The Effect of Sleep Health Education Based on Telephone Follow-up (Tele-Nursing) on Sleep Quality Improvement in Postmenopausal Elderly Women
,
Abstract
Background and Objective: Poor sleep is one of the most common problems in old age and menopause. The aim of this study was to investigate the effect of tele-nursing-based sleep health education on sleep quality in postmenopausal elderly women.
Materials and Methods: In this quasi-experimental study, 70 elderly people over 60 years of age who referred to urban community health centers of Gonabad City, Iran, and met the inclusion criteria were selected through a systematic sampling and were equally assigned into controland intervention groups. Participants completed a questionnaire that included the demographic questionnaire and Pittsburgh Sleep Quality Index (PSQI). After completing the pre-test in the intervention group, the sleep health education program was conducted as a face-to-face training session and a telephone follow-up during two months (12 follow-ups). The control group received routine health care. Post-test was performed in both groups after 2 months.
Results: We did not find any significant difference between two groups at bassline variables. Besides, there was no statistically significant difference in the mean score of sleep quality before intervention in the experimental and control groups (P = 0.127), the mean score of sleep quality after the intervention showed a significant difference between the two groups (P < 0.001).
Conclusion: The sleep health education program based on telephone follow-up can improve the sleep quality of postmenopausal elderly women. Therefore, teaching this non-pharmacological approach to health care workers, staff of community health centers, and caregivers is recommended to improve the sleep quality of postmenopausal elderly women.
1. Im EO, Ko Y, Chee E, et al. Cluster analysis of midlife women's sleep-related symptoms: Racial/ethnic differences. Menopause 2015; 22: 1182-9.
2. Khosravan S, Mohammadzadeh-Moghadam H, Mohammadzadeh F, et al. The effect of hollyhock (Althaea Officinalis l) leaf compresses combined with warm and cold compress on breast engorgement in lactating women: A randomized clinical trial. J Evid Based Complementary Altern Med 2017; 22: 25-30.
3. Taibi DM, Vitiello MV, Barsness S, et al. A randomized clinical trial of valerian fails to improve self-reported, polysomnographic, and actigraphic sleep in older women with insomnia. Sleep Med 2009; 10: 319-28.
4. Lyytinen H. A nationwide study on breast cancer risk in postmenopausal women using hormone therapy in Finland [Online]. [cited 2009]; Available from: URL: https://core.ac.uk/download/pdf/14918426.pdf
5. Abbasinia H, Alizadeh Z, Vakilian K, et al. Effect of Chamomile extract on sleep disorder in menopausal women. Iran J Obstet Gynecol Infertil 2016; 19: 1-7. [In Persian].
6. Kalleinen N, Polo O, Himanen SL, et al. Sleep deprivation and hormone therapy in postmenopausal women. Sleep Med 2006; 7: 436-47.
7. Vitiello MV, Larsen LH, Moe KE. Age-related sleep change: Gender and estrogen effects on the subjective-objective sleep quality relationships of healthy, noncomplaining older men and women. J Psychosom Res 2004; 56: 503-10.
8. Hsu HC, Lin MH. Exploring quality of sleep and its related factors among menopausal women. J Nurs Res 2005; 13: 153-64.
9. Thase ME. Correlates and consequences of chronic insomnia. Gen Hosp Psychiatry 2005; 27: 100-12.
10. Safa A, Adib-Hajbaghery M, Fazel-Darbandi A. The relationship between sleep quality and quality of life in older adults. Iranian Journal of Psychiatric Nursing (IJPN) 2015; 3: 53-62. [In Persian].
11. Akbari Kamrani AA, Shams A, Shamsipour Dehkordi P, et al. The effect of low and moderate intensity aerobic exercises on sleep quality in men older adults. Pak J Med Sci 2014; 30: 417-21.
12. Farhadi A, Foroughan M, Mohammadi F, et al. Validity and reliability of the Persian version of the revised caregiving appraisal scale in Iranian family caregivers of older adults with dementia. Iran Red Crescent Med J 2017; 19.
13. Ashrafi H, Ansarin K, Hasanzadeh M, et al. Review on sleep disorders and their management. Med J Tabriz Univ Med Sci 2018; 40: 95-105. [In Persian].
