scholarly journals Sensory Stimulation for Nursing-Home Residents: Systematic Review and Meta-Analysis of Its Effects on Sleep Quality and Rest-Activity Rhythm in Dementia

2020 ◽  
Vol 49 (3) ◽  
pp. 219-234
Author(s):  
Angela Joanna Prins ◽  
Erik J. Anton Scherder ◽  
Annemieke van Straten ◽  
Yvonne Zwaagstra ◽  
Maarten Valentijn Milders
Keyword(s):  
Nursing Home ◽  
Sleep Quality ◽  
Sleep Disturbances ◽  
Activity Rhythm ◽  
Meta Analysis ◽  
Nursing Home Residents ◽  
Bright Light ◽  
Sensory Stimulation ◽  
Nocturnal Restlessness ◽  
Rest Activity

<b><i>Introduction:</i></b> Disrupted sleep-wake cycles might be associated with an exacerbation of behavioural disturbances and accelerate disease progression in dementia. The effect of sensory stimulation for improving sleep quality is unclear. <b><i>Methods:</i></b> A systematic literature search was performed and all studies examining the effects of a sensory stimulation intervention (i.e. bright light, massage, acupuncture, animal-assisted interventions) on rest-activity rhythm (RAR) and/or nocturnal restlessness in nursing-home residents with dementia were included. <b><i>Results:</i></b> Sensory stimulation was shown to improve nocturnal behavioural restlessness as well as sleep duration and continuation, but the effect on the number of awakenings, RAR, and daytime sleep was negligible. Notable was the high heterogeneity between studies regarding treatments and patients’ characteristics and sleep parameters. <b><i>Conclusion:</i></b> Sleep quality and nocturnal restlessness in nursing-home residents with dementia may benefit from sensory stimulation. An environment with sensory stimulation may prevent or improve sleep disturbances in nursing homes, and thereby contribute to a better quality of life for their patients.

scholarly journals Sleep Disturbances in Nursing Home Residents: Links to Quality of Life and Daily Functioning

Proceedings ◽  
2019 ◽  
Vol 21 (1) ◽  
pp. 12
Author(s):  
Patricia Concheiro-Moscoso ◽  
Betania Groba ◽  
Nereida Canosa
Keyword(s):  
Nursing Home ◽  
Sleep Quality ◽  
Sleep Disturbances ◽  
Body Position ◽  
Nursing Home Residents ◽  
International Classification Of Functioning ◽  
Euroqol 5D ◽  
Lower Hrqol ◽  
Icf Core Sets ◽  
Anxiety Depression

The current study sought to determine the association of sleep with HRQOL and physical function among older nursing home residents. Participants were 37 older adults attending or residing in a semi-urban nursing-home facility in Galicia, Spain (70.3% cognitively normal, 29.7% cognitively impaired, aged 84.1±8.0, 81.1% women) who completed the Pittsburgh Sleep Quality Index (PSQI), the 5-level EuroQol-5D, a measure of HRQOL, and the International Classification of Functioning, Disability and Health (ICF) Core Sets for Sleep, a measure of physical functional. After adjustment for age, poor (PSQI score ≤ 14) and/or worse sleep quality (continuous PSQI score) was associated with several indices of lower HRQOL, including greater immobility (b = 0.19, p = 0.012) difficulty completing self-care (b = 0.23, p < 0.001) and daily activities (b = 0.18, p = 0.004), more severe anxiety/depression (b = 0.10, p = 0.042), and a lower overall health index (b = 0.06, p = 0.001). Further, poor/worse sleep quality was associated with several indices of functional impairment, including greater difficulty maintaining body position (b = 0.32, p = 0.004), walking (b = 0.17, p = 0.001), and moving around (b = 0.45, p = 0.009).

Sleep/awake status throughout the night and circadian motor activity patterns in older nursing-home residents with or without dementia, and older community-dwelling people without dementia

2016 ◽  
Vol 28 (12) ◽  
pp. 2001-2008 ◽  
Author(s):  
Yu Kume ◽  
Ayuto Kodama ◽  
Kotaro Sato ◽  
Satoko Kurosawa ◽  
Takashi Ishikawa ◽  
...  
Keyword(s):  
Nursing Home ◽  
Motor Activity ◽  
Sleep Disturbances ◽  
Activity Rhythm ◽  
Activity Patterns ◽  
Nursing Home Residents ◽  
Medical Doctor ◽  
Community Dwelling ◽  
Poor Sleep ◽  
Clinical Dementia Rating

