SUBJECTIVE EVALUATION OF SLEEP AND THE USE OF HYPNOTICS IN NURSING-HOMES

被引:10
作者
SEPPALA, M
RAJALA, T
SOURANDER, L
机构
[1] Department of Geriatric Medicine, University of Turku, Turku, SF-20700
来源
AGING-CLINICAL AND EXPERIMENTAL RESEARCH | 1993年 / 5卷 / 03期
关键词
HYPNOTICS; NURSING HOMES; SLEEP BEHAVIOR;
D O I
10.1007/BF03324155
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
The purpose of the study was to evaluate the sleep habits and the use of hypnotics in the elderly living in nursing homes. The study population consisted of 60 subjects aged 61-99 years who were interviewed by a geriatrician. The use of hypnotics was frequent (53%), but not associated with gender, memory impairment, moving disability, depression, quality of sleep or sleep behaviour Users of hypnotics had shorter total sleep time (TST) and got up earlier from bed in the morning than the non-users. Most of the subjects perceived their sleep as interrupted but satisfactory. The elderly with impaired memory slept longer, stayed in bed longer, and took their hypnotics significantly earlier than those with normal memory. As we found no explaining factors for the use of hypnotics, we suggest regular evaluation of their administration in nursing homes. The subjective need for hypnotics, not the nursing home practices, should decide the necessity of these drugs and the medication times in nursing home residents.
引用
收藏
页码:199 / 205
页数:7
相关论文
共 34 条
[11]  
Linnoila M., Viukari M., Lamminsivu U., Awoinen J., Efficacy and side-effects of lorazepam, oxazepam and temazepam as sleeping aids in psychogeriatric inpatients, Int. Pharmacopsychiatry, 15, pp. 129-135, (1980)
[12]  
Kales A., Kales J.D., Sleep laboratory studies of hypnotic drugs: efficacy and withdrawal effects, J. Clin. Pharmacol., 3, pp. 140-150, (1983)
[13]  
Schneider-Helmert D., Why low-dose benzodiazepinedependent insomnias can’t escape their sleeping pills, Acta Psychiatr. Scand., 78, pp. 706-711, (1988)
[14]  
Pfeiffer E., A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients, J. Am. Geriatr. Soc., 23, pp. 433-441, (1975)
[15]  
Katz S., Downs T.D., Cash H.R., Grotz R.C., Progress in development of the index of ADL, Gerontologist, 10, pp. 20-30, (1970)
[16]  
Baldwin B., Common, but easily missed and under-treated, Geriatric Medicine, 21, pp. 15-20, (1991)
[17]  
Yesavage J.A., Geriatric depression scale, Psychopharmacol. Bull., 24, pp. 709-710, (1988)
[18]  
Hyyppa M.T., Kronholm E., Mattlar C.E., Mental well-being of good sleepers in a random population sample, Br. J. Med. Psychol., 64, pp. 25-34, (1991)
[19]  
Blois R., Feinberg I., Gaillard J.M., Kupfer D.J., Webb W.B., Sleep in normal and pathological aging, Experientia, 39, pp. 551-558, (1983)
[20]  
Ancoli-Israel S., Parker L., Sinaee R., Fell R.L., Kripke D.F., Sleep fragmentation in patients from a nursing home, J. Gerontol., 44, pp. 18-21, (1989)