Effectiveness of Deep Breathing and Body Scan Meditation Combined with Music to Improve Sleep Quality and Quality of Life in Older Adults

Background: In older adults, physiological changes affect sleep and may cause impaired daily function and Reduced Quality of Life (QOL). This study aimed to investigate the effectiveness of deep breathing exercises and body scan meditation combined with music to improve sleep quality and QOL. Methods: A randomized controlled trial with allocation concealment method was conducted. Fifty-nine older adults with poor sleep quality were recruited using block randomization to intervention and control groups. The intervention group was instructed to do deep breathing and body scan meditation while listening to music through Bluetooth speakers once a day for thirty minutes before sleeping, a daily practice to last for eight weeks. The Pittsburgh Sleep Quality Index (PSQI) and Pictorial Thai Quality of Life (PTQL) were administered to both groups prior to the intervention and 8-week post-baseline of the intervention. Results: The global PSQI in the intervention group significantly decreased following the intervention, whereas the control group showed no difference. There was a decrease in individual PSQI components as well for the intervention group, namely, sleep efficiency, perceived sleep quality, and daily disturbance. The intervention group did not differ from the control group in sleep efficiency or perceived sleep quality, but there was a significant difference in the daily disturbance. Additionally, the total PTQL in the intervention group significantly increased between the two time periods, whereas there was no difference in the controls. The intervention group scored higher in each domain of PTQL, except for the economic domain. Conclusion: A daily practice of deep breathing and body scan meditation combined with music has a positive effect on improving sleep quality and QOL among older adults. Hence, this intervention should be implemented to improve sleep quality and promote QOL in older adults.

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Effect Of Sleep Hygiene And Deep Breathing Exercise With Spiritual Care On Sleep Quality And Quality Of Life Of Hemodialysis Patient In Ahmad Yani Islamic Hospital Surabaya

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2018.6(2).56-67 ◽

2019 ◽

Vol 6 (2) ◽

pp. 56

Author(s):

Siti Nur Hasina ◽

Tintin Sukartini ◽

Eppy Setiyowati

Keyword(s):

Quality Of Life ◽

Sleep Quality ◽

Spiritual Care ◽

Intervention Group ◽

Sleep Hygiene ◽

Hemodialysis Patients ◽

Control Group ◽

Deep Breathing ◽

Breathing Exercise

Hemodialysis patients experienced sleep disturbance problems that directly affect sleep quality and quality of life of hemodialysis patients. Quality of life is an important part of hemodialysis patients that need attention. The purpose of this study was to analyze the effect of sleep hygiene and deep breathing exercise with spiritual care on sleep quality and quality of life of hemodialysis patients. The research design used a quasy experiment with the pretest posttest approach with control group. Population in this study were all of hemodialysis patients . Sample of this study were 38 respondents divided into 19 respondents for intervention group and 19 respondents for control group. Sleep hygiene intervention and deep breathing exercise with spiritual care were applied every day for 30 days 30 minutes before going to sleep in the intervention group and in the control group only ran routine or habit before going to bed. Instrument used a PSQI questionnaire (Pittsburgh Sleep Quality Index) and KDQOL SFTM 1.3 (Kidney Disease Quality of Life). Data analysis used MANOVA test with significance value α = 0.05. The results of this study indicated that p value 0,000 with the effect of R squared 72.7% on sleep quality and 66.4% on quality of life, which means that sleep hygiene and deep breathing exercise with spiritual care were significantly influence sleep quality and quality of life on hemodialysis patient in Ahmad Yani Islamic Hospital Surabaya. The application of sleep hygiene and deep breathing exercise with spiritual care had a strong influence on the quality of sleep and the quality of life of hemodialysis patients. Nurses are expected to be able to implement sleep hygiene interventions and deep breathing exercises with spiritual care to enhance sleep quality and quality of life for hemodialysis patients. Keyword : Hemodialysis, Sleep Quality, Quality of Life, Sleep Hygiene, Deep Breathing Exercise, Spiritual care

