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Association of health related quality of life domains with daytime sleepiness among elderly recipients of long-term services and supports
Brewster, Glenna S. ; Hirschman, Karen B. ; Riegel, Barbara J. ; Hanlon, Alexandra L. ; Huang, Liming ; McPhillips, Miranda V. ; Abbott, Katherine M. ; Naylor, Mary D.
Brewster, Glenna S.
Hirschman, Karen B.
Riegel, Barbara J.
Hanlon, Alexandra L.
Huang, Liming
McPhillips, Miranda V.
Abbott, Katherine M.
Naylor, Mary D.
Abstract
Excessive daytime sleepiness (EDS) is prevalent in older adults; however, data are lacking that examine EDS across living environments. The aims of this secondary data analysis were to identify the prevalence and predictors of EDS among older adults receiving long-term services and supports (LTSS) in assisted living communities (ALCs), nursing homes (NHs), and the community. Participants (n = 470) completed multiple measures including daytime sleepiness. Logistic regression modeling was used to identify EDS predictors. Participants were primarily female and white with a mean age of 81 ± 9 years. The overall prevalence of EDS was 19.4%; the prevalence differed across living environment. Older adults in ALCs and NHs had higher odds of EDS than those living in the community. Also, depressive symptoms and number of bothersome symptoms predicted EDS. Upon admission for LTSS, evaluating older adults, especially those in ALCs and NHs, for depression and bothersome symptoms may reveal modifiable factors of EDS.
Keywords
depression, sleep disturbances, home and community-based services, long-term care, assisted living communities
Date
2019
Type
Journal article
Journal
Geriatric Nursing
Book
Volume
40
Issue
4
Page Range
417-423
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled
