MacLeod Stephanie, Musich Shirley, Kraemer Sandra, Wicker Ellen
Research for Aging Populations, Optum, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108.
Research for Aging Populations, Optum, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108.
Geriatr Nurs. 2018 Sep-Oct;39(5):506-512. doi: 10.1016/j.gerinurse.2018.02.002. Epub 2018 Mar 9.
Poor sleep is common among older adults, often caused by multiple underlying factors such as chronic stress. Poor sleep is subsequently associated with negative health outcomes including higher morbidity and mortality. Our primary purpose is to explore practical non-pharmacological intervention approaches integrating stress management to improve sleep quality among older adults. In doing so, we highlight approaches that appear to hold promise in real-world settings with older individuals. We conducted a tailored literature review specifically on approaches to improve sleep quality among older adults, with emphasis on those integrating stress management. Online search engines were reviewed to identify research in these areas. Various non-pharmacological intervention approaches, such as mindfulness and cognitive behavioral therapy, have shown promise in improving sleep quality and health outcomes within this population. Those integrating chronic stress management appear to be particularly successful. Thus further development of multidimensional sleep interventions integrating stress management with seniors is warranted.
睡眠不佳在老年人中很常见，通常由多种潜在因素引起，如慢性压力。睡眠不佳随后与负面健康结果相关，包括更高的发病率和死亡率。我们的主要目的是探索将压力管理纳入其中的实用非药物干预方法，以改善老年人的睡眠质量。在此过程中，我们强调那些在现实世界中对老年人似乎有前景的方法。我们专门针对改善老年人睡眠质量的方法进行了针对性的文献综述，重点关注那些整合了压力管理的方法。对在线搜索引擎进行了检索，以确定这些领域的研究。各种非药物干预方法，如正念和认知行为疗法，已显示出在改善该人群睡眠质量和健康结果方面的前景。那些整合了慢性压力管理的方法似乎特别成功。因此，有必要进一步开发将压力管理与老年人相结合的多维睡眠干预措施。
