Boonshan Sangfai. Factors Affecting the Sleep Quality of The Elderly in Thailand. Master's Degree(Anti-Aging and Regenerative Medicine). Dhurakij Pundit University. Learning Center and Library.. : Dhurakij Pundit University, 2021.
Factors Affecting the Sleep Quality of The Elderly in Thailand
Abstract:
One of challenging global phenomena is the growth of elderly population which underlines human longevity across the globe. It is consequently impacting vulnerable health in the elderly. Sleep problems are neither uncommon nor inherent of physiological change of ageing process. One of the elderly health vulnerability and complex evidently derive from sleep problems. Thailand is a full-fledged society of older people under the WHO guidelines. There are various studies on sleep problems and disorders among the elderly whose focus was aimed at specific groups and locations in Thailand. This research explored and presented sleep problems of the elderly at national perspective scales. Research objectives were established to examine sleep quality throughout the country and explore correlation between individual factors and sleep quality in the elderly. The established research question asks How do individual factors affect sleep quality in the elderly in Thailand? This correlative study was purposely designed to explore the relationship of essential elements of individual factors and sleep quality in the elderly in Thailand. The stratified sampling method was employed in identifying 400 samplings in 15 provinces of 4 regions across Thailand. The field survey approach engages the in-depth interview by using the modified PSQI questionnaire whose validity and reliability was approved by the established the Expert Committee. The data collection and compilation took place during July-November 2021 coinciding with the Covid-19 pandemic impacting the field survey. The study results succinctly identified three core elements. The first one is related to individual and personal factors. The majority of samplings occupied age ranges of 65-70 years who are mostly male and married and have adequate income and their own lodgings. Though having personal medical conditions, the majority drank neither alcohols nor caffeine and do not smoke and do not practise physical exercise either. The most disturbing environment affecting sleep is noise. The majority experienced depression and did not perform prayers or meditation before sleep. The second element is related to the sleep quality under the PSQI guidelines. It was found that the majority of 315 persons (78.8%) did not have a good sleep quality with the total PSQI scores of greater than 5 points. The minority of 85 persons (21.2 %( had a good sleep quality with the total PSQI scores of less than 5 points. The third element captures and present the result of hypothesis testing which found that age, marital status, medical conditions, consumption of alcohol and caffeine, physical exercise, disturbing environment, depression with known and unknown causes and practice of prayers and meditation before sleep are correlated with sleep quality of the elderly. Gender has no correlation with sleep quality of the elderly as the good and bad sleep quality of either gender are of proportional results. The conclusive result of this study indicated that the majority of 315 persons (78.8%) reached the PSQI total scores greater than 5 points indicating the bad sleep quality. While the minority of 85 persons (21.2%) reached the total PSQI scores of less than 5 points indicating a good sleep quality. Therefore, the majority of samplings experienced bad sleep quality under PSQI Guidelines. The analysis and calculation of 7 PSQI components incorporating relevant elements of individual personal factors/independent variables which substantiate the effect and correlation with sleep quality of the elderly/dependent variables.
Dhurakij Pundit University. Learning Center and Library.