ABSTRACTBackground:Sleep disturbances are commonly observed in older nursing home residents, mainly in combination with dementia. However, sleep-associated circadian motor activity patterns have not been thoroughly investigated in Japanese nursing homes. The present study aimed to respectively clarify the effect of community living and the presence of dementia on sleep disturbances and interrupted activity rhythm of older nursing-home residents with or without dementia and older community-dwelling people without dementia.Methods:Actigraph devices worn on the participants’ non-dominant wrists for seven days were used to collect objective measurements of the sleep/awake status throughout the night and the circadian motor activity patterns. The presence of dementia was assessed by a trained medical doctor using the residents’ records and the Clinical Dementia Rating (CDR). The functional capacity of the participants was determined using the Barthel Index (BI).Results:Fifty-one older people in Akita prefecture were included in the current study, consisting of 17 residents with dementia (mean age: 82.2 years), 17 residents without dementia (84.5 years), and 17 community-dwelling people (83.6 years). The results showed that older nursing-home residents with dementia had significantly a lower rate of sleep efficiency and a longer awake time throughout the night than the other groups. Older nursing-home residents with and without dementia had more fragmented rhythm than community-dwelling people without dementia.Conclusion:These results provide evidence of poor sleep/awake status throughout the night and interrupted circadian activity rhythms in nursing-home residents with and without dementia. However, further studies performed according to dementia classifications are needed.

679 Prevalence of Sleep Disturbances in Patients with Chronic Non-cancer Pain: A Systematic Review and Meta-Analysis

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A265-A266
Author(s):  
Yishi Sun ◽  
Isabelle Laksono ◽  
Janannii Selvanathan ◽  
Aparna Saripella ◽  
Mahesh Nagappa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Pain ◽  
Sleep Quality ◽  
Cancer Pain ◽  
Sleep Disturbances ◽  
Meta Analysis ◽  
Pain Group ◽  
Pooled Prevalence ◽  
Chronic Pain Patients ◽  
Pain Patients

Abstract Introduction In individuals with chronic pain, sleep disturbances have been suggested to increase suffering, perception of pain, and to negatively affect long-term prognosis. This systematic review and meta-analysis aims to determine the pooled prevalence of sleep disturbances in chronic non-cancer pain patients with no other sleep disorders, using the patient-rated questionnaires Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI). Methods Multiple databases were searched for studies reporting the prevalence of sleep disturbances in chronic pain patients. Chronic pain was defined as pain &gt;3 months. Comorbid sleep disorders such as sleep disordered breathing and restless leg syndrome were excluded. Sleep disturbances were defined using the PSQI cutoff of &gt; 5 (poor sleep quality) and ISI ≥ 8 (subthreshold to clinical insomnia). The meta-analysis was conducted to examine the pooled prevalence of PSQI and ISI data using the inverse-variance random-effects model and to examine mean differences in PSQI scores. Results The systematic search resulted in 25,486 articles and 20 were included for analysis. In 12 studies using PSQI, the pooled prevalence of sleep disturbance was 75.3% among 3,597 chronic pain patients (mean age 53 ± 12 years; 74% female). In eight studies using ISI, the pooled prevalence was 72.9% among 2,578 chronic pain patients (mean age 63 ± 12 years; 57% female). The meta-analysis showed a significant mean difference of 2.75 (p &lt; 0.001) in the global PSQI score between the chronic pain group versus the non-chronic pain group. The meta-analysis also showed a significant mean difference in the scores of four of seven PSQI components: sleep latency, sleep efficiency, sleep duration, and sleep disturbances (p &lt; 0.05). Conclusion In chronic pain patients, the pooled prevalence of sleep disturbances as measured by PSQI (75.3%) and ISI (72.9%) studies was much higher than those reported for the general population. The relatively high prevalence of sleep disturbances in chronic pain patients emphasizes the importance of further characterizing the relationship between sleep and chronic pain. Support (if any):

Antimicrobial Stewardship Interventions to Optimize Treatment of Infections in Nursing Home Residents: A Systematic Review and Meta-Analysis

2021 ◽  
pp. 073346482110182
Author(s):  
Sainfer Aliyu ◽  
Jasmine L. Travers ◽  
S. Layla Heimlich ◽  
Joanne Ifill ◽  
Arlene Smaldone
Keyword(s):  
Systematic Review ◽  
Nursing Home ◽  
Antibiotic Stewardship ◽  
Meta Analysis ◽  
Nursing Home Residents ◽  
Antibiotic Use ◽  
Antibiotic Prescribing ◽  
Prescribing Practices ◽  
Stewardship Program ◽  
Meta Analyses

Effects of antibiotic stewardship program (ASP) interventions to optimize antibiotic use for infections in nursing home (NH) residents remain unclear. The aim of this systematic review and meta-analysis was to assess ASPs in NHs and their effects on antibiotic use, multi-drug-resistant organisms, antibiotic prescribing practices, and resident mortality. Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we conducted a systematic review and meta-analysis using five databases (1988–2020). Nineteen articles were included, 10 met the criteria for quantitative synthesis. Inappropriate antibiotic use decreased following ASP intervention in eight studies with a pooled decrease of 13.8% (95% confidence interval [CI]: [4.7, 23.0]; Cochran’s Q = 166,837.8, p < .001, I2 = 99.9%) across studies. Decrease in inappropriate antibiotic use was highest in studies that examined antibiotic use for urinary tract infection (UTI). Education and antibiotic stewardship algorithms for UTI were the most effective interventions. Evidence surrounding ASPs in NH is weak, with recommendations suited for UTIs.

