Sleep and Long-Term Care

Ye, Lichuan; Richards, Kathy

doi:10.1016/j.jsmc.2017.09.011

Cited by 42 publications

(38 citation statements)

References 72 publications

(84 reference statements)

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“…The other main approach is non-pharmacological methods for managing sleep problems, which have been tried and tested more frequently in recent years. These interventions should always be considered as firstline therapy for sleep-disturbed older adults (Deschenes & McCurry, 2009;Siebern, Suh, & Nowakowski, 2012;Ye & Richards, 2018).…”

Section: Dolu and Nahcivanmentioning

confidence: 99%

“…The other main approach is non‐pharmacological methods for managing sleep problems, which have been tried and tested more frequently in recent years. These interventions should always be considered as first‐line therapy for sleep‐disturbed older adults (Deschenes & McCurry, ; Siebern, Suh, & Nowakowski, ; Ye & Richards, ). With an emphasis on evidence‐based studies, when the effect size of each intervention was compared, non‐pharmacological interventions were not effective for sleep problems in older adults, but some of them were likely to improve sleep quality in older adults (Hwang & Shin, ).…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, different studies have reported that more than 60% of older adults living in a nursing home had some sleep difficulties (Fetveit & Bjorvatn, 2002;Martin & Ancoli-Israel, 2008). There are some possible causes for sleep problems observed in nursing home residents in addition to agerelated changes in sleep architecture, such as nocturia, environment-related noise (Gentili, Weiner, Kuchibhatil, & Edinger, 1997), inactivity, longer amounts of time spent in bed, lack of bright light exposure, poor sleep hygiene (Alessi & Schnelle, 2000;Neikrug & Ancoli-Israel, 2010), physical disabilities, practices in care homes (Ellmers, Arber, Luff, Eyers, & Young, 2013), polypharmacy, social disengagement, depression, dementia, room temperature and room sharing (Ye & Richards, 2018). These possible reasons are likely to increase the severity of sleep problems in nursing home residents.…”

Section: Introductionmentioning

confidence: 99%

“…Untreated sleep problems are primary risk factors for other health-related problems on a regular basis. Actually, sleep problems significantly correlate with other health issues including depressive symptoms (Gentili et al, 1997;Horwath & Szczerbińska, 2017;Kim & Hwang, 2017), cognitive and functional impairment, Parkinson's disease, stroke, hip fractures, chronic arthritis (Neikrug & Ancoli-Israel, 2010;Ye & Richards, 2018), less functional recovery with rehabilitation, social disengagement, greater risk of falls (Brassington et al 2000), frailty, agitation and higher mortality (Ye & Richards, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Impact of a nurse‐led sleep programme on the sleep quality and depressive symptomatology among older adults in nursing homes: A non‐randomised controlled study

Dolu

Nahcivan

2018

Int J Older People Nursing

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Background Sleep problems are much more prevalent in nursing home residents than in their community‐dwelling counterparts. Cognitive behavioural therapy is likely to improve sleep quality in older adults. However, these interventions have a narrow scope to generalise to nursing home practice, and there are minimal data on the effectiveness of the integration of cognitive behavioural therapy and motivational interviewing in nursing home settings. Aim The purpose of this study was to investigate the impact of a nurse‐led sleep programme on the sleep quality and depressive symptomatology in cognitively intact nursing home residents. Methods A non‐randomised controlled study design was applied to 52 older adults living in three different nursing homes in the same locality. Then, we categorised our study cohort into the following two groups: intervention group in which the older adults received the nurse‐led sleep programme and control group in which the older adults received regular nursing home services. One nursing home was assigned to the intervention, and two were assigned to control. The intervention group participated in four weekly 1‐hr sessions performed by the first author. Results Follow‐up assessments conducted at 8 and 12 weeks after the intervention ended revealed that participants in the intervention group experienced a significant improvement in some objective sleep parameters, including awakenings, total wake time, wake after sleep onset and sleep efficiency, as well as a significant decrease in depressive symptomatology. Conclusion To summarise, the results of this study showed that the nurse‐led sleep programme improved the sleep quality and reduced depressive symptomatology in cognitively intact nursing home residents. In this context, we can assert that interventions for sleep problems should be individualised by addressing sleep experience and sleep management strategies of older adults living in nursing homes and should be integrated with motivational interviewing techniques.

