Approach to sleep disorders in the nursing home setting

被引:47
作者
Alessi, CA
Schnelle, JF
机构
[1] Sepulveda VA Med Ctr, GRECC 11E, Sepulveda, CA 91343 USA
[2] Borun Ctr Gerontol Res, Reseda, CA USA
[3] Univ Calif, Los Angeles Multicampus Program Geriatr Med & Ger, Reseda, CA USA
[4] Sepulveda VA Geriatr Res Educ & Clin Ctr, Reseda, CA USA
关键词
nursing home; sleep disorders; behavior; elderly;
D O I
10.1053/smrv.1999.0066
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Evidence suggests that sleep disorders and sleep fragmentation ave very common in nursing home residents. A variety of factors contribute to these sleeping difficulties, including age-related changes in sleep; the high prevalence of dementia, depression, medical illness and medications that affect sleep; and sleep disorders such as respiratory disturbance of sleep. Other important factors include common lifestyle characteristics in nursing home residents (such as inactivity, large amounts of time spent in bed, lack of bright light exposure, and poor sleep hygiene) and the disruptive night-time nursing home environment. Recent interventional studies suggest that improvement in the nursing home environment may be an important aspect of the management of sleeping difficulties. Assessment and management of sleeping problems in nursing home residents should involve comprehensive assessment and treatment of the,multiple factors that can interfere with sleep. Residents who fail these interventions can be considered for treatment with sleeping medications. Unfortunately, there is little data on the effectiveness of sleeping medications and the specific management of sleep disorders in this setting. Future research should focus on clarifying the contribution of various environmental factors to sleep impairment, and the testing of these various interventions on sleep. (C) 2000 Harcourt Publishers Ltd.
引用
收藏
页码:45 / 56
页数:12
相关论文
共 52 条
[1]   A randomized trial of a combined physical activity and environmental intervention in nursing home residents: Do sleep and agitation improve? [J].
Alessi, CA ;
Yoon, EJ ;
Schnelle, JF ;
Al-Samarrai, NR ;
Cruise, PA .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (07) :784-791
[2]   DOES PHYSICAL-ACTIVITY IMPROVE SLEEP IN IMPAIRED NURSING-HOME RESIDENTS [J].
ALESSI, CA ;
SCHNELLE, JF ;
MACRAE, PG ;
OUSLANDER, JG ;
ALSAMARRAI, N ;
SIMMONS, SF ;
TRAUB, S .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1995, 43 (10) :1098-1102
[3]  
AncoliIsrael S, 1997, SLEEP, V20, P18
[4]   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
[5]  
ANCOLIISRAEL S, 1989, J GERONTOL, V44, P18
[6]   DEMENTIA, AGITATION, AND CARE IN THE NURSING-HOME [J].
ARONSON, MK ;
POST, DC ;
GUASTADISEGNI, P .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1993, 41 (05) :507-512
[7]   SLEEP IN NORMAL AGING AND DEMENTIA [J].
BLIWISE, DL .
SLEEP, 1993, 16 (01) :40-81
[8]   SYSTEMATIC 24-HR BEHAVIORAL OBSERVATIONS OF SLEEP AND WAKEFULNESS IN A SKILLED-CARE NURSING FACILITY [J].
BLIWISE, DL ;
BEVIER, WC ;
BLIWISE, NG ;
EDGAR, DM ;
DEMENT, WC .
PSYCHOLOGY AND AGING, 1990, 5 (01) :16-24
[10]  
BONNET MH, 1994, PRINCIPLES PRACTICE, P50