scholarly journals Effects of Dynamic Bedroom Lighting On Measures of Sleep and Circadian Rest-Activity Rhythm in Inpatients With Major Depressive Disorder

2021 ◽  
Author(s):  
Canazei Markus ◽  
Weninger Johannes ◽  
Pohl Wilfried ◽  
Marksteiner Josef ◽  
Weiss Elisabeth
Keyword(s):  
Activity Rhythm ◽  
Severe Depression ◽  
Bright Light ◽  
Light Therapy ◽  
Psychiatric Ward ◽  
Lighting System ◽  
Bright Light Therapy ◽  
Effective Treatment Option ◽  
Major Depressive ◽  
Rest Activity

Abstract Bright light therapy is an effective treatment option for seasonal and non-seasonal affective disorders. However up to now, no study has investigated effects of dynamic bedroom lighting in hospitalized patients with major depression. A bedroom lighting system, which automatically delivered artificial dawn and dusk and blue-depleted nighttime lighting (DD-N lighting) was installed in a psychiatric ward. Patients with moderate to severe depression were randomly assigned to stay in bedrooms with the new lighting or standard lighting system. Patients wore wrist actimeters during the first two treatment weeks. Additionally, hospitalization duration and daily psychotropic medication were retrieved from patients’ medical charts. Data from thirty patients were analyzed. Patients under DD-N lighting generally woke up earlier (+20 minutes), slept longer (week 1: +11 min; week 2: +27 min) and showed higher sleep efficiency (+2.4%) and shorter periods of nighttime awakenings (-15 minutes). In the second treatment week, patients started sleep and the most active 10-hour period earlier (-33 min and -64 min, respectively). This pilot study gives first evidence that depressed patients’ sleep and circadian rest/activity system may benefit from adjunctive bedroom lighting when starting inpatient treatment.

The Prevalence of Sleep Disturbances and Sleep Quality in Older Chinese Adults: A Comprehensive Meta-Analysis

2018 ◽  
Vol 17 (6) ◽  
pp. 683-697 ◽  
Author(s):  
Li Lu ◽  
Shi-Bin Wang ◽  
Wenwang Rao ◽  
Qinge Zhang ◽  
Gabor S. Ungvari ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbances ◽  
Meta Analysis ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta-analysis

2018 ◽  
Vol 74 (11) ◽  
pp. 2511-2522 ◽  
Author(s):  
Pei-ye Cao ◽  
Qing-hua Zhao ◽  
Ming-zhao Xiao ◽  
Ling-na Kong ◽  
Ling Xiao
Keyword(s):  
Systematic Review ◽  
Nursing Home ◽  
Fall Prevention ◽  
Meta Analysis ◽  
Nursing Home Residents

Comparison of Sleep Disturbances Between Older Nursing Home Residents in High- and Low-Altitude Areas

2019 ◽  
Vol 33 (6) ◽  
pp. 370-376
Author(s):  
Shou Liu ◽  
Ines H. I. Chow ◽  
Li Lu ◽  
Yan-Ming Ren ◽  
Hui-Lian Yang ◽  
...  
Keyword(s):  
Nursing Home ◽  
Sleep Disturbance ◽  
High Altitude ◽  
Sleep Disturbances ◽  
Nursing Home Residents ◽  
Male Gender ◽  
Multiple Logistic Regression ◽  
Regression Analyses ◽  
High Altitude Area ◽  
Low Altitude

Background and Objective: This study compared sleep disturbances between older adults living in nursing home located in high- and low-altitude areas and explored the association between sleep disturbances and quality of life (QoL). Method: In total, 207 participants living in a high-altitude area and 437 participants in a low-altitude area were included. Sleep disturbances (ie, difficulty in initiating sleep, difficulty in maintaining sleep, and early morning awakening) were measured using standardized questions. The independent demographic and clinical correlates of sleep disturbances in high-altitude area were examined using multiple logistic regression analyses. Each type of sleep disturbance was entered as the dependent variable separately, while those with significant group differences in the univariate analyses (ie, male gender, married status, age and depressive symptoms) were entered as independent variables. Results: The prevalence of any type of sleep disturbances in the whole sample was 26.09%, with 41.54% in the high-altitude area and 18.76% in the low-altitude area. Physical, psychological, social, and environmental QoL domains were negatively associated with sleep disturbances in high-altitude area. Multiple logistic regression analyses revealed that male gender and married status were less likely to have sleep disturbances, while those with more severe depressive symptoms were more likely to have sleep disturbances in high-altitude area. Conclusion: Sleep disturbance is common among older nursing home residents in high-altitude areas. Considering the negative impact of sleep disturbance on QoL, regular screening and treatment strategies need to be developed directly for this population.

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