The Rhythm of the Unit Is the Pace of Life: A Study of Everyday Activities and Sleep in Swedish Residential Care (original) (raw)
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Sleep, 2010
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The Open Journal of Occupational Therapy
Background: :To facilitate healthy occupational participation and highlight the significance of rest and sleep for older adults, this study aimed to provide a description of rest and sleep patterns and activities of residents in long-term care facilities (LTCFs). Method: Secondary analysis of rest and sleep data collected from a funded R21 study was conducted. Twenty-nine residents were interviewed using the Yesterday Interview (YI) to describe their time and daily activities, including rest and sleep patterns and activities. Results Results: Average time spent sleeping was 10.22 (±1.77) hr and resting was 4.77 (±3.3) hr. Data were also collected on the personal and instrumental daily living activities in which residents participated during rest time and sleep preparation. Conclusion: : Occupational therapists working with residents in LTCFs are well suited to incorporate rest and sleep interventions that will enhance the occupational performance of daily living activities. Future research efforts should be directed at strategies to increase the sleep health of residents in LTCFs in collaboration with other in-house professions.
Effectiveness of strategies to manage sleep in residents of aged care facilities
JBI Reports 2(4) :115-83., 2004
Background The promotion of sleep in older adults is a significant issue in high-level residential aged care facilities, with as many as 67% of residents experiencing disruptions to their sleep patterns. Not only do health concerns such as cognitive impairment, pain and incontinence impact upon this population's sleep quality and quantity, but environmental factors including noise, light and night-time nursing care also affect sleep of those residing in institutions. In order to address the issue of sleep disruption, assessment and diagnosis of sleep problems and implementation of interventions that are effective in promoting sleep are essential.Objectives The objective of this review was to determine the most effective tools for the assessment and diagnosis of sleep in older adults in high-level aged care. The review also sought to determine the most effective strategies for the promotion of sleep in this population. Outcome measures for this review were: indicators of improved sleep quality and quantity, including an improvement in daytime functioning and improved night-time sleep; reduction in use of hypnotics and sedatives; and increased satisfaction with sleep.Search strategy A literature search was performed using the following databases for the years 1993–2003: AgeLine, APAIS Health, CINAHL, Cochrane Library, Current Contents, Dissertation Abstracts International, Embase, Medline, Proquest, PsycInfo, Science Citations Index. A second search stage was conducted through review of reference lists of studies retrieved during the first search stage. The search was limited to published and unpublished material in English language.Selection criteria The review was limited to papers addressing sleep diagnosis, assessment and/or management in adults aged 65 or over who were residing in high-level aged care. The review included randomised controlled trials (RCTs) and, due to the limited number of RCTs available, non-RCTs, cohort and case control studies and qualitative research were also considered for inclusion. Research was included if it addressed the assessment, diagnosis or management of sleep using outcome measure of improved night-time sleep or daytime function, improvements in resident satisfaction with sleep or reduction in medication use associated with sleep. The types of interventions considered by this review were alternative therapies including massage, aromatherapy and medicinal herbs; behavioural or cognitive interventions; biochemical interventions; environmental interventions; pharmacological interventions and related nocturnal interventions such as continence care. Instruments and strategies to diagnose and assess the sleep of older high-level care residents, including objective and subjective assessment tools, were considered by this review.Data collection and analysis All retrieved papers were critically appraised for eligibility for inclusion and methodological quality independently by two reviewers, and the same reviewers collected details of eligible research. Papers were grouped according to the type of intervention or type of assessment tool used and findings were presented in a narrative summary.Findings Wrist actigraphy was found to be the most accurate objective sleep assessment tool for use in the population of interest, and issues surrounding its use are presented. Although no subjective sleep assessment tools were identified in this review, the evidence suggested that subjective reports of sleep quality are an important consideration in sleep assessment. Evidence suggested that behavioural observations may be an effective assessment strategy when conducted on a frequent basis. The review found no evidence on the effectiveness of any assessment tools for the diagnosis of specific sleep problems in older adults. The use of multidisciplinary strategies including reduction of environmental noise, reduction of night-time nursing care that disrupts sleep and daytime activity is likely to be the most effective strategy for the promotion of sleep in older high-level care residents. The use of sedating medications did not appear to have a substantial effect in promoting sleep, and health practitioners in high-level aged care should consider their use cautiously.
