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http://dx.doi.org/10.5762/KAIS.2015.16.10.7078

The Influence of Health Behaviors and Sleep related Factors on Cognitive Function in the Elderly Hypertensive Patients  

Kim, Ahrin (Department of Nursing, Cheongju University)
Jeon, Hae Ok (Department of Nursing, Cheongju University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.16, no.10, 2015 , pp. 7078-7088 More about this Journal
Abstract
This study examined effects of health behaviors and sleep related factor on cognitive function in the elderly hypertensive patients. Data were collected through a face to face interview survey with structured questionnaire form 140 elderly with hypertension ($age{\geq}65years$) from February 5 to May 1, 2013. Research instruments included Pittsburgh Sleep Quality Index(PSQI), Epworth Sleepiness Scale(ESS) and Korean version the Mini-Mental State Examination(MMSE-K). Cognitive function was negatively related to degradation in quality of sleep(r=-.29, p<.001). Sleep duration were negatively related to body mass index(r=-.18, p=.032) and degradation in quality of sleep(r=-.59, p<.001). Sleep duration was positively related to daytime sleepiness(r=.22, p=.008). Hierarchical multiple regression showed that age, education levels and living arrangement were associated with cognitive function(F=8.56, p<.001, Adjusted $R^2=.14$). After controlling for demographic characteristics and health behaviors, degradation in quality of sleep(${\beta}=-.27$, p=.008) was identified as significant predictors of cognitive function. This final model explained 17.0% of the cognitive function in the elderly hypertensive patients(F=4.09, p<.001). Therefore, as a strategy improving cognitive function of the elderly with hypertension, therapeutic intervention should be developed to improve quality of sleep considering age, education levels and living arrangement.
Keywords
Aged; Cognition; Health-behavior; Hypertension; Sleep;
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