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Implementation and effectiveness of a multi-domain program for older adults at risk of cognitive impairment at neighborhood senior centres

Scientific Reports ◽

10.1038/s41598-021-83408-5 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Pei Ern Mary Ng ◽

Sean Olivia Nicholas ◽

Shiou Liang Wee ◽

Teng Yan Yau ◽

Alvin Chan ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

At Risk ◽

Cognitive Impairment ◽

Mobile Application ◽

Intervention Group ◽

Blood Parameters ◽

Attrition Rate ◽

Control Group

AbstractTo address the paucity of research investigating the implementation of multi-domain dementia prevention interventions, we implemented and evaluated a 24-week, bi-weekly multi-domain program for older adults at risk of cognitive impairment at neighborhood senior centres (SCs). It comprised dual-task exercises, cognitive training, and mobile application-based nutritional guidance. An RCT design informed by the Reach, Effectiveness, Adoption, Implementation, Maintenance framework was adopted. Outcome measures include cognition, quality of life, blood parameters, and physical performance. Implementation was evaluated through questionnaires administered to participants, implementers, SC managers, attendance lists, and observations. The program reached almost 50% of eligible participants, had an attrition rate of 22%, and was adopted by 8.7% of the SCs approached. It was implemented as intended; only the nutritional component was re-designed due to participants’ unfamiliarity with the mobile application. While there were no between-group differences in cognition, quality of life, and blood parameters, quality of life reduced in the control group and physical function improved in the intervention group after 24 weeks. The program was well-received by participants and SCs. Our findings show that a multi-domain program for at-risk older adults has benefits and can be implemented through neighborhood SCs. Areas of improvement are discussed.Trial registration: ClinicalTrials.gov NCT04440969 retrospectively registered on 22 June 2020.

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Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial

BMC Geriatrics ◽

10.1186/s12877-021-02661-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kristina Lämås ◽

Karin Bölenius ◽

Per-Olof Sandman ◽

Marie Lindkvist ◽

David Edvardsson

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Home Care ◽

Negative Emotions ◽

Intervention Group ◽

Self Determination ◽

Care Staff ◽

Control Group ◽

Health Promoting

Abstract Background Home care recipients have reported little self-determination and opportunity to influence their own care. Person-centred care focusing on involvement has improved the quality of life of older adults in health care and nursing homes; however, knowledge about the effects of person-centred interventions in aged care at home is sparse. The aim of this study was to study the effects of a person-centred and health-promoting intervention, compared with usual care, on health-related quality of life, thriving and self-determination among older adults, and on job satisfaction, stress of conscience and level of person-centred care among care staff. Methods This is a non-randomized controlled trial with a before/after design. Participants from five home care districts in one municipality in northern Sweden were recruited to an intervention or control group. We evaluated health-related quality of life, thriving and self-determination among older home care recipients, and job satisfaction, person-centred care and stress of conscience among care staff. Evaluation was performed by questionnaires and responses were analysed using parametric and non-parametric statistical analyses. Results Eighty-one older adults and 48 staff were included in the study. A clinically moderate and statistically significant difference between the intervention and control groups was found in thriving and negative emotions among older adults. The intervention contributed to maintaining high thriving levels, in contrast to decreased thriving in the control group (intervention: + 1, control: − 4, p 0.026, CI: − 10. 766, − 0.717). However, the intervention group rated an increase in negative emotions, while the control group was unchanged (intervention: − 7 control: + − 0, p 0.048, CI: − 17.435, − 0.098). No significant effects were found among staff. Conclusions The intervention contributed to maintaining high levels of thriving in contrast to low levels found in the control group, and it seems reasonable to consider the intervention focus on staff as more person-centred and health-promoting. The finding that the intervention group had increase in negative emotions is difficult to interpret, and warrants further exploration. Even though the results are sparse, the challenges discussed may be of importance for future studies in the context of HCS. Trial registration NCT02846246. Date of registration: 27 July 2016.

