Huang Yingyan, Fleury Julie
Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United States.
Front Public Health. 2024 Apr 5;12:1364639. doi: 10.3389/fpubh.2024.1364639. eCollection 2024.
The population of older adults is growing disproportionately, constituting 13% of the global population in 2022, and is expected to double by 2050. One of public health's priorities is healthy aging, the maintenance of functional ability aligned with well-being. As many as 50% of older adults report poor sleep quality, leading to an increased risk of morbidity and mortality. The quality and quantity of social relationships may broadly benefit sleep in older adults. However, the concept of socially-supported sleep is underdeveloped as a basis for intervention.
Existing literature was searched without time restriction in PubMed, CINAHL, PsycINFO, and Scopus ending in August 2022. Thematic analysis was used to determine the defining attributes, antecedents, and consequences of socially-supported sleep guided by Rodgers' evolutionary concept analysis.
Twenty-nine articles written in English, peer-reviewed, and examined social support and sleep in participants aged ≥50 were included. The defining attributes reflect dimensions of sleep quality. The antecedents are safe and secure, belonging and connection, and warmth and comfort. The consequences of socially-supported sleep include improved regulatory capabilities, physical and emotional well-being, and quality of life.
Socially-supported sleep has the potential to inform interventions that promote sleep in older adults. Ongoing research is needed to address the antecedents and mechanisms through which socially-supported sleep may promote sleep quality for healthy aging.
老年人口数量正在以不成比例的速度增长，2022年占全球人口的13%，预计到2050年将翻一番。公共卫生的首要任务之一是健康老龄化，即保持与幸福感相匹配的功能能力。多达50%的老年人报告睡眠质量差，这导致发病和死亡风险增加。社会关系的质量和数量可能会广泛地有益于老年人的睡眠。然而，作为一种干预基础，社会支持性睡眠的概念还不够完善。
在PubMed、CINAHL、PsycINFO和Scopus中对截至2022年8月的现有文献进行无时间限制的检索。采用主题分析法，以罗杰斯的进化概念分析为指导，确定社会支持性睡眠的定义属性、前因和后果。
纳入了29篇英文撰写、经过同行评审且研究了50岁及以上参与者的社会支持与睡眠的文章。定义属性反映了睡眠质量的维度。前因包括安全保障、归属感和联系以及温暖和舒适。社会支持性睡眠的后果包括改善调节能力、身心健康和生活质量。
社会支持性睡眠有可能为促进老年人睡眠的干预措施提供依据。需要进行持续研究，以探讨社会支持性睡眠促进健康老龄化睡眠质量的前因和机制。
