Eli Amaliyah, Dewi Hayati

THE ROLE OF NURSING MANAGEMENT IN OPTIMIZING THE ENVIRONMENT TO PREVENT INSOMNIA RISK IN THE ELDERLY AT THE SOCIAL SERVICE DEPARTMENT

Introduction

The role of nursing management in optimizing the environment to prevent insomnia risk in the elderly at the social service department. Discover how nursing management optimizes environmental factors like temperature, noise, lighting, and cleanliness to prevent insomnia in the elderly, enhancing their sleep quality and well-being.

Abstract

Insomnia is a prevalent health problem among the elderly worldwide, significantly impacting their quality of life and overall health. Environmental factors—such as room temperature, noise, lighting, and cleanliness—play a critical role in increasing insomnia risk. Nursing management is essential in optimizing these environmental conditions to support better sleep quality in elderly patients. Objective: This study aims to examine the role of nursing management in improving environmental factors to reduce insomnia risk among the elderly. Methods: A cross-sectional quantitative study was conducted with 45 elderly respondents selected by total sampling. Data collection used validated questionnaires including the Insomnia Rating Scale and environmental comfort assessments via Likert scales. Analysis involved univariate, bivariate (Fisher’s exact test), and multivariate logistic regression techniques. Results: Findings revealed that 66.7% of participants were at high risk of insomnia. Room temperature regulation was the most influential factor (RR = 5.10; p = 0.005), followed by noise control (RR = 3.85; p = 0.02), lighting (RR = 3.60; p = 0.03), and environmental cleanliness (RR = 3.40; p = 0.04). Poor environmental conditions significantly increased insomnia risk. Conclusion: Nursing management focusing on regulating room temperature, reducing noise, optimizing lighting, and maintaining cleanliness is crucial to decrease insomnia risk in the elderly. This study highlights the need for nursing education and policies emphasizing environmental management to enhance elderly sleep quality and well-being.

Review

This study addresses a highly relevant and pressing issue: the prevalence of insomnia among the elderly and the critical role of environmental factors in exacerbating this risk. The abstract clearly articulates the problem, underscoring the significant impact of poor sleep on quality of life and health. The objective to examine the role of nursing management in optimizing environmental conditions to mitigate insomnia risk is well-defined and aligns with practical clinical needs. The study's focus on actionable environmental parameters such as room temperature, noise, lighting, and cleanliness highlights specific areas where nursing interventions can make a tangible difference, thereby offering a practical scope to the research. Methodologically, the study employed a cross-sectional quantitative design with a total sample of 45 elderly respondents, utilizing validated questionnaires like the Insomnia Rating Scale and environmental comfort assessments. The analytical approach included univariate, bivariate (Fisher's exact test), and multivariate logistic regression, which are appropriate for identifying associations and influential factors. The findings are compelling, revealing that a substantial proportion (66.7%) of participants were at high risk of insomnia. Importantly, the study identified specific environmental factors with significant influence, notably room temperature regulation (RR = 5.10), noise control (RR = 3.85), lighting (RR = 3.60), and environmental cleanliness (RR = 3.40). These robust relative risks and associated p-values provide strong statistical evidence for the identified correlations. In conclusion, the study effectively demonstrates that nursing management's strategic focus on optimizing environmental conditions—particularly temperature, noise, lighting, and cleanliness—is paramount in reducing insomnia risk among the elderly. The call for enhanced nursing education and policy development emphasizing environmental management is a crucial takeaway, suggesting a clear pathway for practical implementation of these findings. While the cross-sectional design inherently limits the ability to infer causation or the direct impact of *interventional* nursing management, this research provides a strong foundation for future longitudinal or interventional studies. The findings offer valuable insights for improving elderly well-being in social service settings and similar care environments.

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