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Perceptions et attitudes des personnes âgées souffrant d’insomnie par rapport aux médicaments et aux produits de santé naturels

Published online by Cambridge University Press:  19 September 2025

Patrick Viet-Quoc Nguyen*
Affiliation:
Centre de recherche du Centre Hospitalier de l’Université de Montréal, 900 R. Saint-Denis, Montréal, QC H2X 0A9, Canada Réseau Québécois de recherche sur le vieillissement, 4565, Chemin Queen-Mary, Montréal, QC H3W 1W5, Canada
Thanh Dang-Vu
Affiliation:
Département de santé, kinésiologie et physiologie appliquée, Université Concordia, 1455 Boul. De Maisonneuve Ouest, Montréal, QC H3G 1M8, Canada Centre de recherche de l’institut universitaire de gériatrie de Montréal (CRIUGM), CIUSSS Centre-Sud-de-l’île-de-Montréal, 4565 Chem. Queen Mary, Montréal, QC H3W 1W5, Canada
Geneviève Forest
Affiliation:
Département de psychoéducation et de psychologie, https://ror.org/011pqxa69 Université du Québec en Outaouais , 283 Boul. Alexandre-Taché, Gatineau, QC J8X 3X7, Canada
Lidia Saidi
Affiliation:
Faculté de Pharmacie, Université de Montréal, 2940 Chemin de Polytechnique, Montréal, QC H3T 1J4, Canada
Phillippe Desmarais
Affiliation:
Centre de recherche du Centre Hospitalier de l’Université de Montréal, 900 R. Saint-Denis, Montréal, QC H2X 0A9, Canada
*
Auteur pour la correspondance : Patrick Viet-Quoc Nguyen, 900 Rue Saint-Denis, Montréal, Québec, H2X 0A9, Canada, numéro de téléphone : (+1) 514 – 890 – 8000 ext. 36163, courriel : patrick.nguyen@umontreal.ca.

Résumé

La présente étude de méthode mixte explore les perceptions et attentes relatives aux hypnotiques et produits de santé naturels (PSN) chez les personnes âgées. Vingt-quatre personnes d’en moyenne 76 ans dont 58 % étaient des femmes ont participé à des entrevues semi-structurées. La moitié était des utilisateurs d’hypnotiques. Selon leur score de l’index de sévérité de l’insomnie, 54 % des participants avaient une insomnie légère, 38 % modérée et 8 % sévère. Les participants s’attendaient que les médicaments permettent un endormissement rapide, un sommeil ininterrompu et une augmentation de sa durée. Ils souhaitaient avoir des sensations comme la détente ou l’absence de pensées durant leur sommeil. Les sensations désirées au réveil comprenaient le calme, le bien-être et la satisfaction. Dans l’analyse de combinaison, les thèmes de la quantité de sommeil et le temps de latence court sont des critères d’efficacité les plus fréquemment cités autant chez ceux souffrant d’insomnie légère que modérée à sévère. L’absence d’éveils nocturne était l’autre critère d’efficacité plus fréquemment mentionné chez ceux ayant une insomnie légère alors que la sensation de bien-être au réveil était celui pour ceux ayant une insomnie modérée à sévère.

Abstract

Abstract

This mixed-method study explores perceptions and expectations on hypnotics and natural health products in older adults. Twenty-four people participated in semi-structured interviews. They had a mean age of 76 years and 58% were female. Half of them used hypnotic drugs. According to the insomnia severity index, 54% had mild, 38% moderate, and 8% severe insomnia. Participants expected hypnotic drugs to give a rapid sleep onset, uninterrupted sleep, and increase sleep duration. While sleeping, they expected to feel relaxed and without invading thoughts. In the morning, they expected to have a sensation of well-being, calm, and satisfaction. In the combination analysis, the most frequent drug efficiency themes were sleep duration and short sleep onset latency regardless of insomnia severity. The other most frequent efficiency theme was the absence of wake after sleep onset for participants with mild insomnia and a sensation of well-being upon awakening for those with moderate to severe insomnia.

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Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Canadian Association on Gerontology

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