14. Montazeri Lemrasky M, Shamsalinia A, Hajiah-madi M, et al. The effectiveness of education on factors affecting elderly women's sleep. Caspian J Health Age 2018; 3: 59-68. [In Persian].
15. Jamshidian Z, Hasanpour M, Najafi M. The effect of sleep hygiene education on the knowledge level of parents of elementary school students. Iran J Nurs Res 2017; 12: 22-7. [In Persian].
16. Doghramji K. Sleep disorders: a selective update. Hosp Community Psychiatry 1989; 40: 29-40.
17. Taheri Tanjani P, Khodabakhshi H, Etemad K, et al. Effect of sleep hygiene education on sleep quality and general health of elderly women with sleep disorders living in Birjand City, Iran, in 2016. Salmand Iran J Ageing 2019; 14: 248-59. [In Persian].
18. McCrae CS, Rowe MA, Dautovich ND, et al. Sleep hygiene practices in two community dwelling samples of older adults. Sleep 2006; 29: 1551-60.
19. Babamiri M, Moeini B, Tahmasian H, et al. The study of sleep health education effect on sleep quality among lorestan nursing personnel. Iran J Ergon 2017; 4: 8-13. [In Persian].
20. )Hasegawa T, Murase S. Distribution of telemedi-cine in Japan. Telemed J E Health 2007; 13: 695-702.
21. Bangert D, Doktor R. Management of clinical e-health systems. Proceedings of the 36th Annual Hawaii International Conference on System Sciences; 2003 Jan. 6-9; Big Island, Hawaii.
22. Ahmadi Babadi S, Sadeghmoghadam L, Delshad Noghabi A. Comparing the effectiveness of telenursing with in-person follow up on the feeling of loneliness among the elderly in community health centers in Ahvaz in 2017. Journal of Gerontology 2017; 2: 58-65.
23. Forouzesh M, Sanagoo A, Ghavidel A, et al. The effect of telenursing (telephone follow up) after discharge on readmission due to complications after coronary artery bypass graft surgery. Nurse Midwifery J 2017; 15: 584-94.
24. Zakerimoghadam M, Bassampour S, Rjab A, et al. Effect of nurse-led telephone follow ups (Tele-nursing) on diet adherence among type 2 diabetic patients. Hayat 2008; 14: 63-71. [In Persian].
25. Behzad Y, Bastani F, Haghani H. Effect of empowerment program with the telephone follow-up (Tele-nursing) on self - efficacy in self-care behaviors in hypertensive older adults. Nurs Midwifery J 2016; 13: 1004-15. [In Persian].
26. Hoch CC, Reynolds CF 3rd, Buysse DJ, et al. Protecting sleep quality in later life: A pilot study of bed restriction and sleep hygiene. J Gerontol B Psychol Sci Soc Sci 2001; 56: 52-9.
27. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28: 193-213.
28. Mottaghi R, Kamkar A, Maredpoor A. Effectiveness of targeted musical therapy on sleep quality and overcoming insomnia in seniors. Salmand Iran J Ageing 2016; 11: 348-57. [In Persian].
29. Hedayat S, Arefi M. The effect of cognitive-behavioral therapy on improving sleep quality in the elderly. Knowledge & Research in Applied Psychology 2015; 16: 60-8.
30. Drake CL, Kalmbach DA, Arnedt JT, et al. Treating chronic insomnia in postmenopausal women: A randomized clinical trial comparing cognitive-behavioral therapy for insomnia, sleep restriction therapy, and sleep hygiene education. Sleep 2019; 42: zsy217.
31. Ozgoli G, Armand M, Heshmat R, et al. Acupressure effect on sleep quality in menopausal women. Complementary Medicine Journal 2012; 2: 212-24.
32. Gholamalian F, Tadayon M, Abedi P, et al. The effect of lavender aromatherapy on sleep quality in postmenopausal women. Iran J Obstet Gynecol Infertil 2015; 18: 18-25. [In Persian].
33. Edinger JD, Sampson WS. A primary care "friendly" cognitive behavioral insomnia therapy. Sleep 2003; 26: 177-82.
34. Yan J, You LM, Liu BL, et al. The effect of a tele-phone follow-up intervention on illness perception and lifestyle after myocardial infarction in China: A randomized controlled trial. Int J Nurs Stud 2014; 51: 844-55.
35. Kamrani F, Nikkhah S, Borhani F, et al. The effect of patient education and nurse-led telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome. Iranian Journal of Cardio-vascular Nursing 2015; 4: 16-24. [In Persian].
36. Sol BG, van der Graaf Y, van der Bijl JJ, et al. The role of self-efficacy in vascular risk factor management: A randomized controlled trial. Patient Educ Couns 2008; 71: 191-7.
2. Khosravan S, Mohammadzadeh-Moghadam H, Mohammadzadeh F, et al. The effect of hollyhock (Althaea Officinalis l) leaf compresses combined with warm and cold compress on breast engorgement in lactating women: A randomized clinical trial. J Evid Based Complementary Altern Med 2017; 22: 25-30.
3. Taibi DM, Vitiello MV, Barsness S, et al. A randomized clinical trial of valerian fails to improve self-reported, polysomnographic, and actigraphic sleep in older women with insomnia. Sleep Med 2009; 10: 319-28.
4. Lyytinen H. A nationwide study on breast cancer risk in postmenopausal women using hormone therapy in Finland [Online]. [cited 2009]; Available from: URL: https://core.ac.uk/download/pdf/14918426.pdf
5. Abbasinia H, Alizadeh Z, Vakilian K, et al. Effect of Chamomile extract on sleep disorder in menopausal women. Iran J Obstet Gynecol Infertil 2016; 19: 1-7. [In Persian].
6. Kalleinen N, Polo O, Himanen SL, et al. Sleep deprivation and hormone therapy in postmenopausal women. Sleep Med 2006; 7: 436-47.
7. Vitiello MV, Larsen LH, Moe KE. Age-related sleep change: Gender and estrogen effects on the subjective-objective sleep quality relationships of healthy, noncomplaining older men and women. J Psychosom Res 2004; 56: 503-10.
8. Hsu HC, Lin MH. Exploring quality of sleep and its related factors among menopausal women. J Nurs Res 2005; 13: 153-64.
9. Thase ME. Correlates and consequences of chronic insomnia. Gen Hosp Psychiatry 2005; 27: 100-12.
10. Safa A, Adib-Hajbaghery M, Fazel-Darbandi A. The relationship between sleep quality and quality of life in older adults. Iranian Journal of Psychiatric Nursing (IJPN) 2015; 3: 53-62. [In Persian].
11. Akbari Kamrani AA, Shams A, Shamsipour Dehkordi P, et al. The effect of low and moderate intensity aerobic exercises on sleep quality in men older adults. Pak J Med Sci 2014; 30: 417-21.
12. Farhadi A, Foroughan M, Mohammadi F, et al. Validity and reliability of the Persian version of the revised caregiving appraisal scale in Iranian family caregivers of older adults with dementia. Iran Red Crescent Med J 2017; 19.
13. Ashrafi H, Ansarin K, Hasanzadeh M, et al. Review on sleep disorders and their management. Med J Tabriz Univ Med Sci 2018; 40: 95-105. [In Persian].
14. Montazeri Lemrasky M, Shamsalinia A, Hajiah-madi M, et al. The effectiveness of education on factors affecting elderly women's sleep. Caspian J Health Age 2018; 3: 59-68. [In Persian].
15. Jamshidian Z, Hasanpour M, Najafi M. The effect of sleep hygiene education on the knowledge level of parents of elementary school students. Iran J Nurs Res 2017; 12: 22-7. [In Persian].
16. Doghramji K. Sleep disorders: a selective update. Hosp Community Psychiatry 1989; 40: 29-40.
17. Taheri Tanjani P, Khodabakhshi H, Etemad K, et al. Effect of sleep hygiene education on sleep quality and general health of elderly women with sleep disorders living in Birjand City, Iran, in 2016. Salmand Iran J Ageing 2019; 14: 248-59. [In Persian].
18. McCrae CS, Rowe MA, Dautovich ND, et al. Sleep hygiene practices in two community dwelling samples of older adults. Sleep 2006; 29: 1551-60.