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EFEK PIJAT KAKI TERHADAP KUALITAS TIDUR IBU MENOPAUSE

Jurnal Kebidanan Malahayati ◽

10.33024/jkm.v6i3.2750 ◽

2020 ◽

Vol 6 (3) ◽

pp. 293-297

Author(s):

Rahmi Nurrasyidah

Keyword(s):

Sleep Quality ◽

Intervention Group ◽

Pharmacological Therapy ◽

Control Group ◽

Quality Of Sleep ◽

Average Quality ◽

Post Test ◽

Improve Sleep Quality ◽

And Control

ABSTRACT Background : Sleep disturbance is a problem that is often complained of by women who experience a menopause transition. This has an impact on quality of life, moods, productivity, and physical health. Foot massage therapy is a non-pharmacological therapy performed to improve sleep quality. Non-pharmacological therapy is an option because it is cheaper and more effective when compared with medical administration. Purpose :This study determined an effect of foot massage on the sleep quality of menopausal mothers. Method : This is an experimental study with a post test only control group design. The sample consisted of 23 respondents aged 45-55 years. The intervention group included 12 respondents and the control group included 11 respondents. The intervention group performed foot massage for 10 minutes on each leg. Sleep quality in the intervention group was measured 24 hours after massage. The control group did not do foot massage. Results : the average respondent of intervention and control groups were in the best sleep quality (76100). In the control group, poor sleep quality was found in the wakefulness sleep category. There was no difference in the average quality of sleep in mothers who did foot massage and did not do foot massage (p> 0.001) with a difference in average (95% CI) 4.5 (3.6-12.5). Conclusion : There was no difference in the average quality of sleep between intervention and control group. Sugestion : Based on the results of the study, the authors recommend the need for further research on foot massage with an increase in duration of the intervention and it is necessary to investigate the variations of foot massage methods with aromatherapy to improve sleep quality. Further research needs to be done with more samples and better RCT methods. Keywords: Foot massage, sleep quality, Menopause ABSTRAK Latar Belakang : Gangguan tidur adalah masalah yang sering dikeluhkan ibu yang mengalami transisi menopause. Hal ini berdampak pada kualitas hidup, suasana hati, produktivitas, dan kesehatan fisik. Terapi pijat kaki merupakan terapi non farmakologi yang dilakukan untuk meningkatkan kualitas tidur. Terapi non-farmakologi menjadi pilihan karena biaya yang lebih murah dan lebih efektif bila dibandingkan dengan pemberian medikamentosa. Tujuan : Untuk mengetahui pengaruh pijat kaki terhadap kualitas tidur ibu menopause. Metode : Desain Penelitian ini adalah penelitian eksperimental dengan desain post test only control group desain. Sampel terdiri dari 23 responden yang berumur 45-55 tahun dengan rincian kelompok intervensi 12 responden dan kelompok kontrol 11 responden. Kelompok intervensi dilakukan pijat kaki selama 10 menit pada setiap kaki. Kualitas tidur pada kelompok intervensi diukur 24 jam setelah dilakukan pemijatan. Kelompok kontrol tidak dilakukan pijat kaki. Hasil : Rata-rata responden pada kelompok intervensi maupun kontrol berada pada kualitas tidur terbaik (76-100). Pada kelompok kontrol, didapatkan kualitas tidur yang buruk pada kategori terbangun saat tidur (Awakenings). Tidak terdapat perbedaan rerata kualitas tidur pada ibu yang dilakukan pijat kaki dan tidak dilakukan pijat kaki (p>0,001) dengan perbedaan rerata (IK 95%) 4.5 (3.6-12.5). Kesimpulan : Tidak terdapat perbedaan rerata kualitas tidur pada kelompok intervensi maupun kontrol. . Saran : Penulis merekomendasikan perlunya dilakukan penelitian lebih lanjut mengenai pijat kaki dengan peningkatan durasi intervensi serta perlu diteliti mengenai variasi metoda pijat kaki dengan aromaterapi untuk meningkatkan kualitas tidur. Penelitian selanjutnya perlu dilakukan dengan sampel yang lebih banyak dengan metode uji kilnis yang lebih baik. Kata Kunci : Pijat kaki, kualitas tidur, Ibu Menopause

