Effectiveness of sleep management strategies in reducing insomnia among elderly

Effectiveness of sleep management strategies in reducing insomnia among elderly conducted in psychiatry outpatient department of Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research were one group pre test - post test research design was adopted for evaluation. Sleep management strategies was provided to elderly those who met the inclusion criteria. The study was conducted at psychiatry outpatient department of Melmaruvathur Adhiparasakthi Institute of Medical Sciences and research. The convenient sampling technique was administered and sample size was determined as 30. Modified pitts burgh insomnia rating scale was used to analyse the insomnia level of elderly with insomnia. Sleep management strategies was provided to reduce the elderly level of insomnia. OBJECTIVES: 1. To assess the level of insomnia among elderly. 2. To evaluate the effectiveness of sleep management strategies in reducing insomnia among elderly. 3. To find out the correlation between the effectiveness of sleep management strategies in reducing insomnia among elderly with the selected demographic variables. FINDINGS OF THE STUDY: The overall mean was 74.77 with standard deviation of 19.32 in pre test and the overall mean was 19.33 with the standard deviation of 7.92 in post test. The calculated value was greater than calculated value so the alternative hypothesis was accepted. This shows that sleep management strategies was effective. NURSING IMPLICATION: Sleep management strategies and psycho therapies play a major role in treating elderly with sleep disorders. Sleep management strategies will assist in relieving symptoms associated with insomnia, reduce the level of insomnia and improve sleep pattern. ❖ Help nurses to identify the underlying causes and risk factors of elderly with insomnia by assessing the level of insomnia. ❖ Understanding the needs of elderly with insomnia may help nurse to plan and provide appropriate sleep management strategies. ❖ The present study can help nurses to enrich their knowledge on sleep management strategies of elderly with insomnia. NURSING EDUCATION: ❖ Nursing curriculum can be modified with increased emphasis of psychotherapies. ❖ Recommendation for short term courses in relation to psychiatric nursing care. ❖ Students can also be trained to work in psychiatric ward under proper guidance. NURSING SERVICE: ❖ Nurses working in psychiatric department should have special training about various psychotherapies. ❖ Nurses working in psychiatric ward should have enough knowledge about care of elderly with insomnia they should be a keen observer since the elderly cannot realize their needs. ❖ Nurses should need to assess the elderly before starting care so that they can plan the sleep management strategies accordingly. ❖ Rewards can be given to the outstanding nurses in each year in all institution which will boost the temperament of the nurses. ❖ Facilitation and all required equipments to be made available for managing elderly with insomnia in all hospitals. NURSING ADMINISTRATION: ❖ People at the administration position can make necessary policies to implement the concept of mental health nursing in lderly care. ❖ Separate geriatric ward can be set up with the necessary facilities so as to adapt to the needs of the elderly ❖ In-service education programme on care of elderly and relaxation technique can be organized. ❖ Adequate staffing in psychiatric ward to be given as per norms. NURSING RESEARCH: ❖ The study reveals the sound knowledge of the nurse in using various techniques of psychotherapies. ❖ he study is preliminary step for exploring the concept of nursing and involved nursing care with respect to the involvement of the elderly. ❖ Further investigation can use this study as a reference material. ❖ The study provides awareness for further studies among the students in this area. RECOMMENDATIONS: ❖ The study can be done in comparing with other insomnia problems and any associated problems with insomnia. ❖ Descriptive analysis can be done with insomnia and complication on insomnia. ❖ Comparative study between the various types of insomnia. ❖ The study can be done in large samples. ❖ The study can be conducted in clients in a particular region or area to find out the influence of environment factors for sleep disorder. ❖ A comparative study can be done between the rural and urban clients