19. Babamiri M, Moeini B, Tahmasian H, et al. The study of sleep health education effect on sleep quality among lorestan nursing personnel. Iran J Ergon 2017; 4: 8-13. [In Persian].
20. )Hasegawa T, Murase S. Distribution of telemedi-cine in Japan. Telemed J E Health 2007; 13: 695-702.
21. Bangert D, Doktor R. Management of clinical e-health systems. Proceedings of the 36th Annual Hawaii International Conference on System Sciences; 2003 Jan. 6-9; Big Island, Hawaii.
22. Ahmadi Babadi S, Sadeghmoghadam L, Delshad Noghabi A. Comparing the effectiveness of telenursing with in-person follow up on the feeling of loneliness among the elderly in community health centers in Ahvaz in 2017. Journal of Gerontology 2017; 2: 58-65.
23. Forouzesh M, Sanagoo A, Ghavidel A, et al. The effect of telenursing (telephone follow up) after discharge on readmission due to complications after coronary artery bypass graft surgery. Nurse Midwifery J 2017; 15: 584-94.
24. Zakerimoghadam M, Bassampour S, Rjab A, et al. Effect of nurse-led telephone follow ups (Tele-nursing) on diet adherence among type 2 diabetic patients. Hayat 2008; 14: 63-71. [In Persian].
25. Behzad Y, Bastani F, Haghani H. Effect of empowerment program with the telephone follow-up (Tele-nursing) on self - efficacy in self-care behaviors in hypertensive older adults. Nurs Midwifery J 2016; 13: 1004-15. [In Persian].
26. Hoch CC, Reynolds CF 3rd, Buysse DJ, et al. Protecting sleep quality in later life: A pilot study of bed restriction and sleep hygiene. J Gerontol B Psychol Sci Soc Sci 2001; 56: 52-9.
27. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28: 193-213.
28. Mottaghi R, Kamkar A, Maredpoor A. Effectiveness of targeted musical therapy on sleep quality and overcoming insomnia in seniors. Salmand Iran J Ageing 2016; 11: 348-57. [In Persian].
29. Hedayat S, Arefi M. The effect of cognitive-behavioral therapy on improving sleep quality in the elderly. Knowledge & Research in Applied Psychology 2015; 16: 60-8.
30. Drake CL, Kalmbach DA, Arnedt JT, et al. Treating chronic insomnia in postmenopausal women: A randomized clinical trial comparing cognitive-behavioral therapy for insomnia, sleep restriction therapy, and sleep hygiene education. Sleep 2019; 42: zsy217.
31. Ozgoli G, Armand M, Heshmat R, et al. Acupressure effect on sleep quality in menopausal women. Complementary Medicine Journal 2012; 2: 212-24.
32. Gholamalian F, Tadayon M, Abedi P, et al. The effect of lavender aromatherapy on sleep quality in postmenopausal women. Iran J Obstet Gynecol Infertil 2015; 18: 18-25. [In Persian].
33. Edinger JD, Sampson WS. A primary care "friendly" cognitive behavioral insomnia therapy. Sleep 2003; 26: 177-82.
34. Yan J, You LM, Liu BL, et al. The effect of a tele-phone follow-up intervention on illness perception and lifestyle after myocardial infarction in China: A randomized controlled trial. Int J Nurs Stud 2014; 51: 844-55.
35. Kamrani F, Nikkhah S, Borhani F, et al. The effect of patient education and nurse-led telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome. Iranian Journal of Cardio-vascular Nursing 2015; 4: 16-24. [In Persian].
36. Sol BG, van der Graaf Y, van der Bijl JJ, et al. The role of self-efficacy in vascular risk factor management: A randomized controlled trial. Patient Educ Couns 2008; 71: 191-7.
| Files | ||
| Issue | Vol 5 No 3 (2020): Summer | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jss.v5i3.6917 | |
| Keywords | ||
| Menopause; Aging; Sleep hygiene | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Moradi M, Noori R, Khajavian N, Basiri-Moghadam K, Sadegh Moghadam L. The Effect of Sleep Health Education Based on Telephone Follow-up (Tele-Nursing) on Sleep Quality Improvement in Postmenopausal Elderly Women. J Sleep Sci. 2021;5(3):86-92.