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EFEKTIVITAS SWEDISH MASSAGE TERHADAP KUALITAS TIDUR DAN TINGKAT INSOMNIA LANSIA

KOSALA : Jurnal Ilmu Kesehatan ◽

10.37831/jik.v8i2.195 ◽

2020 ◽

Vol 8 (2) ◽

pp. 97-106

Author(s):

Rianayanti Asmira Rasam ◽

Ressa Andriyani Utami

Keyword(s):

Quality Of Life ◽

Sleep Quality ◽

Intervention Group ◽

Vital Signs ◽

Massage Therapy ◽

The Elderly ◽

Control Group ◽

P Value ◽

Logistic Analysis

Background. Insomnia is a complaint that often occurs in the elderly, if not resolved it can reduce the quality of life of the elderly. Proper handling can improve the quality of life of the elderly. The Aim of The Study. This study aims to determine the effectiveness of Swedish massage on sleep quality and the level of insomnia in the elderly. Subjects and Methods. The research design used quasi experiment non equivalent control group pretest-post test. The number of samples in this study were 62 people who were taken randomly, divided into an intervention group of 37 peoples who were given swedish massage therapy for 7 days and a control group of 25 peoples who were given worship therapy 2x a week, before and after the intervention vital signs were measured. Research analysis using binary logistic and t test difference. Results. The results of binary logistic analysis and multiple linear regression showed a significant effect between swedish massage therapy on sleep quality on day 7 and the level of insomnia (p value

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“Where-There-Is-No-Psychiatrist Integrated Personal Therapy” among Community-Dwelling Older Adults: A Randomized Pilot Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18189514 ◽

2021 ◽

Vol 18 (18) ◽

pp. 9514

Author(s):

Shefaly Shorey ◽

Ee Heok Kua ◽

Wilson Tam ◽

Valerie Chan ◽

Yong Shian Goh ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Pilot Study ◽

Intervention Group ◽

Well Being ◽

Small Sample ◽

Community Dwelling ◽

Control Group ◽

Community Dwelling Older Adults

In Singapore, many older adults suffer from subsyndromal depression and/or subsyndromal anxiety, which can negatively impact their physical and mental well-being if left untreated. Due to the general public’s reluctance to seek psychological help and the low psychiatrist-to-population ratio in Singapore, this study aims to examine the preliminary efficacy, perceptions, and acceptability of a trained volunteer-led community-based intervention on community-dwelling older adults. Twenty-one participants (control: n = 11; intervention: n = 10) completed the randomized pilot study. A mixed-methods approach (questionnaires, semistructured interviews, examining blood samples, intervention fidelity) was adopted. No significant differences were found between the intervention and the control groups in depression, anxiety, life satisfaction, friendship, and quality of life. However, there was a positive change in quality-of-life scores from baseline to 6 months in the intervention group. The control group had significantly higher cortisol levels and lower annexin-A1 levels at 6 months, while the intervention group did not. Three themes emerged from the interviews: (1) impact of the intervention on older adults’ well-being, (2) attitudes toward intervention, and (3) a way forward. However, intervention efficacy could not be established due to small sample size caused by the coronavirus pandemic. Future randomized controlled trials should evaluate volunteer-led, technology-based psychosocial interventions to support these older adults.

