Risk Analysis of Depression, Sleep Hygiene Level and Chronic Disease with Insomnia in Elderly

Abstract

The rapid progress of development in Indonesia have an impact on increasing life expectancy thus increasing the number of elderly. Elderly is the final stage of life so often experienced various changes and disturbances, one of which is a sleep disorder or Insomnia. The prevalence of insomnia in the elderly is quite high, more than 60% but the appearance of this disorder is often overlooked. This study was conducted observational case-control study design. Research sites in the Pelayanan Sosial Lanjut Usia Jombang and performed on 40 elderly people. The study population was divided into 2, 20 people population cases and 20 people population control. The variables studied were depression, chronic disease, sleep hygiene and Insomnia. Most of the elderly suffering from Subtreshold Insomnia with Difficulty Initiating Sleep symptoms are severe. Early Morning Awakening is the least symptom experienced by the elderly. Depression (OR = 22,667), chronic disease (OR = 6.926) and sleep hygiene (OR = 11,000) showed a significant association with Insomnia. The conclusion that can be drawn is perpetuating factors (chronic disease) and precipitating (sleep hygiene) plays a role in the emergence of insomnia in the elderly. The advice given is to take action to control chronic diseases and more attention on sleep disorders experienced by the elderly. In addition, the need for action to improve and enhance sleep hygiene. Keywords: depression, sleep hygiene, chronic disease, insomnia, elderly