Effect of Light Therapy on Quality of Sleep Among Elderly Women at Selected Old Age Home, Bhubaneswar, Odisha

Sailabala Mohanty*, Rupanjali Patra**
*-** SUM Nursing College, Siksha O’ Anusandhan University, Bhubaneswar, Odisha, India.
Periodicity:February - April'2019
DOI : https://doi.org/10.26634/jnur.9.1.15429

Abstract

Being an elderly woman presents itself with array of unique problems, then these problems are aggravated by the marked changes in the socioeconomic transformation, which leads to a number of changes in different aspects of living conditions. Sleeping problems are one of the many problems in our modern society with major psycho-physical implications. The major changes in elderly women's sleep formation are decrease in sleep quality, sleep disturbance, difficulty in starting and maintaining sleep. Elderly women take lot of medications for good sleep, but this will lead to complications, and the possibility for using technology for improving sleep is also majorly accounted for. This is a new way by which better sleep in elderly women could be sustained and the paper has underlined the important role of technology, that it could play. In the study, quasi experimental pre-test post-test only design was adopted to assess preexisting health conditions and effect of light therapy on quality of sleep among elderly women in selected old age home in Bhubaneswar, by taking 48 elderly women in experimental and control group through simple random sampling method. Total study was conducted in following four phases, i.e. pre intervention, intervention, post intervention, and follow up. Light therapy was given in morning for 30 minutes by cool white florescent LED in 10,000 LUX light to the experimental group. The result of pre-existing health conditions showed that sleep disorder is found maximum in control group (91.66%) and experimental group (87.5%). The result revealed that at the end of light therapy in intervention and during follow up period, highly significant increase in global score of quality of sleep was found compared with pre intervention score. The light therapy has also significant impact on sub components of sleep quality. It was concluded that light therapy has been shown to be effective non-pharmacological therapy for improving quality of sleep among elderly.

Keywords

Light Therapy, Sleep Quality, Circadian Cycle.

How to Cite this Article?

Mohanty, S., and Patra, R. (2019). Effect Of Light Therapy on Quality of Sleep Among Elderly Women at Selected Old Age Home, Bhubaneswar, Odisha. i-manager's Journal on Nursing, 9(1), 11-19. https://doi.org/10.26634/jnur.9.1.15429