The Meanings of Sleep: Stories from Older Women in Care
Sociological Research Online, 2007
This paper analyses data from a two phase project which utilizes a mixed methods design to investigate the construct of 'good' and 'poor' sleep quality amongst older women in Australian residential care. Phase one of the study demonstrates the lack of congruence between quantitative measures of sleep behaviour and self categorizations by the participants as 'good' or 'poor' sleepers. This lack of congruence is explored in the second phase of the project where semi structured interviews investigate the process by which self categorizations emerge. Interview data ratifies the findings of phase one identifying that the process of self-categorization is not necessarily linked to sleep behaviours, as many of these phenomena such as nocturnal disruption, or early morning awakenings were similarly described by self-categorized 'good' and 'poor' sleepers. Rather, it appears that these women, through the process of upward and downward social comparison, construct ideas about 'normal' sleep, and it is this normative definition, rather than the sleep phenomena experienced, that the individual uses to provide a benchmark for their self-categorization of sleep quality.
Reviews in Clinical Gerontology, 2010
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Factors associated with daytime sleep in nursing home residents
Research on aging, 2015
A retrospective, cross-sectional study was conducted to describe the occurrence of daytime sleep (DS) and to examine factors associated with DS in nursing home residents. We used the Minimum Data Set 2.0 records of 300 residents in a nursing home from January 2005 to March 2010. Descriptive statistics, independent t-test, chi-square, Pearson correlations, and logistic regression were utilized in analysis. About 71.3% of the residents slept more than 2 hours during the day, and this was significantly associated with residents' comorbidity (t = 2.0, p = .04), cognitive performance (t = 7.3, p = .01), activities of daily living (t = 3.7, p = .01), and social involvement (t = -7.6, p = .01). Cognitive performance and social involvement significantly predicted the occurrence of DS with social involvement being the strongest predictor (odds ratio: .58; 95% confidence interval: [.45, .75]). The findings suggest that interventions to engage nursing home residents in more social activiti...
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Ageing and Society, 2011
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Sleep disorders, 2014
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A Survey of Sleep Habits and Sleeping Difficulties in an Elderly Swedish Population
Upsala Journal of Medical Sciences, 1997
A random sample of 876 subjects aged 65-79 years were investigated by means of a questionnaire concerning sleep and related factors. Sleep problems were reported by 23.8% of females and 13.3% of males.Moderate or major complaints of maintaining sleep were reported by 43.5% of subjects, early morning awakening 33.4% and difficulties falling asleep 31.4%. Daytime sleepiness was more common among males, and a relationship between daytime sleepiness and perceived poor sleep was found. Daytime napping was common, but not related to poor sleep. The prevalence of regular sleeping pill users was 7.6% for females and 3.0% for males and a relationship between sleep problems, sleeping pill usage and psychiatric symptoms was established. Among the regular sleeping pill users 39.1% had possible depression (PD) and 63.0% had possible anxiety disorder (PA). Among respondents with sleep complaints 29.8% had PD and 48.7% had PA. Sleep problems were also related to impaired physical health. Various medical illnesses contributed to sleep complaints among males, and depression affected sleep the most among females.
The effect of physical activity on sleep quality in the older adults in nursing homes
Ege Tıp Dergisi, 2021
Amaç: Bu çalışmanın amacı, huzurevinde yaşayan 65 yaş ve üzeri yaşlı bireylerin fiziksel aktivite ile uyku kaliteleri arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: Çalışmaya huzurevlerinde yaşayan toplam 456 yaşlı birey dahil edildi. Karşılıklı görüşme yöntemiyle demografik bilgileri kaydedildi. Yaşlıların gündüz uykululuğu (Epworth Uykululuk Skalası), fiziksel aktivite düzeyi (International Physical Activity Questionnaire) ve uyku kalitesi (Pittsburgh Uyku Kalitesi İndeksi) değerlendirildi. Bulgular: Bireyler fiziksel aktivite düzeyine göre puanlanarak gruplandırıldı. Uyku kalitesi açısından gruplar arasında anlamlı fark görülmemiştir (p = 0,41). Gündüz uykululuğu açısından ise gruplar arasında istatistiksel olarak anlamlı fark saptanmıştır (p