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Mou H, Xu D, Zhu S, Zhao M, Wang Y, Wang K. The sleep patterns and their associations with mental health among nursing home residents: a latent profile approach. BMC Geriatr 2023; 23:468. [PMID: 37537539 PMCID: PMC10401828 DOI: 10.1186/s12877-023-04124-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Accepted: 06/21/2023] [Indexed: 08/05/2023] Open
Abstract
BACKGROUND Nursing home residents commonly experience poor sleep conditions. However, few studies have explored the potential sleep patterns among nursing home residents. This study aimed to identify the sleep patterns in nursing home residents, compare residents' characteristics across sleep patterns, and examine the relationships between sleep patterns and residents' mental health (i.e., depressive and anxiety symptoms). METHODS This cross-sectional study was conducted in 27 nursing homes in Jinan, China, from March to June 2018. In total, 353 participants were recruited via convenience sampling, and of which, 326 completed the survey. A latent profile analysis was performed to identify sleep patterns based on the seven dimensions of the Pittsburgh Sleep Quality Index. Bivariate analyses were conducted to compare residents' characteristics among the sleep patterns. Mixed-effects logistic regression analyses were adopted to investigate the relationships between sleep patterns and residents' mental health. RESULTS Three sleep patterns were identified, including 'good sleepers', 'poor sleepers without hypnotic use', and 'poor sleepers with hypnotic use'. Residents' gender, education, pain, instrumental activities of daily living, and number of chronic conditions were significantly differentiated across the sleep patterns. Compared with 'good sleepers', 'poor sleepers without hypnotic use' were significantly associated with more depressive symptoms (OR = 3.73, 95% CI = 2.09, 6.65, p < 0.001), but not with anxiety symptoms (OR = 2.04, 95% CI = 0.97, 4.29, p = 0.062); whereas 'poor sleepers with hypnotic use' had significantly more depressive (OR = 5.24, 95% CI = 2.54, 10.79, p < 0.001) and anxiety symptoms (OR = 5.02, 95% CI = 2.13, 11.83, p < 0.001). CONCLUSIONS This study reveals three distinct sleep patterns in nursing home residents and their significant associations with residents' mental health. These findings can inform future research to develop appropriate and tailored intervention strategies for improving sleep and promoting mental health for nursing home residents.
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Affiliation(s)
- Huanyu Mou
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, 250012, China
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China
| | - Dongjuan Xu
- School of Nursing, Purdue University, West Lafayette, IN, 47907, USA
| | - Shanshan Zhu
- Geriatrics Department, Henan Provincial People's Hospital, Zhengzhou, Henan Province, 450000, China
| | - Meng Zhao
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, 250012, China
| | - Yaqi Wang
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, 250012, China
| | - Kefang Wang
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, 250012, China.
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Riquelme-Marín A, Martín-Carbonell M, Ortigosa-Quiles JM, Fernández-Daza M, Méndez I. Family care prior to the admission of the elderly in a nursing home and continuity in family care: A comparative study of Colombia and Spain. Heliyon 2022; 8:e09677. [PMID: 35756133 PMCID: PMC9218736 DOI: 10.1016/j.heliyon.2022.e09677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 04/29/2022] [Accepted: 06/01/2022] [Indexed: 11/05/2022] Open
Abstract
This study examined the background before admission to a nursing home and the conditions for the continuity of care, of the relatives of older adults of Colombia and Spain. The study sample comprised 546 participants: 278 and 268 from Colombia and Spain, respectively. Structured interviews were conducted with the older adults’ relatives. Sociodemographic similarities predominated, although in the Colombian sample there were significantly more unrelated people. Similarities in previous and current care conditions also predominated too. Cluster 1 included all the cases of Colombian low-resource nursing homes, and Cluster 2 included all the relatives of Colombian high-resource nursing homes and all the Spanish centers. The type of nursing home was the variable more important to identify the abovementioned clusters. Conclusions: Family members from Colombia and Spain continue to care for the elderly admitted to geriatric homes. The type of geriatric center is what establishes the differences in the users. Spanish and Colombian family caregivers continue to provide care to the elderly after their admission to the residence. There are more similarities than differences between Spanish and Colombian family caregivers. Reconciling work-family implies a difficult balance, especially among women, who are more overloaded. The deterioration of the health of the elderly was the most frequent reason for admission. There are differences between relationships and provision of care in the elderly living in low-income residences in Colombia with respect to the rest of the Colombian and Spanish sample.
