The Factors Affecting Sleep Quality in Community-Dwelling Older Adults, Based on Spielman’s 3P Model of Insomnia

Eun-Kyoung  Han; Hae Kyoung  Son

doi:10.18502/ijph.v53i12.17317

Eun-Kyoung Han Department of Nursing, Eulji University, 553 Sanseong-daero, Sujeong-gu, Seongnam 13135, Korea
Hae Kyoung Son Department of Nursing, Eulji University, 553 Sanseong-daero, Sujeong-gu, Seongnam 13135, Korea

DOI: https://doi.org/10.18502/ijph.v53i12.17317

Keywords: Insomnia; Older adult; Sleep arousal; Sleep hygiene; Sleep quality

Abstract

Background: We aimed to identify the factors affecting sleep quality in community-dwelling older adults.

Methods: This cross-sectional descriptive study was conducted from 6 to 13 October 2021. A hypothetical model based on Spielman’s 3P model of insomnia was constructed using the multiple factors that influence sleep quality in older adults. Data were collected from 114 elderly adults at two welfare centers located in, South Korea and analyzed using IBM SPSS 21.0.

Results: The hierarchical regression model showing the predictors of sleep quality was significant, and it explained 23.9% of the variance (F=9.879, P<.001). Pre-sleep arousal (β=0.283, P=.005) and sleep hygiene (β=0.269, P=.014) were associated with sleep quality.

Conclusion: Sleep improvement interventions which consider pre-sleep arousal and sleep hygiene for older adults may improve sleep quality.