The relationship between sleep quality and quality of life in the elderly at Elderly University Lam Lukka Subdistrict Municipality, Lam Lukka District Pathum Thani Province
Keywords:
sleep quality, quality of life, elderlyAbstract
The purpose of this descriptive research was to study the relationship between sleep quality and quality of life among the elderly at the Elderly University, Lam Lukka Subdistrict Municipality, Lam Lukka District, Pathum Thani Province. The sample comprised 138 elderly individuals from the Elderly University, selected using simple random sampling. The research instruments consisted of three parts: 1) personal information, 2) the Thai Pittsburgh Sleep Quality Index (T-PSQI), and 3) the Thai version of the WHOQOL-BREF quality of life scale (QoL). Data were analyzed using descriptive statistics and Spearman’s correlation coefficients.
The results showed that 69.6% of the elderly participants were female, and the prevalence of poor sleep quality was 56.5%. The average sleep duration was 6.2 hours per day, and the average sleep latency (time taken to fall asleep after going to bed) was 26.2 minutes. The average sleep efficiency was 83.9%. Overall, 58.7% of the elderly had a good quality of life. When considering the four domains of QoL, the psychological domain showed the highest scores, while the social relationship domain had the lowest. Overall, the relationship between sleep quality and QoL was a low-level negative correlation that was statistically significant (r = -0.345, p < .001). Sleep quality also showed low-level negative correlations with all four QoL domains: physical health (r = -0.388, p < .001), psychological health (r = -0.310, p < .001), environmental (r = -0.260, p = .002), and social relationships (r = -0.223, p = .008).
This study suggests that healthcare team should focus on sleep hygiene education and increasing social activities in the community to enhance quality of life and well-being among the elderly.
References
Kryger MH, Roth T, Dement WC. Principles and practice of sleep medicine. 6th ed. Philadelphia: Elsevier; 2016.
Rodriguez JC, Dzierzewski JM, Alessi CA. Sleep problems in the elderly. Med Clin North Am. 2015; 99(2): 431-9. doi: 10.1016/j.mcna.2014.11.013.
Chinvararak C, Tangwongchai S, Dumrongpiwat N. Sleep quality and its associated factors in the elderly at Pracha Niwet Village. J Psychiatr Assoc Thai [Internet]. 2018. [cited 2025 Jan 28]; 63(2):199-210. Available from: https://www. psychiatry.or.th (in Thai).
Feinsilver SH. Normal and abnormal sleep in the elderly. Clin Geriatr Med. 2021; 37: 377-86. doi.org/10.1016/j.cger.2021.04.001
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburg sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28(2): 193-213. doi: 10.1016/1781(89)90047-4.
Chareonwat A. Prevalence and factors associated with insomnia in elderly over 60 years of age at Family Medicine Outpatient Department Rajavithi Hospital. J DMS [Internet]. 2024. [cited 2025 Jan 28]; 49(1): 80-88. Available from: https: //www.he02.tci-thaijo.org (in Thai).
Freeman D, Sheaves B, Waite F, Harvey AG, Harrison PJ. Sleep disturbance and psychiatric disorders. LANCET PSYCHIAT 2020; 7(7): 628-37. doi: 10.1016/S2215-0366(20)30136-X.
Sarode R, Nikam PP. The impact of sleep disorders on cardiovascular health: mechanism and interventions. Cureus 15(11): e49703. doi. 10.7759/ cureus. 49703.
American Heart Association. Older adults with irregular sleep patterns may face higher risk of hardened arteries [Internet]. American Heart Association; 2023 Feb 15 [cited 2026 Jan 24]. Available from: https://www.heart.org/en/news/2023/02/15/older-adults-with-irregular-sleeppatterns-may-face-higher-risk-of-hardened-arteries.
Chaturvedi SK, Muliyala KP. The meaning in quality of life. J Psychosoc Rehabil Ment Health 2016; 3: 47-9. doi. 10.1007/s40737-016-0069-2
World Health Organization. WHOQOL: measuring quality of life [Internet]. Geneva: World Health Organization; 1997 [cited 2025 Jun 28]. Available from https://apps.who.int/iris/handle/10665/63482
Hariri M, Shamshirgaran SM, Amini A, Abasi H, Gholami A. Sleep duration and quality are associated with health-related quality of life in adults aged 60 years and older. Ir J Med Sci. 2024; 193(4): 1929-37. doi: 10.1007/S11845-024-03656-y.
