Self-reported napping and nocturnal sleep in Taiwanese elderly insomniacs

Public Health Nurs. May-Jun 2005;22(3):240-7. doi: 10.1111/j.0737-1209.2005.220307.x.


Abstract The aim of this study was to investigate the relationships between self-reported nocturnal sleep quality and napping patterns in elderly persons with insomnia and to compare the nocturnal sleep quality between napping and non-napping groups. Convenience sampling was used to recruit 60 community-dwelling elderly residents of Taichung City, Taiwan (age range 60-83 years, mean 67.1 years) who reported insomnia. All participants scored greater than 5 on the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Napping prevalence, frequency, and duration were assessed by participant interview. Self-reported sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbance, use of sleep medication, and daytime dysfunction were measured with the PSQI. Sixty-four percentage of participants (n = 38) reported napping. There were no age, gender, and ethnicity differences on napping patterns. Global sleep quality, sleep efficiency, and sleep disturbance were significantly associated with prevalence of napping (r = 0.24-0.26, p < 0.05). A significant correlation was also found between global sleep quality and nap duration (r = 0.31, p < 0.05). Elders in the napping group reported better global sleep quality (t = 2.2, p < 0.05) and sleep efficiency (t = 2.1, p < 0.05) than those in the non-napping group. The findings suggest that there is no need for health care providers to restrict elderly insomniacs' daytime napping.

Publication types

  • Comparative Study

MeSH terms

  • Adaptation, Psychological
  • Aged
  • Aged, 80 and over
  • Attitude to Health*
  • Chi-Square Distribution
  • Female
  • Geriatric Assessment
  • Habits
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Nurse's Role
  • Nursing Assessment
  • Nursing Methodology Research
  • Prevalence
  • Public Health Nursing
  • Self Care / methods*
  • Self Care / psychology
  • Sleep Initiation and Maintenance Disorders* / epidemiology
  • Sleep Initiation and Maintenance Disorders* / prevention & control
  • Sleep Initiation and Maintenance Disorders* / psychology
  • Sleep Stages*
  • Surveys and Questionnaires
  • Taiwan / epidemiology
  • Time Factors
  • Urban Health