scholarly journals Hypertension Associated with Poor Sleep Quality in The Elderly Population in Batu City

2021 ◽  
Vol 5 (2) ◽  
pp. 65-72
Author(s):  
Siti Roziah Ria Famuji ◽  
Abdul Malik Setiawan ◽  
Achdiat Agoes

Hypertension affects approximately 26% of the adult population and it is a leading cause of death in up to 13.5% worldwide. Hypertension is a disease with the highest prevalence in Indonesia, so good treatment and prevention are needed. Several studies suggest that there is a correlation between hypertension risk factors and the disturbance of sleep quality. Therefore, it is necessary to develop preventive and promotive efforts to obtain optimum blood pressure in patients with hypertension to avoid complications or even death. This study aims to find out the correlation between sleep quality and the value of blood pressure in the elderly ?60 years old in Batu City. A cross-sectional study was conducted in Batu City in 2020. Stratified random sampling was performed to select the respondents. A validated PSQI questionnaire and sphygmomanometer were used to assess sleep quality and blood pressure, respectively. A Chi-Square test was used to test the hypothesis. There were 391 respondents involved in this study. Most of the respondents have poor sleep quality, 205 respondents (52,43%) of which 41 respondents (20%) have normal blood pressure, and 164 respondents (80%) have high blood pressure. The statistical analysis shows a significant correlation (p=0,000) between sleep quality and blood pressure. In conclusion, hypertension is associated with poor sleep quality in the geriatric population in Batu City.

2018 ◽  
Vol 10 (11) ◽  
pp. 3918 ◽  
Author(s):  
Lovro Štefan ◽  
Vlatko Vučetić ◽  
Goran Vrgoč ◽  
Goran Sporiš

The main purpose of the present study was to explore the associations of sleep duration and sleep quality with self-rated health. In this cross-sectional study, participants were 894 elderly individuals. Self-rated health, sleep duration, and sleep quality were self-reported. The associations were examined using multiple logistic regression analyses.After adjusting for sex, physical activity, smoking consumption, alcohol consumption, psychological distress, socioeconomic status, and chronic disease/s, sleeping <6 h (OR (Odds ratio) = 3.21; 95% CI (95 percent confident interval) 1.61 to 6.39), 6–7 h (OR = 2.47; 95% CI 1.40 to 4.36), 8–9 h (OR = 3.26; 95% CI 1.82 to 5.83), and >9 h (OR = 3.62; 95% CI 1.57 to 8.34) and having ‘poor’ sleep quality (≥5 points; OR = 2.33; 95% CI 1.46 to 3.73) were associated with ‘poor’ self-rated health. When sleep duration and sleep quality were entered simultaneously into the model, the same associations remained. Our findings provide evidence that both ‘short’ and ‘long’ sleep and ‘poor’ sleep quality are associated with ‘poor’ self-rated health. Thus, interventions that promote healthy sleep hygiene in the elderly are warranted.


2020 ◽  
Vol 2 (1) ◽  
pp. 1-11
Author(s):  
Harsismanto J ◽  
Juli Andri ◽  
Tirta Dwi Payana ◽  
Muhammad Bagus Andrianto ◽  
Andry Sartika

The purpose of this study was to determine the relationship of sleep quality with changes in blood pressure in elderly hypertension at Tresna Werdha Social Home (PSTW) Bengkulu Province. This type of research is quantitative research in the form of an analytic survey with a cross-sectional research design. Univariate analysis results showed blood pressure in hypertensive elderly at Tresna Werdha Social Home (PSTW), which is 12 respondents (54.5%) had mild hypertension, ten respondents (45.5%) had moderate hypertension. Sleep quality experienced by elderly hypertension, 11 respondents (50%) experienced good sleep quality, and 11 other respondents (50%) experienced poor sleep quality. The results of bivariate analysis using chi-square test obtained ρ value = 0,000 and C value = 0.674. In conclusion, there is a significant relationship between sleep quality and changes in blood pressure in hypertensive elderly at Tresna Werdha Social Home (PSTW) in 2019. Poor sleep quality affects changes in elderly blood pressure.   Keywords: Sleep Quality, Elderly, Blood Pressure


