Management of Insomnia in Hospitalized Older Adults: A Systematic Review
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2010-07-09
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Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Abstract
Abstract: Keywords: Management, Insomnia, Older adultsThe purposes of this study were to analyze and synthesize researchevidence on management of insomnia in hospitalized older adults. Throughsearching electronic databases, 11 relevant research studies published between1990 and 2007 were selected for study. Of the research studies, six wereclassified as level A having high reliability, and five as level B having goodreliability. The findings indicated that management of insomnia in older adultscould be categorized into three areas as follows: 1) management of insomnia inhospitalized older adults with pharmacological treatment, 2) management ofinsomnia in hospitalized older adults with non-pharmacological treatment, such as,music therapy, light exposure, acupuncture therapy, and the use of relaxationtechnique in coordination with imagination, and 3) management of insomnia inhospitalized older adults with multi-factorial interventions. The findings revealedvarious methods, which would reduce insomnia in older adults and might be usedin hospitalized patients. In addition, they could be used as guidelines for atreatment management system and implementation enabling older adults to obtaingood quality of sleep. Besides, it would also help them recover from diseases at afaster pace as well as to obtain a good quality of life.
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Ramathibodi Nursing Journal; vol. 15 No.2 May-August 2009