Ministry of Public Health, Department of Mental Health. WHOQOL-BREF-THAI [Internet]. Bangkok: Department of Mental Health; 2016 [cited 2025 Jan 24]. Available from: https://dmh.go.th/download/files/whoqol.pdf
Daniel WW. Biostatistics basic concepts and methodology for the health science. 10th ed. New York: Asia John Wiley & Son; 2010.
Jirapramukpitak T, Tanchaiswad W. Sleep disturbances among nurses of Songklanagarind Hospital. J Psychiatr Assoc Thai [Internet].1997. [cited 2025 Jan 23]; 42(3): 123-32. Available from: https://www. psychiatry.or.th/JOURNAL/tawan.html (in Thai).
Sengchuen P. Factors predicting the quality of life among elderly people aged 70 years in Banmulnak District, Phichit Province [Master’s thesis on the Internet]. Phitsanulok: Naresuan University; 2023 [cited 2025 Jan 29]. Available from: http://nuir.lib.nu.ac.th (in Thai).
Best JW, Kahn JV. Research in Education. 8th ed. Boston: Allyn & Bacon; 1998.
Ministry of Interior, Department of Provincial Administration. Thai elderly population statistics 2024 [Internet]. Bangkok: Ministry of Interior; 2024 [cited 2025 Apr 20]. Available from: http://section09.thaihealth.or.th/complete-aged-society (in Thai).
Ministry of Public Health, Division of Noncommunicable Diseases. 5 NCDs that are common among the elderly and are leading causes of death in Thailand [Internet]. Bangkok: Ministry of Public Health; 2024 [cited 2025 Jan 29]. Available from: https://ddc.moph.go.th (in Thai).
Maneerat S, Maneerat S, Rungit P,Chuachomket N. Sleep quality, sleep promotion, sleep disturbing factors, and relationship between sleep quality and sleep disturbing factors among community-dwelling older in Bangkok Community. Journal Psy KBU [Internet]. 2021. [cited 2025 January 28]; 11:10-23. Available from: http://journal.psy.kbu.ac.th/jour/20211102/02.pdf (in Thai).
Suri K, Sununsirikul K, Tonsuvan K. Quality of sleep and associated factors in elderly at Urban Community, Nakhon Sawan. R3 Med PHJ [Internet]. 2022 Jan-Apr 30 [cited 2025 Jan 20]; 19(1): 15-27. Available from: https:// thaijo.org. (in Thai).
Li J, Vitiello MV, Gooneratne NS. Sleep in normal aging. Sleep Med Clin. 2022; 17(2): 161-71 doi: 10.1016/j.jsmc.2022.02.007
Makchuchit S, Suwan K, Klangman A, Nowat N. Guidelines for developing the elderly’s quality of life in Yala City Municipality via community-based learning center. MNST Med J [Internet]. 2023 Jul-Dec 31 [cited 2025 Apr 28]; 7(1): 142-59. Available from: https:// he01.tci-thaijo.org. (in Thai).
Poraksa N, Khanthahat P, Yeunyong T. Administration and development affecting the life quality of the elderly in Saraburi Province. HSJNMC [Internet]. 2023 May-Aug 31 [cited 2025 Apr 28];17(2): 13-28. Available from: https:// SO08.tci.thaijo.org. (in Thai).
Sharifi S, Heidari Z, Bromand S, Binayi N, Keshvari M. The relationship between sleep quality and quality of life of retired elders. Elder health J. 2019; 5(2): 79-83. doi: 10.18502/ehj.v5i2.2153
Samiksha J, Alka Anand S, Nitin BR, Shipra S. A study of quality of sleep, quality of life, and cognition in elderly healthy control, depressed and with mild neurocognitive disorder. J Geriatr Ment Health 2021; 8(2): 107-12. doi:10.4103/jgmh.jgmh_35_21
Zhao Y, Song J, Brytek-Matera A, Zhang H, He J. The relationships between sleep and mental and physical health of Chinese elderly: exploring the mediating roles of diet and physical activity. Nutrients. 2021 Apr 16;13(4):1316. doi: 10.3390/nu13041316.
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