SYSTEMATIC 24-HR BEHAVIORAL OBSERVATIONS OF SLEEP AND WAKEFULNESS IN A SKILLED-CARE NURSING FACILITY

被引:58
作者
BLIWISE, DL [1 ]
BEVIER, WC [1 ]
BLIWISE, NG [1 ]
EDGAR, DM [1 ]
DEMENT, WC [1 ]
机构
[1] PACIFIC GRAD SCH PSYCHOL, PALO ALTO, CA USA
关键词
D O I
10.1037/0882-7974.5.1.16
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Sleep patterns of aged, infirm, demented, chronically institutionalized residents of a skilled-care nursing facility were studied. The purpose of this naturalistic study was to describe sleep and wakefulness (S/W) within the limits afforded by brief behavioral observations and to examine homeostasis and diurnal rhythmicity of S/W as a function of psychoactive drug intake. Observers noted S/W every 15 min, 24 hr a day for 10 days in 24 Ss. Results indicated substantial individual variation in daytime hours. Daily and weekly variation within Ss was minimal. Sleep was least likely near sunset. Ss on psychoactive drugs showed dampened diurnal variation in S/W rhythms. In Ss not on such drugs, there was a suggestion of homeostasis of S/W between sleep during the morning and evening hours. Results are discussed methodologically (viability of approach), theoretically (age-related change in sleep), and practically (potential treatments).
引用
收藏
页码:16 / 24
页数:9
相关论文
共 99 条
[1]   EEG AND SLEEP IN AGED HOSPITALIZED-PATIENTS WITH SENILE DEMENTIA - 24-H RECORDINGS [J].
ALLEN, SR ;
STAHELIN, HB ;
SEILER, WO ;
SPIEGEL, R .
EXPERIENTIA, 1983, 39 (03) :249-255
[2]   72 HOUR POLYGRAPHIC AND BEHAVIORAL RECORDINGS OF WAKEFULNESS AND SLEEP IN A HOSPITAL GERIATRIC UNIT - COMPARISON BETWEEN DEMENTED AND NONDEMENTED PATIENTS [J].
ALLEN, SR ;
SEILER, WO ;
STAHELIN, HB ;
SPIEGEL, R .
SLEEP, 1987, 10 (02) :143-159
[3]   CHARACTERISTICS OF OBSTRUCTIVE AND CENTRAL SLEEP-APNEA IN THE ELDERLY - AN INTERIM-REPORT [J].
ANCOLIISRAEL, S ;
KRIPKE, DF ;
MASON, W .
BIOLOGICAL PSYCHIATRY, 1987, 22 (06) :741-750
[4]  
ANCOLIISRAEL S, 1989, J GERONTOL A-BIOL, V44, pM118
[5]   DEVELOPMENTAL COURSE OF NIGHTTIME SLEEP-WAKE PATTERNS IN FULL-TERM AND PREMATURE-INFANTS DURING THE 1ST YEAR OF LIFE .1. [J].
ANDERS, TF ;
KEENER, M .
SLEEP, 1985, 8 (03) :173-192
[6]  
ANDERSON MW, 1988, SLEEP RES, V17, P141
[7]   LIMITS OF THE MINI-MENTAL STATE AS A SCREENING-TEST FOR DEMENTIA AND DELIRIUM AMONG HOSPITAL PATIENTS [J].
ANTHONY, JC ;
LERESCHE, L ;
NIAZ, U ;
VONKORFF, MR ;
FOLSTEIN, MF .
PSYCHOLOGICAL MEDICINE, 1982, 12 (02) :397-408
[8]   SLEEP IN THE SURGICAL INTENSIVE-CARE UNIT - CONTINUOUS POLYGRAPHIC RECORDING OF SLEEP IN 9 PATIENTS RECEIVING POSTOPERATIVE CARE [J].
AURELL, J ;
ELMQVIST, D .
BRITISH MEDICAL JOURNAL, 1985, 290 (6474) :1029-1032
[9]  
Bahr R T, 1985, J Gerontol Nurs, V11, P14
[10]   ON THE SOCIAL ECOLOGY OF DEPENDENCE AND INDEPENDENCE IN ELDERLY NURSING-HOME RESIDENTS - A REPLICATION AND EXTENSION [J].
BALTES, MM ;
HONN, S ;
BARTON, EM ;
ORZECH, MJ ;
LAGO, D .
JOURNALS OF GERONTOLOGY, 1983, 38 (05) :556-564