[Year:2024] [Month:October-December] [Volume:19] [Number:4] [Pages:7] [Pages No:55 - 61]
Keywords: Chronic obstructive pulmonary disease, Progressive muscle relaxation technique, Sleep
DOI: 10.5005/jp-journals-10069-0143 | Open Access | How to cite |
Abstract
Background: Chronic obstructive pulmonary disease (COPD) is defined as chronic respiratory inflammatory disease caused by smoking, an air pollutant that causes obstructed airflow from the lungs and is characterized by chronic cough with sputum, breathing difficulty. Sleep deprivation has profound effects on an individual's functioning abilities, whether they are in good or ill health. This study aims to examine the impact of Jacobson progressive muscle relaxation technique (JPMRT) on the sleep quality of hospitalized patients. Materials and methods: This study's quasi-experimental pre-test-post-test control group design was used and included 30 COPD patients who met the research criteria in the experimental and another 30 patients in the control group. Pre-test was conducted on the first day with the demographical tools and Pittsburgh Sleep Quality Index (PSQI) questionnaire and same day JPMRT was initiated, used twice a day for a total of 25 minutes for 5 days. For the control group, usual routine care of the hospital was provided. After 5 days post-test was conducted for both the groups. Results: It was found that JPMRT improved the quality of sleep in experimental group compared with control group. Conclusion: In this study, it was found that JPMRT is effective in the improvement of sleep quality of COPD patient. Improving the health of hospitalized patients can be done with routine care of nursing and hospital procedures without incurring any financial costs.
[Year:2024] [Month:October-December] [Volume:19] [Number:4] [Pages:7] [Pages No:62 - 68]
Keywords: Clinical dementia rating scale, Cognition, Older adult, Pittsburgh index, Sleep
DOI: 10.5005/jp-journals-10069-0138 | Open Access | How to cite |
Abstract
Background: Several studies have examined the association of baseline sleep duration and quality with cognitive decline and incident dementia, but the results have been inconsistent. Some studies have observed statistically significant associations between sleep, cognitive decline, and incident dementia, while others did not reach similar conclusions. The sample sizes of most previous studies were small. In addition, the magnitude of the association between sleep duration, especially extreme sleep duration (≤4 or ≥10 hours per night), and various cognitive domains is unclear. Thus, there is a need for a study considering the impact of poor duration and quality of sleep on various domains of cognition in a population of older adults. Materials and methods: Patients from geriatric medicine OPD, AIIMS, New Delhi. Data collected consisted of demographic history followed by evaluation. Data from the two groups were compared for the association of sleep duration with cognitive function. It was also used to assess the impact of sleep duration on cognitive function. The consistency of this association was tested by comparing cases with controls. The variation of sleep duration, quality, and other parameters in subjects diagnosed as healthy older adults and MCI was observed. A total of 5 mL blood was collected at the time of interview to investigate for the biomarkers for cognition in relation to decline in sleep in subjects of group II (cases). It was tested for serum; fasting lipid profile vitamin B12, folic acid, and 25-hydroxyvitamin D. Results: There was a significant association between global Pittsburgh Sleep Quality Index (PSQI) scores and poor cognition (5) as compared with those with normal cognition. There was a significant difference in the incidence of self-reported daytime sleepiness, sleep latency, and total duration of sleep between the two groups. There was a statistically significant association of higher global PSQI scores to poor performance in various subdomains of cognition. Conclusion: This study found that individuals with mild cognitive impairment had shorter duration and poorer overall quality of sleep compared with cognitively healthy older adults. There was a statistically significant association of poor performance in subdomains of memory, orientation, judgment and problem-solving, home, and hobbies, with higher global PSQI scores.
Fusion of Traditional and Contemporary Medicine in Treating Insomnia: An Exploration
[Year:2024] [Month:October-December] [Volume:19] [Number:4] [Pages:7] [Pages No:69 - 75]
Keywords: Cognitive-behavioral therapy, Insomnia, Integrative treatment, Pharmacotherapy, Traditional medicine
DOI: 10.5005/jp-journals-10069-0145 | Open Access | How to cite |
Abstract
Introduction: Insomnia, a prevalent sleep disorder, significantly impacts quality of life and overall health. Contemporary medical approaches, such as pharmacotherapy and cognitive-behavioral therapy for insomnia, offer effective treatments with a strong evidence base. Traditional medicine, including the use of medicinal plants like valerian, magnolia, and artemisia, provides options that have been used for centuries. This article explores how the integration of traditional and contemporary medicine can enhance insomnia treatment outcomes. Discussion: Contemporary medicine targets various neurotransmitter systems, and mindfulness methods address the behavioral and psychological aspects of insomnia. Traditional medicine leverages natural remedies that target GABAergic signaling to promote sleep. Conclusion: By combining the strengths of both modalities, a more holistic and personalized treatment plan can be developed, potentially maximizing efficacy while minimizing adverse effects. Leveraging the benefits of natural remedies alongside modern therapeutic techniques can address the diverse needs of patients more comprehensively. Future research and clinical trials are essential to validate this integrative approach and establish standardized protocols for its implementation.
Myofunctional Therapy for Obstructive Sleep Apnea: The Ignored Adjunct
[Year:2024] [Month:October-December] [Volume:19] [Number:4] [Pages:2] [Pages No:76 - 77]
Keywords: Apnea hypopnea index, Continuous positive airway pressure, Ear, Nose and throat, Obstructive sleep apnea
DOI: 10.5005/jp-journals-10069-0140 | Open Access | How to cite |
Role of Adaptive Servo-ventilation in Sleep-disordered Breathing: An Updated Evidence
[Year:2024] [Month:October-December] [Volume:19] [Number:4] [Pages:2] [Pages No:78 - 79]
Keywords: Bilevel pap, Obstructive sleep apnea
DOI: 10.5005/jp-journals-10069-0134 | Open Access | How to cite |