Avaliação da qualidade do sono de idosos atendidos nos sub-sistemas público e privado no município de Patos,PB

Abstract

Introduction: Sleep is one of the main responsible for homeostasis and restoration of the organism. A good night's sleep gives people a good performance in their daily activities. Ageing affects in changes in the quality and quantity of sleep. And at this stage are frequent complaints of sleep disorders. The quality of life, health and longevity may depend on good nights of sleep, because during this period the proteins are synthesized in order to maintain or expand neural networks linked to memory and learning. Objective: Evaluate the elderly´s sleep quality in public and private subsystems in the city of Patos-PB. Methodology: cross-sectional study conducted with 236 elderly between 2013 and 2014. The probabilistic sample was divided into two groups according to the healthcare used to supply matched by sex and age: 118 elderly in private service and 118 elderly in the public sector. The instrument includes biodemográficos data collection, validated questionnaires and auto applied assessing sleep quality index (Pittsburgh), the functional capacity (Barthel index) and the mental state of the elderly (MEEM Mental State examination). Descriptive analysis was performed, and Chi-square tests and Mann-Whitney U test. The significance level was 5%. Results: The age average of the elderly by the private sector is 71.1 years and the elderly by the public sector is 72.3 years, showing homogeneity regarding age. Differed in relation to income and education (largest in the private sector). The most widely used antihypertensive medication was in both groups, especially in the private sector (84%) and the public (64.2%). Hypertension and depression was reported by 84.9% and 25.2% respectively of private sector users. These 40.8% had caregiver, and more than 30.6% of the caregivers were remunerated. The elderly in the private sector reported a poorer quality of sleep (81.7%) than those of the public sector (65%). With regard to functional independence, the groups mostly independent presented to the AVDS. There was no significant relationship between poor sleep quality and its interference in the activities of daily living of the elderly. It was observed an association between access to private service and a greater number of comorbidities, which may be related to greater ease of specialist medical assistance and earlier in this group. Conclusion: Sleep quality is an important factor for health and general wellbeing of the elderly the findings of this study can provide the professionals in the implementation of measures to improve the sleep of elderly and promote a better quality of life for these individuals.