2019 ◽  
Vol 1 (2) ◽  
pp. 70-77
Author(s):  
Ni Nyoman Maryaningtyas Adinatha ◽  
Indah Wulaningsih

Hypertension is a degenerative disease. Generally blood pressure increases slowly with age. Insufficient quality and quantity of sleep can damage memory and cognitive abilities. If today continues for years, it will have an impact on high blood pressure. To determine the relationship between sleep quality and increased blood pressure in the elderly in the elderly service unit of Pucang Gading, Semarang City. This type of research is quantitative cross sectional design. Purposive sampling technique Research sample 48 respondents Chi-Square statistical test. Good sleep quality mostly had pre hypertension blood pressure as many as 14 respondents (63.6%) and those with poor sleep quality mostly had hypertension blood pressure as many as 19 respondents (73.1%). There is a relationship between sleep quality and elevated blood pressure in the elderly social care unit of Pucang Gading, Semarang City, with a p value of 0.000 <0.05.


2017 ◽  
Vol 56 (5) ◽  
pp. 272 ◽  
Author(s):  
Arie Taufansyah P. Nasution ◽  
Rafita Ramayati ◽  
Sri Sofyani ◽  
Oke RRna Ramayani ◽  
Rosmayanti Siregar

Background Adolescents with hypertension are at risk of morbidity and mortality due to cardiovascular problems in later life. Hypertension may be influenced by poor quality of sleep, so early detection of hypertension and ensuring good quality of sleep in adolescence is needed.Objective To assess for a possible association between poor sleep quality and hypertension in adolescents.Methods We conducted a cross-sectional study from January to March 2013 in Mustafawiyah Boarding School, Mandailing Natal, North Sumatera. Subjects’ quality of sleep was assessed by the Pittsburgh Sleep Quality Index (PSQI) questionnaire and their systolic and diastolic blood pressures were measured. Quality of sleep was categorized as either good or poor. Blood pressure was categorized as either normotensive or hypertensive. An association between poor sleep quality and hypertension was analyzed by Chi-square test.Results Two hundred forty adolescents participated in this study, of whom 210 (87.5%) subjects were normotensive and 30 (12.5%) subjects were hypertensive. We found higher systolic blood pressure [114.9 (SD 11.7) vs. 109.5 (SD 10.5) mmHg as well as diastolic blood pressure [74 (SD 9.1) vs. 69.9 (SD 7.5) mmHg in adolescents with poor sleep quality compared to  those with good sleep quality (P=0.001).Conclusion Poor sleep quality is associated with hypertension in adolescents.


BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036401
Author(s):  
Zhao Hu ◽  
Xidi Zhu ◽  
Atipatsa Chiwanda Kaminga ◽  
Tingting Zhu ◽  
Yu Nie ◽  
...  

ObjectivesTo examine the association between the prevalence of poor sleep quality and depression symptoms among the elderly in the nursing homes of Hunan province in China.Design, Setting and participantsThis was a cross-sectional study investigating 817 elderly people from 24 nursing homes in China’s Hunan province.Main outcome measuresSleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) such that poor sleep quality was defined as PSQI Score >5. In addition, depression symptoms were assessed using the Geriatric Depression Scale (GDS). Linear regression models and binary logistic regression models were used to analyse the relationship between the prevalence of poor sleep quality and depression symptoms.ResultsThe mean PSQI Score was 8.5±4.9, and the prevalence of poor sleep quality was 67.3%. Additionally, the mean GDS Score was 9.8±7.5, and the prevalence of depression symptoms was 36.0%. Elderly people with poor sleep quality had increased GDS Score (mean difference=2.54, 95% CI 1.66 to 3.42) and increased risk of depression symptoms (OR=3.19, 95% CI 2.04 to 4.98) after controlling for demographics, chronic disease history, lifestyle behaviours, social support, activities of daily living and negative life events.ConclusionsThe prevalence of poor sleep quality was relatively high, and this was associated with increased depression symptoms. Therefore, poor sleep quality could be speculated as a marker of current depression symptoms in the elderly.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Ahmad Assiddiqy

