Effect of a Training Program about Cognitive Behavioral Therapy on Sleep Quality among the Older Person

Moukhtar Ibrahim, Hanaa; Abouelil, Manal; Ahmed, Soher; Abd-Elrahim Khalaf, Shimaa; Elwardany Aly, Shimaa

doi:10.21608/ejhc.2022.249360

Effect of a Training Program about Cognitive Behavioral Therapy on Sleep Quality among the Older Person

Document Type : Original Article

Authors

¹ Lecturer of Gerontological Nursing, Faculty of Nursing, Assiut University, Egypt,

² Lecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Assiut University, Egypt,

³ Assistant professor of Community Health Nursing, Faculty of Nursing, Assiut University, Egypt

10.21608/ejhc.2022.249360

Abstract

Background: Sleep problems are the most important issues that need attention, cognitive
behavioral therapy has positively improved sleep quality among older person. Aim: To evaluate the
effect of training program about cognitive behavioral therapy on sleep quality among the older
persons. Design: A Quasi-experimental (pre and post-test). Setting: All geriatric clubs in Assiut
city. Sample: 81 older person aged from (60 to 70 and more) who complained from sleeping
problems. Tools: I. Personal characteristics, II. Comorbidities questionnaire, III. Pittsburgh sleep
quality index to measure the quality and patterns of sleep, IV. Epworth sleepiness scale to measure
daytime sleepiness and diagnoses sleep disorders, V. Geriatric anxiety scale and VI. Geriatric
depression scale. Results: Musculoskeletal problems were most prevalent with 50.6% followed by
high blood pressure 48.1%. Epworth sleepiness scale was affected by sex and living status in
preprogram P-value= 0.027 and 0.003 while not affected in post-program P-value=0.307 and 0.056;
moreover, affected by high blood pressure and pulmonary diseases in pre and post program.
Pittsburgh sleep quality index affected by practicing exercise in preprogram P-value=0.019 and
wasn’t significance in post program P-value=0.252, it affected by heart diseases in preprogram P-
value=0.000 while with pulmonary diseases and diabetes mellitus in post program P-value=0. 042
and 0.007. Conclusion: These results support the use of training cognitive behavioral therapy for
improving sleeping quality. Training program about cognitive-behavioral therapy for improving
sleep quality is recommended for older adults.

Keywords