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Calidad De Vida Y El Equilibrio Dinámico En El Adulto Mayor

European Scientific Journal ESJ ◽

10.19044/esj.2018.v14n14p110 ◽

2018 ◽

Vol 14 (14) ◽

pp. 110

Author(s):

Orlando David Mazón Moreno ◽

Pablo Luis Lomas Badillo ◽

Danilo Ortiz Fernández ◽

Santillan Obregon Rodrigo Roberto ◽

Dennys Germán Palacios Valdiviezo

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Dynamic Balance ◽

Intervention Group ◽

Exercise Program ◽

Control Group ◽

Calidad De Vida ◽

Post Test ◽

Tinetti Test

The objective of the present investigation was to relate quality of life and dynamic balance in older adults. To this end, an intentional sample of older adults was taken from the gerontological centers of Chambo and Guano cantons, for which 35 people make up the control group (Chambo); while 71 people make up the intervention group (Guano). In order to reach the goal of the research, the quality of life was evaluated, through a pre-test called WHOQOL - BREF, followed by the Tinetti test that refers to the march - balance, ending with the Timed get up and go test, which determines the mobility measures of people who can walk on their own. To the intervention group, an exercise program was applied to improve the dynamic balance that lasted ten weeks. Finally, by means of a post test, the entire sample was evaluated, which allowed us to analyze whether there was an incidence. In other words, a slight improvement in both dynamic balance and gait after ten weeks of intervention was evidenced.

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Analysis of Lung Imaging Intelligent Diagnosis System for Nursing Intervention of Lung Cancer Patients’ Quality of Life

Contrast Media & Molecular Imaging ◽

10.1155/2021/6750934 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Ruxia Guo ◽

Hui Wang

Keyword(s):

Quality Of Life ◽

Lung Cancer ◽

Sleep Quality ◽

Cancer Patients ◽

Intervention Group ◽

Nursing Intervention ◽

Control Group ◽

Lung Region ◽

Lung Cancer Patients

In order to explore the influence of intelligent imaging diagnosis systems on comprehensive nursing intervention for patients with late-stage lung cancer, the system uses ITK and VTK toolkit to realize image reading, display, image marking, and interactive functions. The optimal threshold method and regional connectivity algorithm were used to segment the lung region, and then, the cavity filling algorithm and repair algorithm were used to repair the lung region. A variable ring filter was used to detect suspected shadows in the lungs. Finally, the classifier proposed in this paper is used to classify benign and malignant. The system has good sensitivity by detecting the images of real patients. 100 patients with advanced lung cancer were randomly divided into control group and nursing intervention group 50 cases each. Patients in the control group received routine radiotherapy and chemotherapy and routine nursing intervention. Patients in the nursing intervention group were given comprehensive nursing intervention on the basis of routine intervention in the control group for 2 consecutive months. Pittsburgh sleep quality index, pain degree, quality of life, and complications after intervention were compared between the 2 groups before and after intervention. The experimental results showed that the sleep quality, pain degree, quality of life, and complications in 2 groups were significantly improved after intervention ( P < 0.05 ), and the improvement degree in the nursing intervention group was higher than that in the control group ( P < 0.05 ). It is proved that comprehensive nursing intervention has a good effect on improving sleep quality, relieving physical pain, improving the quality of life, and reducing complications of lung cancer patients and can effectively improve the quality of life of lung cancer patients.

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eSeniorCare: Technology for Promoting Well-Being of Older Adults in Independent Living Facilities (Preprint)

10.2196/preprints.26686 ◽

2020 ◽

Author(s):

Dipanwita Dasgupta ◽

Beenish Chaudhry ◽

Kimberly Greeves ◽

Joyce Long ◽

Mayra Duarte ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Mobile Technology ◽