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Davila H, Ng W, Akosionu O, Thao MS, Skarphol T, Virnig BA, Thorpe RJ, Shippee TP. Why Men Fare Worse: A Mixed-Methods Study Examining Gender Differences in Nursing Home Resident Quality of Life. THE GERONTOLOGIST 2022; 62:1347-1358. [PMID: 35024847 PMCID: PMC9579463 DOI: 10.1093/geront/gnac003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Despite research documenting gender differences in numerous outcomes in later life, we know little about gender differences in quality of life (QoL) for nursing home (NH) residents. This study examines the relationship between gender and residents' QoL, including possible reasons for differences observed. RESEARCH DESIGN AND METHODS We used a mixed-methods design including surveys with a random sample of Minnesota NH residents using a multidimensional measure of QoL (n = 9,852), resident clinical data, facility-level characteristics (n = 364), interviews with residents (n = 64), and participant observations. We used linear mixed models and thematic analysis of resident interviews and observations to examine possible gender-related differences in residents' QoL. RESULTS After controlling for individual and facility characteristics, men reported lower overall QoL than women, including significantly lower ratings in several QoL domains. In interviews, men noted being less satisfied with activities than women, having fewer friends, and being less able to rely on family for support. Some women described the NH as a place of respite, but men more often described being dissatisfied with life in the NH and undesirable for long-term living. Our observations were consistent with interview findings but provide additional nuances, such as that some men organized their own social groups. DISCUSSION AND IMPLICATIONS Our findings suggest that men and women experience QoL differently in NHs, with men reporting lower QoL in several domains. Tailoring more activities for men and finding ways to strengthen relationships for men in NHs could help reduce the gender differences in QoL we observed.
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Affiliation(s)
- Heather Davila
- Address correspondence to: Heather Davila, PhD, MPA, VA Iowa City Healthcare System, 601 Highway 6 West, Iowa City, IA 52246-2209, USA. E-mail:
| | - Weiwen Ng
- School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Odichinma Akosionu
- School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Mai See Thao
- Anthropology, Global Religions, and Cultures, University of Wisconsin, Oshkosh, Wisconsin, USA
| | - Tricia Skarphol
- School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Beth A Virnig
- School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Roland J Thorpe
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Tetyana P Shippee
- School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA
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Li J, Xu X, Sun J, Cai W, Qin T, Wu M, Liu H. Activities of daily living, life orientation, and health-related quality of life among older people in nursing homes: a national cross-sectional study in China. Qual Life Res 2020; 29:2949-2960. [PMID: 32632641 DOI: 10.1007/s11136-020-02571-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/26/2020] [Indexed: 02/07/2023]
Abstract
PURPOSE This study aimed to explore the current status of activities of daily living (ADLs), life orientation, and health-related quality of life (HRQoL) among older people in nursing homes and to further examine the mediating role of life orientation in the impact of ADLs on HRQoL. METHODS A national cross-sectional study was conducted among older people aged 60 and above in nursing homes by the randomly stratified cluster sampling method. The status of ADLs, life orientation and HRQoL were measured using an ADL scale, a life orientation scale and the SF-12v2 scale, respectively. Multiple linear regression models were used to identify explanatory factors associated with ADLs, life orientation, and HRQoL. The potential mediating role of life orientation in the relationship between ADL and HRQoL was explored by mediation analysis. RESULTS The overall prevalence of ADL disability was 52.67%, and 84.37% of older people in nursing homes had a negative life orientation. The mean scores of physical health and mental health among older people in nursing homes were 45.44 ± 6.46 and 42.67 ± 8.48, respectively. Some sociodemographic characteristics were associated with poor physical health and mental health. After adjustments were made for covariates, the life orientation score mediated 13.81% of the total effect of the ADL score on physical component score of HRQoL and mediated 45.33% of the mental component score of HRQoL. CONCLUSION A sizeable proportion of older people had ADL disability and negative life orientation, and HRQoL was poor among older Chinese people in nursing homes. Life orientation partially mediates the relationship between ADLs and HRQoL.
