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EFFECTIVENESS OF SLEEP MANAGEMENT STRATEGIES IN REDUCING INSOMNIA AMONG ELDERLY OBJECTIVES: to assess the level of insomnia among elderly. to evaluate the effectiveness of sleep management strategies in reducing insomnia among elderly. to find out the correlation between the effectiveness of sleep management strategies in reducing insomnia among elderly with the selected demographic variables. OPERATIONAL DEFINITION Effectiveness It refers to the extent to which sleep management strategies has brought out significant reduction in the level of insomnia as measured by the post test score by using modified Pittsburgh insomnia rating scale. Sleep management strategies Management of insomnia by using non pharmacological intervention that includes. RELAXATION THERAPY: It refers to the relaxation of mind and soul to maintain harmonious intense physical and emotional feelings. Its main component is yoga. Yoga: It denotes the control of thought waves in the mind. The techniques in yoga used to reduce insomnia are pranayama and asanas.Pranayama includes nadishodana which is done in a calm environment according to the following steps such as sit in any meditative posture with closed eyes, keep the spine erect. Close the right nostrils with the ring finger of the right hand and open the right nostril and exhale slowly. After complete exhalation, again inhale through the right nostril and fill the lungs. Close the right nostril by pressing it with the right thumb. After opening the left nostril, breathe out slowly and completely which can be done for ten to fifteen minutes. The pranayama includes bhramari pranayama which can do for ten to fifteen minutes in a calm environment. Sit in any meditative posture with closed eyes, keep the spine erect and close the both ears with both indicating finger gently so that on the pinna of the ear is pressed inside. After a deep breath gently fold the tongue inside the mouth that should touch the soft palate and make humming bee sound which creates a slight vibration that’s spreads all over the head. Asana include shavasana which ranges for ten minutes which is done according to the following steps in a calm environment. Lie on the back with the hands and legs comfortable away from the body then toes pointing outside. Finger in a semi flexed position. Keep the head in a most convenient position and close the eyes gently. Start with a moderately deep abdominal breathing .Attend to the flow of the breath without moving the body and try to relax each and every part of the body consciously and try to diffuse all the tension of the body. SLEEP HYGIENE EDUCATION: Education on sleep hygiene was given for elderly includes sleep habits such as attempt to maintain a regular sleep wake cycle, avoid keeping a clock close to bed to prevent clock watching, taking warm bath. Structuring the environment such as use of the bed room only for sleep and intimacy, create a comfortable, quiet, dark and temperature controlled environment and other sleep education about behavioral modification, positive perception of sleep. Insomnia: Insomnia is referred as insufficient quality and quantity of sleep which may be divided into three types based on modified Pittsburgh insomnia rating scale 91 - severe insomnia Elderly: Both male and female above the age of 60 years with insomnia. HYPOTHESIS: H1- there is a significant improvement between pre test and post test by sleep management strategies in reducing insomnia among elderly. LIMITATIONS: the period of study was limited to 6 weeks. the sample size was limited to 30. the study is limited to elderly above 60 years. the study was limited to all the elderly with insomnia attending the psychiatry outpatient department of Melmaruvathur Adhiparasakthi Institute of Medical Sciences and research. the findings of the study cannot be generalized.

Effectiveness of Sleep Management Strategies in Reducing Insomnia among Elderly in Selected Hospital at Chennai