Successful Aging ◽

Intervention Group ◽

Community Dwelling ◽

Control Group ◽

Health Goals

BACKGROUND Successful Aging is a multidimensional concept that encompasses mental and physical health, chronic disease management and social engagement of older adults. A number of mobile health interventions have been designed to promote Successful Aging, but the majority focus on only one dimension. Moreover, there is a dearth of research studies that explore the feasibility and long-term acceptance of these interventions in community-dwelling older adults from lower socioeconomic strata (SES), who can derive the greatest health and economic benefits from such interventions. OBJECTIVE To study the long-term feasibility of an integrated intervention, which combined mobile technology with social relationships, in improving perceptions of Successful Aging in community-dwelling low-SES older adults. METHODS The intervention combined mobile technology with social relationships. The mobile technology component of the intervention consisted of a tablet-based application, eSeniorCare, that allowed older adults to track their medications and health activities and play proprietary gaming apps from the online app store. Whereas the social component consisted of weekly technology workshops and meetups. Study Design. We used a pre-test post-test experimental design approach with two groups (intervention and control). 25 older adults were recruited in each group. Each participant in the intervention group received a tablet PC pre-installed with the eSeniorCare app and various gaming apps. The control group received usual care. Participants completed self-reported outcomes consisting of SF12v2 and Older Person Quality of Life (OPQOL) questionnaires both at the beginning and at the end of the study. The study lasted for 42 weeks during which the intervention group used the eSeniorCare app to track their medications and health activities, and they also played the installed gaming apps. In addition, they received technology training via weekly workshops, where they interacted with participants in the intervention group and the study staff. RESULTS The results indicate that the integrated intervention significantly improved participants’ perceptions of their mental health and health-related quality of life. Specifically, they found that the eSeniorCare app improved their adherence to medication regimen and motivated them to pursue their health goals. They also thought that playing tablet games was men- tally stimulating and it improved their overall cognitive health. By the end of the study, the intervention group preferred technology over paper for managing their medications and health goals, while no one in the control group wanted to preferred technology over paper. CONCLUSIONS An integrated mobile health intervention is feasible for long-term use by community-dwelling older adults from lower SES and community-based caregivers. It improved perceptions of mental health and health related quality of life among the study participants.

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Effectiveness of a health-social partnership program for discharged non-frail older adults: a pilot study

BMC Geriatrics ◽

10.1186/s12877-020-01722-5 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Arkers Kwan Ching WONG ◽

Frances Kam Yuet WONG ◽

Jenny Sau Chun NGAI ◽

Shirley Yu Kan HUNG ◽

Wah Chun LI

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Depressive Symptoms ◽

Daily Living ◽

Intervention Group ◽

Community Dwelling ◽

Control Group ◽

Social Partnership ◽

Frail Older Adults

Abstract Background Previous studies supporting discharged patients are hospital-based which admission criteria tend to include mainly those with complex needs and/or specific disease conditions. This study captured the service gap where these non-frail older patients might have no specific medical problem upon discharge but they might encounter residual health and social issues when returning home. Methods Discharged community-dwelling non-frail older adults from an emergency medical ward were recruited and randomized into either intervention (n = 37) or control (n = 38) group. The intervention group received a 12-week complex interventions that included structured assessment, health education, goal empowerment, and care coordination supported by a health-social team. The control group received usual discharge care and monthly social call. The primary outcome was health-related quality of life (HRQoL). Secondary outcomes included activities of daily living (ADL), the presence of depressive symptoms, and the use of health services. The outcomes were measured at pre-intervention (T1) and at three months post-intervention (T2). The independent t-test or the Mann-Whitney U test was used to analyze the group differences in HRQoL, ADL, and presence of depressive symptoms according to the normality of data. Results Analysis showed that the intervention group experienced a statistically significantly improvement in the mental component scale of quality of life (p = .036), activities of daily living (p = .005), and presence of depressive symptoms (p = .035) at T2 compared with at T1. No significant differences were found in the control group. Conclusions Supporting self-care is necessary to enable community-dwelling non-frail older adults to be independent to the fullest extent possible in the community. The promising results found in this pilot study suggested that the integration of the health-social partnership into transitional care practice is effective and can be sustained in the community. Future studies can draw on these findings and maximize the integrated care quality during the transition phase. Trial registration NCT04434742 (date: 17 June 2020, retrospectively registered).

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