Affiliation:
1. Student Research Committee, Babol University of Medical Sciences, Babol, Iran
2. Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
3. Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Abstract
Background: Aging is considered a biological, natural, and inevitable phenomenon that is associated with common problems of sleep quality and falls. The aim of this study was to evaluate the relationship between sleep quality and falls among the elders of Amirkola. Methods: In this case-control study, 250 elders, who were exposed to the falling, and 500 people without the previous falling were randomly selected during 2016-2017. The data were collected according to demographic and Pittsburgh Sleep Quality Index (PSQI) questionnaires. Results: There was a significant relationship between sleep quality and falling, while no significant relationship was found between demographic characteristics (e.g., gender, marital situation, age, educational level, occupation, and satisfaction of income) and falling. The mean of chronic diseases was 3.65±2.29 and 4.38±2.75 in control and case groups, respectively (P=0.0001). A significant difference was found between the two groups regarding the number of falls during the last 12 months (P=0.0001). There was a significant positive correlation between the score of poor sleep quality and the number of chronic diseases (P=0.001, r=0.352), the number of falls during the last 12 months (P=0.001, r=0.137), and the number of falling during the last 12 months with the number of chronic diseases (P=0.001, r=0.208). There was a significant negative correlation between poor quality sleep with the score of physical activity (P=0.001, r=-0.166) and the number of chronic diseases with the physical activity score (P=0.001, r=-0.259). After adjusting the other variables, the number of chronic diseases (P=0.002, OR=1.114) and history of smoking (P=0.018, OR=1.678) were the most effective factors of falling. Finally, a direct positive correlation was observed between the total scores of sleep quality and falling in terms of gender in the older woman of Amirkola (P=0.001, OR=2.080). Conclusion: Awareness of the factors of falls can help develop prevention strategies and appropriate health services.
Publisher
Maad Rayan Publishing Company
Reference36 articles.
1. Najafgholipour N, Kalantari N, Ayvaznejad Q. Psychology of the nursing home environment. 1st International Conference on Human, Architecture, Civil Engineering and City(ICOHACC); June 2015; Tabriz, Iran. [Persian].
2. The coming acceleration of global population ageing
3. Iranian Statistics Center. Selected Results of 2011 Population Census. http://nnt.sci.org.ir/sites/apps/yearbook/year_book_doc/90-99-8.pdf. Accessed October 5, 2014. [Persian].
4. Mirzaei M, Gholamrezaei E, Bidaki R, Fallahzadeh H, Ravaei J. Quality of sleep and methods of management of sleep disorders in elderly of Yazd city in 2016. J Shahid Sadoughi Univ Med Sci 2017;25(6):467-75. [Persian].