Han EK, et al. Korean J Adult Nurs. 2019 Apr;31(2):165-175. https://doi.org/10.7475/kjan.2019.31.2.165

박세화, et al. J Korean Acad Nurs Adm. 2022 Dec;28(5):511-521. https://doi.org/10.11111/jkana.2022.28.5.511

Purpose: The purpose of this study was to identify the experiences of insomnia symptoms in the elderly living alone in the community. Methods: Eleven of the elderly with insomnia symptoms living alone in the community were interviewed. Data were collected through individual interviews July-September 2018. Colaizzi's phenomenological methodology was used. Results: Results showed that the experiences of insomnia symptoms of the elderly living alone comprised 11 themes clusters and five categories: 1) Insomnia symptoms triggered by various causes, 2) Physical symptoms exacerbated by insomnia, 3) Insomnia worsened by psychological symptoms, 4) Useless efforts to fix insomnia, 5) Living with adapted insomnia symptoms. Conclusion: It is necessary to develop a sleep intervention program that includes insomnia symptoms awareness, sleep health education, and social support factors. Community nurses should focus on insomnia symptoms as well as listen and empathize with various psychological phenomena in caring for the elderly with insomnia living alone.

Background/Objectives The dementia is rapidly growing. This study is to develop evidence of the intervention program for family with demented elderly patients and to suggest the direction of future research. Methods/Statistical analysis The integrative literature review was applied for 20 years since 2000. We evaluated the extracted data through literature search. 11 papers were confirmed. The concepts of ‘quality of life’ and ‘satisfaction of life’, which were not included in the main search term, were important as a positive concept. Three researchers analyzed the results after discussing the contents of the final analysis. Findings In qualitative studies, the center for dementia care provided positive change in family such as opening mind to dementia, help each other, changing pattern of life, and changing for better life. The process of family resilience with in-home patient was analyzed as four stages of confrontation, challenge, integration, and sublimation. The type of family resilience was analyzed as positive meaning seeking, rational mutual cooperation, passive reality accepting, and external resource dependent. The adapted family's the main caregivers were spouses, had good health condition, social resources, and religion. In quantitative studies, the factors affecting adjustment of family were family resilience and support burden, and life satisfaction of family were family resilience. Improvements/Applications This study provides the evidence of intervention program for family resilience with the demented elderly patients. Also, the result of this study suggests the future direction of the research.

Purpose: This study evaluated the effect of the a good sleep program on sleep quality, stress, and functional health in old-old women, that is women over the age of 75 years, who had insomnia. Methods: This quasi-experimental study used a non-equivalent control group pretest-posttest design. The participants were 35 old-old women with insomnia: 18 in the experimental group and 17 in the control group. Data were collected from August 24 and October 12, 2020. The experimental group, participated in a six-session good sleep program consisting of multiple components, including sleep health education, aromatherapy (lavender scent inhalation), abdominal breathing, sleep hygiene, and walking exercises was conducted. The Good Sleep Program was developed based on Cox’s interaction model of client health behavior. The control group received only a booklet on good sleep. The scales used for pre and post-intervention measurements were the Pittsburgh Sleep Quality Index, Perceived Stress Scale, and Functional Health Pattern Assessment Screening Tool. Results: Compared to the control group, the experimental group exhibited significant improvements in the quality of sleep (t=-3.92, p<.001), perceived stress (t=-3.35, p=.002), and functional health (t=2.97, p=.005). Conclusion: The Good Sleep Program can be used to reduce stress and improve sleep and overall health in old-old women.