Sleep problems in older people and nursing management


  • ลดาวัลย์ พันธุ์พาณิชย์


Sleep, older people, nursing management


Sleep is the best form of rest. It is vital and has much benefit. However, most older people suffer sleep problems, which has much negative impacts. Sleep problems increase risk of physical, psychosocial, and spiritual health. It also increases mortality from all causes. Nurse has a crucial role in taking care of older people, in order to promote good quality of sleep as well as solve or reduce sleep problems.  This aims to enhance all dimensions of health by applying knowledge and understanding about normal sleep and changing in ageing process that affects sleep. This article presents importance of sleep, factors related to sleep, types of common sleep problems, assessment, and nursing management to promote sleep in older people


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1. Enderlin C, Harris M, Rose KM, Hutchison L. Sleep disorders. In: Mauck KL, editor. Gerontological nursing: Competencies for care. 3rd ed. Burlington, MA: Jones & Bartlett Learning; 2014. p. 581–619.
2. Miller CA. Sleep and rest. In: Nursing for wellness in older adults. 7th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015. p. 511–27.
3. Walker M. Why we sleep: The new science of sleep and dreams. 2018 [cited 2018 Mar 12]. Available from:
4. Nofzinger EA. Treatment of sleep disorders in the elderly: Neuroimaging of sleep in the elderly. In: Pandi-Perumal SR, Monti JM, Monjan AA, editors. Principles and practice of geriatric sleep medicine. Cambridge: Cambridge university press; 2010. p. 431–40.
5. Avidan, AY. Normal sleep. In: Kryger, MH, editor. Atlas of clinical sleep medicine. Saunders: Elsevier; 2010. p. 61–68.
6. Kryger MH, Avidan AY, Berry RB. Atlas of clinical sleep medicine. 2nd ed. 2014. Saunders, Elsevier.
7. Siegel J. Normal sleep. In: Atlas of clinical sleep medicine. Saunders, Elsevier; 2014. p. 65–97.
8. Limpawattana P, Sawanyawisuth K. Insomnia. In: Geriatric syndrome and interesting issues. Khon Kaen: Faculty of Medicine, Khon Kaen University; 2017. (In Thai)
9. Pandi-Perumal SR, Monti JM, Monjan AA. Principles and practice of geriatric sleep medicine. 2010. Cambridge: Cambridge University;
10. Andenæs R, Helseth S, Misvær N, Småstuen MC, Ribu L. Psychosocial factors are strongly associated with insomnia in users and nonusers of prescribed sleep medication: evidence from the HUNT3 study. J Multidiscip Healthc. 2016 Oct 19;9:547–55.
11. McHugh JE, Casey AM, Lawlor BA. Psychosocial correlates of aspects of sleep quality in community-dwelling Irish older adults. Aging Ment Health. 2011 Aug;15(6):749–55.
12. Phelan CH, Love GD, Ryff C, Brown RL, Heidrich SM. Psychosocial predictors of changing sleep patterns in aging women: A multiple pathway approach. Psychol Aging. 2010 Dec;25(4):858–66.
13. Tsou MT. Prevalence and risk factors for insomnia in community-dwelling elderly in northern Taiwan. Journal of Clinical Gerontology and Geriatrics. 2013 Sep;4(3):75–9.
14. Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Med Rev. 2015 Aug;22:23–36.
15. Shochat T. Impact of lifestyle and technology developments on sleep. Nat Sci Sleep. 2012 Mar 6;4:19–31.
16. American Academy of Sleep Medicine. International classification of sleep disorders – Third Edition (ICSD-3) [Internet].
17. Thorpy MJ. Classification of sleep disorders. Neurotherapeutics. 2012 Oct;9(4):687–701.
18. Limpawattana P, Sawanyawisuth K. Insomnia. In: Geriatric syndrome and interesting issues. Khon Kaen: Faculty of Medicine, Khon Kaen University. (In Thai)
19. Sateia MJ. International classification of sleep disorders-third edition. Chest. 2014 Nov;146(5):1387–94.
20. Zucconi A, Ferri R. Assessment of sleep disorders and diagnostic procedures. In: ESRS - Sleep Medicine Textbook.
21. Virunhagarun, T. Good sleep brings healthy for all life. Vol. 2018. Bangkok: Amarin health; 2018. (In Thai)
22. American Sleep Association. Obstructive sleep apnea (OSA) [Internet]. 2018 [cited 2018 Nov 2]. Available from:
23. American Sleep Association. Narcolepsy: definition, symptoms, causes & treatments [Internet]. 2018 [cited 2018 Nov 1]. Available from:
24. Tiamkao S. Narcolepsy [Internet]. Haamor. 2018 [cited 2019 Feb 12]. Available from:โรคลมหลับ/
25. American Sleep Association. Advanced sleep phase syndrome [Internet]. 2018. [cited 2018 Nov 2]. Available from:
26. American Sleep Association. Parasomnias - research & treatments | American Sleep Assoc [Internet]. 2018 [cited 2018 Nov 2]. Available from:
27. American Sleep Association. Restless legs syndrome [Internet]. American Sleep Association. 2014 [cited 2018 Nov 2]. Available from:
28. American Sleep Association. Periodic leg movements during sleep (PLMS) & periodic limb movement disorder (PLMD) [Internet]. American Sleep Association. 2018 [cited 2018 Oct 30]. Available from:
29. Nirantarat C. Snore. 2010. Bangkok: Amarin health; 2010. (In Thai)
30. Excellence center for sleep disorders, King Chulalongkorn memorial Hospital. What is sleep test? [Internet]. 2018. Available from: (In Thai)



How to Cite

พันธุ์พาณิชย์ ล. Sleep problems in older people and nursing management. JNSH [Internet]. 2020 Apr. 8 [cited 2022 Oct. 4];43(1):139-50. Available from:

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