Poor sleep quality can change the stress hormone cortisol and the sympathetic nervous system so that it can increase blood pressure in the elderly. The purpose of this study was to determine the relationship of sleep quality with blood pressure in the elderly at PosyanduLansia RW II Kedungkandang Health Center, Malang. The study design used a correlational design with a cross sectional approach. The population of the study was 158 people, the determination using purposive sampling so that the research sample was 32 respondents. To determine the correlation of data collection techniques using a questionnaire. Data analysis method used is the spearmen rank test obtained p value = 0.001, <0.050 so that Ho is rejected, meaning that there is a relationship between sleep quality and blood pressure in the elderly in the Posyandu Elderly RW II Kedungkandang Health Center Malang. Poor sleep quality can change the stress hormone cortisol and the sympathetic nervous system, resulting in an increase in blood pressure. The results of the analysis found that most 18 (56.2%) respondents experienced poor sleep quality in the elderly and most 19 (59.4%) respondents had hypertension blood pressure between 140/90 mmHg to <160/90 mmHg in the elderly. From this study it is expected that the elderly need to get enough sleep for  6 hours to reduce blood pressure. The next researcher is expected to be able to relate the factors that affect sleep quality with blood pressure and the importance of the elderly's participation in Posyandu. Keywords: sleep quality, elderly, blood pressure Abstrak : Kualitas tidur yang buruk dapat mengubah hormone stress kortisol dan system saraf simpatik sehingga bias meningkatkan tekanan darah pada lansia. Tujuan penelitian untuk mengetahui hubungan kualitas tidur dengan tekanan darah pada lansia di Posyandu Lansia RW II Puskesmas Kedungkandang Kota Malang. Desain penelitian mengunakan desain korelasional dengan pendekatan cross sectional. Populasi penelitian sebanyak 158 orang, penentuan menggunakan purposive sampling sehingga sampel penelitian sebanyak 32 responden.Untuk mengetahui korelasi teknik pengumpulan data menggunakan kuesioner. Metode analisa data yang di gunakan yaitu uji spearmen rank didapatkan nilai p = 0,001 < 0,050 sehingga Ho ditolak, artinya ada hubungan antara kualitas tidur dengan tekanan darah pada lansia di Posyandu Lansia RW II Puskesmas Kedung kandang Kota Malang. Kualitas tidur yang buruk dapat mengubah hormon stress kortisol dan system syaraf simpatik, sehingga terjadi peningkatan tekanan darah. Hasil analisis didapatkan sebagian besar 18 (56,2%) responden mengalami kualitas tidur buruk pada lansia dan sebagian besar 19 (59,4%) responden memiliki tekanan darah hipertensi antara140/90 mmHg sampai< 160/90 mmHg pada lansia.  Dari penelitian ini diharapkan lansia perlu mencukupi tidur malam > 6 jam guna menurunkan tekanan darah. Untuk peneliti selanjutnya diharapkan dapat menghubungkan dengan faktor-faktor yang mempengaruhi kualitas tidur dengan tekanan darah serta pentingnya keikutsertaan lansia keposyandu. Kata Kunci: Kualitas Tidur, Lansia, Tekanan Darah.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongyan Wang ◽  
Xiaoling Dai ◽  
Zichuan Yao ◽  
Xianqing Zhu ◽  
Yunzhong Jiang ◽  
...  

Abstract Introduction To explore the prevalence of depressive symptoms and the associated risk factors in frontline nurses under COVID-19 pandemic. Methods This cross-sectional study was conducted from February 20, 2020 to March 20, 2020 and involved 562 frontline nurses. The effective response rate was 87.68%. After propensity score matched, there were 498 participants left. Extensive characteristics, including demographics, dietary habits, life-related factors, work-related factors, and psychological factors were collected based on a self-reported questionnaire. Specific scales measured the levels of sleep quality, physical activity, depressive symptoms, perceived organization support and psychological capital. Adjusted odds ratios and 95% confidence intervals were determined by binary paired logistic regression. Results Of the nurses enrolled in the study, 50.90% had depressive symptoms. Three independent risk factors were identified: poor sleep quality (OR = 1.608, 95% CI: 1.384–1.896), lower optimism of psychological capital (OR = 0.879, 95% CI: 0.805–0.960) and no visiting friend constantly (OR = 0.513, 95% CI: 0.286–0.920). Conclusions This study revealed a considerable high prevalence of depressive symptoms in frontline nurses during the COVID-19 outbreak, and identified three risk factors, which were poor sleep quality, lower optimism of psychological capital, and no visiting friend constantly. Protecting mental health of nurses is important for COVID-19 pandemic control and their wellbeing. These findings enrich the existing theoretical model of depression and demonstrated a critical need for additional strategies that could address the mental health in frontline nurses for policymakers.


2018 ◽  
Vol 8 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Waris Qidwai ◽  
Imdad Ali Khushk ◽  
Fizzah Farooq ◽  
Muhammad Yusuf Hafiz ◽  
Kashmira Nanji

Background: Worldwide, some one million people pass the sixty year old threshold every month (Ageing, WHO). Between 2010 and 2050, the number of older people in less developed countries is projected to increase. Methods: Cross-sectional study conducted in Outpatient clinics (OPD) of two hospitals in Karachi from April to May 2013. Elderly (> 60 years of age) visiting the clinics were consecutively recruited. 477 elderly were approached and a pretested, structured questionnaire was used to obtain information. Data was analyzed using SPSS version 19 and Pearson chi-square test was used to identify the factors related to choosing of "Old Age Homes". Results: A total of 400 participants were selected. Fifty-five percent of the elderly were in between 60 to 65 years of age and majority was males 54.8 percent. Elderly were aware of the presence of "Old Age Homes" in Pakistan, however only 7 percent choose to live in there. The main reason was found to be that the elderly did not want to go away from their families and loved ones. Conclusion: In conclusion, majority of the participants felt insecure to live in a home with strangers. However, "Old Age Homes" were preferred choice for those with chronic diseases or those living alone. Media should initiate public education programs to reduce social stigmas in seeking alternate long-term care services outside of the family.


2021 ◽  
pp. 074823372110331
Author(s):  
Rehab Shehata Abdelhady Shehata ◽  
Zeinab Ahmed Mohamed Nour ◽  
Amul Mohamed Abdelrahim Badr ◽  
Eman Mahmoud Khalifa

Sleep disorders are prevalent occupational health problems among shift workers, especially healthcare workers with long shifts. Serotonin is a neurotransmitter related to circadian variations accompanied by shift work. A cross-sectional study was performed on 73 nurses at a tertiary hospital in Cairo, Egypt, to assess sleep quality among shift work nurses (SWNs), to determine blood serotonin level, and its relation to shift work and sleep quality. A demographic and occupational history questionnaire, Pittsburgh Sleep Quality Index (PSQI) questionnaire, and measurement of blood serotonin were carried out to the studied group. The data were analyzed using SPSS 25, and descriptive statistics, unpaired t-test, ANOVA, Kruskal–Wallis Test, Chi-square, Spearman correlation, and multivariate regression analysis were utilized. The results showed that the mean PSQI global score was significantly higher among SWNs than non-shift work nurses (NSWNs) and was the highest (10.32 ± 3.56 and 10.22 ± 2.4, respectively) among rotatory and fixed night shift nurses. Blood serotonin showed highly significant differences between SWNs over NSWNs ( p = 0.001), and mostly reduced among rotatory and fixed night shift nurses (66.7% and 65%, respectively). Moreover, there were highly significant differences in serotonin levels between poor and good sleep quality nurses ( p < 0.001), and most of the poor sleep quality nurses (62.7%) had low serotonin levels. Abnormal serotonin level (odds = 246.5) and working years (odds = 1.2) were statistically significant predictors of poor sleep quality. In conclusion, SWNs, especially rotating and night shift nurses, suffer from poor sleep quality associated with abnormal levels of blood serotonin.


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