References

[1]. Akyar, I., & Akdemir, N. (2013). The effect of light therapy on the sleep quality of the elderly: An intervention study. Australian Journal of Advanced Nursing, The, 31(2), 31.
[2]. Ancoli-Israel, S., Gehrman, P., Martin, J. L., Shochat, T., Marler, M., Corey-Bloom, J., & Levi, L. (2003). Increased light exposure consolidates sleep and strengthens circadian rhythms in severe Alzheimer's disease patients. Behavioral Sleep Medicine, 1(1), 22-36. https://doi.org/ 10.1207/S15402010BSM0101_4
[3]. Beard, J. R., Officer, A. M., & Cassels, A. K. (2016). The world report on ageing and health. Gerontologist, 56, S163-S166. doi:10.1093/ geront/gnw037
[4]. Chang, K. J., Son, S. J., Lee, Y., Back, J. H., Lee, K. S., Lee, S. J., ... & Koh, S. H. (2014). Perceived sleep quality is associated with depression in a Korean elderly population. Archives of Gerontology and Geriatrics, 59(2), 468-473.
[5]. Chiou, J. H., Chen, H. C., Chen, K. H., & Chou, P. (2016). Correlates of self-report chronic insomnia disorders with 1–6 month and 6-month durations in home-dwelling urban older adults-the Shih-Pai Sleep Study in Taiwan: A crosssectional community study. BMC Geriatrics, 16(1), 119. Retrieved from https://doi.org/10.1186/s12877-016-0290-6
[6]. Cochen, V., Arbus, C., Soto, M. E., Villars, H., Tiberge, M., Montemayor, T., ... & Verny, M. (2009). Sleep disorders and their impacts on healthy, dependent, and frail older adults. JNHA-The Journal of Nutrition, Health and Aging, 13(4), 322-329. Retrieved from http://www.ncbi.nlm.nih. gov/ pubmed/19300867
[7]. Context, D. (2012). Today ' s Research on Aging, 1-6.
[8]. Fulmer, T. T. (1991). Grow your own experts in hospital elder care: Geriatric clinical specialists can't be everywhere, but they can transform willing medicalsurgical nurses into on-site geriatric resources. Geriatric Nursing, 12(2), 64-66.
[9]. Gamaldo, A. A., Beydoun, M. A., Beydoun, H. A., Liang, H., Salas, R. E., Zonderman, A. B., ... & Eid, S. M. (2016). Sleep disturbances among older adults in the United States, 2002–2012: Nationwide inpatient rates, predictors, and outcomes. Frontiers in Aging Neuroscience, 8, 266. doi:10.3389/fnagi.2016.00266
[10]. Gambhir, I. S., Chakrabarti, S. S., Sharma, A. R., & Saran, D. P. (2014). Insomnia in the elderly-a hospital-based study from North India. Journal of Clinical Gerontology and Geriatrics, 5(4), 117-121. doi: 10.1016/j.jcgg.2014.05.005
[11]. Gooneratne, N. S., & Vitiello, M. V. (2014). Sleep in older adults: Normative changes, sleep disorders, and treatment options. Clinics in Geriatric Medicine, 30(3), 591-627.
[12]. Haseli-Mashhadi, N., Dadd, T., Pan, A., Yu, Z., Lin, X., & Franco, O. H. (2009). Sleep quality in middle-aged and elderly Chinese: Distribution, associated factors and associations with cardio-metabolic risk factors. BMC Public Health, 9(1), 130. doi:10. 1186/1471-2458-9-130
[13]. Healthy Aging & Non-Communicable Diseases. (2006). In www.paho.org. Retrieved from https://www. paho.org/hq/index.php?option=com_content&view =article&id=9979:healthy-aging-non-communicablediseases& Itemid =40721&lang=es
[14]. Jean-Louis, G., Zizi, F., Clark, L. T., Brown, C. D., & McFarlane, S. I. (2008). Obstructive sleep apnea and cardiovascular disease: Role of the metabolic syndrome and its components. Journal of Clinical Sleep Medicine, 4(03), 261-272. Retrieved from http://www.ncbi.nlm.nih. gov/pubmed/18595441
[15]. Kowal, P., Goodkind, D., & He, W. (2016). An aging world: 2015, international population reports. Washington: US Government Printing Office.
[16]. Luo, J., Zhu, G., Zhao, Q., Guo, Q., Meng, H., Hong, Z., & Ding, D. (2013). Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. PloS One, 8(11), e81261. Retrieved from https://doi.org/10.1371/ journal.pone.0081261
[17]. Mishima, K., Okawa, M., Hishikawa, Y., Hozumi, S., Hori, H., & Takahashi, K. (1994). Morning bright light therapy for sleep and behavior disorders in elderly patients with dementia. Acta Psychiatrica Scandinavica, 89(1), 1-7. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/ 8140901
[18]. Mohanty, S., Pradhan, S., Patra, R., & Nayak, M. (2016). Depression in old age: Prevalence and predictors. Int. J. Health Sci. Res., 6, 206-212.
[19]. Montgomery, P., & Dennis, J. A. (2002). Bright light therapy for sleep problems in adults aged 60+. Cochrane Database of Systematic Reviews, 2. doi:10.1002/ 14651858.CD003403
[20]. Neikrug, A. B., & Ancoli-Israel, S. (2010). Sleep disorders in the older adult–a mini-review. Gerontology, 56(2), 181-189. doi:10.1159 /000236900
[21]. Program and Policy Implications. (2012). Noncommunicable diseases among older adults in lowand middle-income countries. Today's Research on Aging, 1-7. Retrieved from http://www.prb.org/pdf12/Todays ResearchAging26.pdf
[22]. Prince, M. J., Wu, F., Guo, Y., Robledo, L. M. G., O'Donnell, M., Sullivan, R., & Yusuf, S. (2015). The burden of disease in older people and implications for health policy and practice. The Lancet, 385(9967), 549-562. doi:10.1016/S0140-6736(14)61347-7
[23]. Rosenthal, N. E., Joseph-Vanderpool, J. R., Levendosky, A. A., Johnston, S. H., Allen, R., Kelly, K. A., ... & Starz, K. E. (1990). Phase-shifting effects of bright morning light as treatment for delayed sleep phase syndrome. Sleep, 13(4), 354-361. Retrieved from http://www.ncbi.nlm. nih.gov/pubmed/2267478
[24]. Sagayadevan, V., Abdin, E., Shafie, S. B., Jeyagurunathan, A., Sambasivam, R., Zhang, Y., ... & Subramaniam, M. (2016). Sleep quality of elderly living in nursing home. Turkish Journal of Geriatrics, 9(3), 165-169. doi:10.1111/psyg.12190
[25]. Shah, N., Bang, A., & Bhagat, A. (2010). Indian research on sleep disorders. Indian Journal of Psychiatry, 52(Suppl1), S255. doi:10.4103/0019-5545.69242
[26]. State of Elderlyin India. (2014). In www.helpageindia.org. Retrieved from https://www.helpageindia.org/wp-content/themes/ helpageindia/pdf/state-elderly-india-2014.pdf
[27]. United Nations Population Fund (UNFPA), & Help Age International. (2012). Ageing in the Twenty-First Century: A Celebration and a Challenge. United Nations Population Fund (UNFPA), New York, and Help Age International, London. Retrieved from https://www.unfpa.org/sites/ default/files/pub-pdf/Ageing%20report.pdf
[28]. Wolkove, N., Elkholy, O., Baltzan, M., & Palayew, M. (2007). Sleep and aging: Sleep disorders commonly found in older people. Canadian Medical Association Journal, 176(9), 1299-1304. doi:10.1503/cmaj.060792
[29]. Wu, M.. C., Sung, H. C., Lee, W. L., & Smith, G. D. (2014). The effects of light therapy on depression and sleep disruption in older adults in a long-term care facility. International Journal of Nursing Practice, Apr (February), 1- 7. doi:10.1111/ijn.12307
[30]. Zeitzer, J. M., Dijk, D. J., Kronauer, R. E., Brown, E. N., & Czeisler, C. A. (2000). Sensitivity of the human circadian pacemaker to nocturnal light: Melatonin phase resetting and suppression. The Journal of Physiology, 526(3), 695- 702. doi:10.1111/j.1469-7793.2000.00695.x
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