Liu,Y, et al. Analysis of primary nursing intervention for elderly patients with cancer pain on the improvement of potential risk and pain degree. Am J Transl Res 2021;13(10):11890-11898.

Uyku kalitesi ve kronik hastalık yönetimi için öz-etkililik: Edirne İlindeki yaşlı popülasyonu üzerine kesitsel bir çalışma

Yıl 2024, Cilt: 18 Sayı: 2, 126 – 132, 28.05.2024

Kübra İncirkuş

https://doi.org/10.21763/tjfmpc.1387989

Öz

Amaç: Edirne ilinde evde yaşayan yaşlı bireylerde uyku kalitesi ile kronik hastalıkların yönetimine öz-etkililik arasındaki ilişkiyi incelemektir.
Yöntemler: Kesitsel çalışmanın verileri, Mart-Aralık 2018 tarihleri arasında 60 yaş ve üzeri 244 bireyden basit rastgele örnekleme ve ev ziyaretleriyle toplandı. Pittsburgh Uyku Kalitesi İndeksi, Kronik Hastalık Yönetiminde 6-Maddelik Öz-Etkililik Ölçeği ve Görüşme Formu kullanılmıştır. Veriler tanımlayıcı analizler, t-testi, tek yönlü ANOVA, Pearson korelasyonu ve doğrusal regresyon analizi kullanılarak analiz edildi.
Bulgular: Bireylerin çoğunun (%86,1) uyku kalitesi kötüydü ve Pittsburgh Uyku Kalitesi İndeksi toplam puan ortalaması 7,16±3,04 idi. Kronik Hastalık Yönetiminde 6-Maddelik Öz-Etkililik Ölçeği toplam puan ortalaması 4,82±1,79 idi. Kadın, bekar, emekli, sağlığını kötü algılayan ve ek hastalığı olanlarda uyku kalitesi daha kötüydü (p˂0,05). Korelasyon ve regresyon analizlerinde ölçekler arasında negatif ve anlamlı bir ilişki bulundu (p˂0,05).
Sonuç: Kronik hastalık yönetiminde öz-etkililik, uyku kalitesini artırmada önemli bir faktördü. Sağlık çalışanlarının birinci basamakta öz-etkililiği artırıcı uygulamalar konusunda bilgili ve deneyimli olmaları oldukça önemlidir.

