Sleep disturbances among nursing home residents

被引:58
作者
Fetveit, A [1 ]
Bjorvatn, B [1 ]
机构
[1] Univ Bergen, Dept Publ Hlth & Primary Hlth Care, Sect Gen Practice, N-5009 Bergen, Norway
关键词
elderly patients; actigraphy; sleep disturbances;
D O I
10.1002/gps.639
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Study objectives This study assesses the prevalence and characteristics of sleep disturbances among an entire nursing home population, consisting of 29, mainly demented, long-term patients. Design and setting Sleep was evaluated for 14 consecutive days using actigraphic measurements and nursing staff observations. No alterations were made in every-day routines or medications during the observation period. Measurements and results Actigraphy showed a mean sleep onset latency of one hour and a mean wake after sleep onset of more than two hours, while there was no findings of early morning awakening. Mean sleep efficiency was 75%, and more than 13 hours were spent in bed. 72% of the subjects had sleep efficiency below 85%. Nursing staff reported sleep onset latency of more than 30 minutes in 158 of the 203 analysed days, while early morning awakening was reported in only 12 of 203 days. Actigraphical measurements and nursing staff observations gave similar results. The validity of actigraphy in this population is discussed. Conclusion Sleep disturbances were common among the residents in this nursing home. Sleep onset latency was prolonged, and the patients experienced frequent wake bouts after sleep onset. The diminished ability of sustained sleep may have been influenced by the prolonged time in bed. Copyright (C) 2002 John Wiley Sons, Ltd.
引用
收藏
页码:604 / 609
页数:6
相关论文
共 17 条
[1]  
AncoliIsrael S, 1997, SLEEP, V20, P18
[2]   Use of wrist activity for monitoring sleep/wake in demented nursing-home patients [J].
AncoliIsrael, S ;
Clopton, P ;
Klauber, MR ;
Fell, R ;
Mason, W .
SLEEP, 1997, 20 (01) :24-27
[3]  
ANCOLIISRAEL S, 1989, J GERONTOL, V44, P18
[4]   Light treatment for sleep disorders: Consensus report .5. Age-related disturbances [J].
Campbell, SS ;
Terman, M ;
Lewy, AJ ;
Dijk, DJ ;
Eastman, CI ;
Boulos, Z .
JOURNAL OF BIOLOGICAL RHYTHMS, 1995, 10 (02) :151-154
[5]  
CARSKADON MA, 1976, AM J PSYCHIAT, V133, P1382
[6]   SLEEP FRAGMENTATION IN THE ELDERLY - RELATIONSHIP TO DAYTIME SLEEP TENDENCY [J].
CARSKADON, MA ;
BROWN, ED ;
DEMENT, WC .
NEUROBIOLOGY OF AGING, 1982, 3 (04) :321-327
[7]   SLEEP PATTERNS OF AGED PERSONS IN LONG-TERM CARE FACILITIES [J].
CLAPINFRENCH, E .
JOURNAL OF ADVANCED NURSING, 1986, 11 (01) :57-66
[8]   SLEEP DISTURBANCES IN THE INSTITUTIONALIZED AGED [J].
COHEN, D ;
EISDORFER, C ;
PRINZ, P ;
BREEN, A ;
DAVIS, M ;
GADSBY, A .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1983, 31 (02) :79-82
[9]   24-HOUR SLEEP - WAKE PATTERNS IN A NURSING-HOME POPULATION [J].
JACOBS, D ;
ANCOLIISRAEL, S ;
PARKER, L ;
KRIPKE, DF .
PSYCHOLOGY AND AGING, 1989, 4 (03) :352-356
[10]   Comparison of actigraphic, polysomnographic, and subjective assessment of sleep parameters in sleep-disordered patients [J].
Kushida, Clete A. ;
Chang, Arthur ;
Gadkary, Chirag ;
Guilleminault, Christian ;
Carrillo, Oscar ;
Dement, William C. .
SLEEP MEDICINE, 2001, 2 (05) :389-396