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Affiliation(s)
- Junling Li
- School of Public Health, China Medical University, 77 Puhe Road, Shenyang North New Area, Shenyang, Shenyang, Liaoning Province, 110122, People's Republic of China
| | - Xueying Xu
- School of Public Health, China Medical University, 77 Puhe Road, Shenyang North New Area, Shenyang, Shenyang, Liaoning Province, 110122, People's Republic of China
| | - Jinbin Sun
- School of Public Health, China Medical University, 77 Puhe Road, Shenyang North New Area, Shenyang, Shenyang, Liaoning Province, 110122, People's Republic of China
| | - Weijie Cai
- School of Public Health, China Medical University, 77 Puhe Road, Shenyang North New Area, Shenyang, Shenyang, Liaoning Province, 110122, People's Republic of China
| | - Tiantian Qin
- School of Public Health, China Medical University, 77 Puhe Road, Shenyang North New Area, Shenyang, Shenyang, Liaoning Province, 110122, People's Republic of China
| | - Mingcheng Wu
- School of Public Health, China Medical University, 77 Puhe Road, Shenyang North New Area, Shenyang, Shenyang, Liaoning Province, 110122, People's Republic of China
| | - Hongbo Liu
- School of Public Health, China Medical University, 77 Puhe Road, Shenyang North New Area, Shenyang, Shenyang, Liaoning Province, 110122, People's Republic of China.
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Lin Y, Xiao H, Lan X, Wen S, Bao S. Living arrangements and life satisfaction: mediation by social support and meaning in life. BMC Geriatr 2020; 20:136. [PMID: 32293305 PMCID: PMC7158054 DOI: 10.1186/s12877-020-01541-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2019] [Accepted: 03/29/2020] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Living arrangements have impact on life satisfaction among older adults. However, the mechanism how it works has received less attention. This study aims to examine the mediating role of meaning in life and social support in the relationship between living arrangements and life satisfaction. METHODS A total of 215 older adults from nine nursing homes and three communities were included in this study. The Social Support Rating Scale, Meaning in Life Questionnaire and Life Satisfaction Index A were adopted. Data were analyzed with Hayes' s bias-corrected bootstrapping method. RESULTS Both social support and presence of meaning in life had positive correlations with life satisfaction (p<0.001), and they were significant mediators between living arrangements and life satisfaction (p<0.01). CONCLUSION To improve the life satisfaction of nursing home residents, more emphasis should be placed on encouraging residents to seek or maintain a meaningful life and creating a more positive climate of social support.
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Affiliation(s)
- Yan Lin
- School of Nursing, Fujian Medical University, No. 1 Xuefu North Road, University Town, Fuzhou, 3500108 Fujian China
| | - Huimin Xiao
- School of Nursing, Fujian Medical University, No. 1 Xuefu North Road, University Town, Fuzhou, 3500108 Fujian China
| | - Xiuyan Lan
- Fujian Provincial Hospital, Fuzhou, China
- Fujian Medical University Affiliated Clinical Medical Institute, Fuzhou, China
| | - Shuangshuang Wen
- The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China
| | - Shaoshao Bao
- School of Nursing, Fujian Medical University, No. 1 Xuefu North Road, University Town, Fuzhou, 3500108 Fujian China
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