Anahtar Kelimeler

Kronik hastalık, hastalık yönetimi, yaşlı, öz-etkililik, uyku hijyeni

Kaynakça

• 1. World Health Organization. Decade of healthy aging 2020-2030. 2020. Accessed from: https://www.who.int/docs/default-source/decade-of-healthy-ageing/final-decade-proposal/decade-proposal-final-apr2020-fr.pdf. Accessed: 05 January 2023.
• 2. Turkish Statistical Institute. Elderly by statistics, 2022. 2023. Accessed from: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2022-49667&dil=1. Accessed: 26 July 2023.
• 3. Ahn SN, Jiang L, Smith ML, Ory MG. Improvements in sleep problems among the chronic disease self-management program participants. Family&Community Health 2014;37(4):327-335. https://doi.org/1.1097/FCH.0000000000000045
• 4. Baser G, Hisar F. Nonpharmacological interventions towards the sleep problems in the elderly: a systematic review. Journal of Hacettepe University Faculty of Nursing 2021;8(2):178-185. https://doi.org/1.31125/hunhemsire.966442
• 5. Khan S, Totuka N. Self-efficacy in sleep disorder patients. Asian J Home Sci 2018;13(2):528-531. https://doi.org/1.15740/HAS/AJHS/13.2/528-531
• 6. Nazari M, Taher M, Keshavarzi, S, Javadpour A. The relationship between sleep quality, self-efficacy, and stages of change among the elderly: a pilot study. J Health Sci Surveillance Sys 2014;2(2):72-77.
• 7. Wu CY, Su TP, Fang CL, Chang MY. Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates. Journal of the Chinese Medical Assoc 2012;75(2012):75-78. https://doi.org/1.1016/j.jcma.2011.12.011
• 8. Amarnath R, et al. Improving sleep quality through heartfulness meditation technical aspects and benefits. International Journal of Health Sciences and Research 2017;7(5):368-381.
• 9. Vézina-Im LA, Moreno JP, Nicklas TA, Baranowski T. Behavioral interventions to promote adequate sleep among women: protocol for a systematic review and meta-analysis. Systematic Reviews 2017;6:95. https://doi.org/1.1186/s13643-017-0490-y
• 10. Kaynak SU, Peker S, Cankurtaran ES, Soygur AH. Sleep problem in the geriatric population. The Journal of Academic Geriatrics 2010;2:61-67.
• 11. Koyanagi A, et al. Chronic conditions and sleep problems among adults aged 50 years or over in nine countries: a multi-country study. PLoS One 2014;9(12):e114742. https://doi.org/1.1371/journal.pone.0114742
• 12. Ghose SM, Dzierzewski JM, Dautovich ND. Sleep and self-efficacy: The role of domain specificity in predicting sleep health. Sleep Health 2023;9(2):190-195. https://doi.org/1.1016/j.sleh.2022.09.008
• 13. Incirkus K, Nahcivan NO. Validity and reliability study of the Turkish version of the self-efficacy for managing chronic disease 6-item scale. Turk J Med Sci 2020;50:1254-1261. https://doi.org/1.3906/sag-1910-13
• 14. Rutledge CM, Guardia ACL, Bluestein D. Predictors of self-efficacy for sleep in primary care. Journal of Clinical Nursing 2012;22:1254-1261.
• 15. Miro E, et al. When is pain related to emotional distress and daily functioning in fibromyalgia syndrome? The mediating roles of self-efficacy and sleep quality. Br J Health Psychol 2011;16(4):799-814.
• 16. Byun E, et al. Self-efficacy is associated with better sleep quality and sleep efficiency in adults with subarachnoid hemorrhage. J Clin Neurosci 2020;73:173-178. https://doi.org/1.1016/j.jocn.2019.12.010
• 17. Grah SC, et al. General and domain-specific self-efficacy and sleep in older adults. Sleep 2017;40:A315.
• 18. Esenyel C. Determination of the life and sleep quality of the elderly living in Edirne nursing home. (Unpublished master thesis). Trakya University; 2012.
• 19. Gungen C, et al. Reliability and validity of the standardized mini mental state examination in the diagnosis of mild dementia in Turkish population. Turkish Journal of Psychiatry 2002;13(4):273-281.
• 20. Bilgili, N, Kitis Y, Ayaz S. Assessment of loneliness, quality of sleep and affecting factors in elders. Turkish Journal of Geriatrics 2012;15(1):81-88.
• 21. Buysse DJ, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research 1989;28:193-213.
• 22. Agargun MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh sleep quality index. Turkish Journal of Psychiatry 1996;7(2):107-115.
• 23. Lorig KR, et al. Effect of a self-management program for patients with chronic disease. Effective Clinical Practice 2001;4:256-262.
• 24. Akoglu H. User’s guide to correlation coefficients. Turkish Journal of Emergency Medicine 2018;18:91-93. https://doi.org/10.1016/j.tjem.2018.08.001
• 25. Fidanci I, Iscan G. The assessment of relationship between sleep quality and chronical illnesses and drug usage in elders who applied to family health center. Medical Journal of Ankara Training and Research Hospital 2016;49(3):142-147.
• 26. Thichumpa W, Howteerakul N, Suwannapong N, Tantrakul V. Sleep quality and associated factors among the elderly living in rural Chiang Rai, northern Thailand. Epidemiol Health 2018;40:e2018018. https://doi.org/1.4178/epih.e2018018
• 27. Wolkove N, Elkholy O, Baltzan M, Palayew M. Sleep and aging: 1. sleep disorders commonly found in older people. CMAJ 2007;176(9):1299-304. https://doi.org/1.1503/cmaj.060792
• 28. Pehlivan S, Karadakovan A, Pehlivan Y, Onat AM. Sleep quality and factors affecting sleep in elderly patients with rheumatoid arthritis in Turkey. Turk J Med Sci 2016;46(4):1114-1121. https://doi.org/1.3906/sag-1506-82
• 29. Vukoja M, et al. Sleep quality and daytime sleepiness in patients with COPD and asthma. Clin Respir J 2018;12(2):398-403. https://doi.org/1.1111/crj.12528
• 30. Schmutte T, Davidson L, O’Connell M. Improved sleep, diet, and exercise in adults with serious mental illness: results from a pilot self-management intervention. The Psychiatric quarter 2018;89(1):61–71. https://doi.org/1.1016/j.jocn.2019.12.010
• 31. Liu,Y, et al. Analysis of primary nursing intervention for elderly patients with cancer pain on the improvement of potential risk and pain degree. Am J Transl Res 2021;13(10):11890-11898.

Toplam 31 adet kaynakça vardır.

Ayrıntılar

Kaynak Göster

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