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Section: Dolu and Nahcivanmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Impact of a nurse‐led sleep programme on the sleep quality and depressive symptomatology among older adults in nursing homes: A non‐randomised controlled study

Dolu

Nahcivan

2018

Int J Older People Nursing

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“…These health and psychosocial issues are especially pertinent for older people in residential care. The prevalence of sleep disturbance is higher among older people in residential care than among those living in the community [8][9][10][11]. A study conducted in Spain showed that a high percentage of nursing home residents (72.1%) were poor sleepers, and poor sleep quality was found to be correlated with decline in functional status [10].…”

Section: Introductionmentioning

confidence: 99%

Acupressure to improve sleep quality of older people in residential aged care: a randomised controlled trial protocol

Hmwe

Browne

Mollart

et al. 2020

Trials

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Background: Sleep disturbance in older people is an important health issue that is associated with many other health problems. Effective interventions are required to address sleep problems in this group. Acupressure has been suggested as a potential therapeutic technique to improve sleep. The aim of this study is to evaluate the effects of an acupressure intervention on sleep quality, anxiety, depression, and quality of life among older persons in residential aged care facilities within an Australian context. Methods/design: This is a randomised controlled trial with two parallel groups in a pre-and post-test study. Study participants will be older people living in residential aged care facilities. They will be assigned to intervention and control groups using computer-generated random numbers. The intervention group will receive 12-min acupressure three times per week for four consecutive weeks, applied on three acupoints: HT7, PC6, and SP6. The control group will receive only routine care. The primary outcome measure is sleep quality, and secondary outcomes include anxiety, depression, and quality of life. Data will be collected before the intervention, immediately after the end of the intervention, and 2 weeks after the intervention. Discussion: This study targets a poorly met healthcare need of older people who are experiencing sleep disturbance and its negative consequences. To the researchers' knowledge, this is the first study evaluating acupressure in an Australian aged care context, using specific acupoints and a standardised acupressure protocol. If the results show positive outcomes, acupressure could be used to manage sleep disturbances for older people in the Australian context as well as in the global ageing population. This will contribute to reducing negative consequences of sleep disturbance and use of sleep medications.

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Treatment of sleep disturbance in older adults

Reynolds

Adams

2019

Pharmacy Practice and Res

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Sleep and circadian rhythm disturbances are prevalent in older populations. Numerous factors can affect sleep, including medications, living environment and physical, mental and psychosocial factors (e.g. loneliness and stress). Sleep architecture changes with aging, with less deep sleep (slow wave sleep) and an increased frequency of awakenings after sleep onset. Benzodiazepines, Z-drugs and low doses of the tricyclic antidepressant doxepin have modest positive benefits for sleep complaints, but side effects are a concern in older people because they include an increased risk of falls, fractures and cognitive impairment. Somnolence can be prolonged in older adults. Melatonin has very modest effects on sleep initiation in older adults, although appears safe. Overall, the effects of pharmacological treatments are modest and there are concerns about the efficacy and safety of their ongoing use. There is strong evidence for non-pharmacological interventions, including cognitive and behavioural strategies, to improve sleep. These have at least comparable efficacy to pharmacological interventions, fewer adverse effects and are more likely to have longer-term, sustained benefits. Sleep complaints in older adults need to be approached on a patient-by-patient basis, and medication should be reviewed frequently, with preference to limit pharmacological intervention as far as practicable.

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Sleep and Long-Term Care

Cited by 42 publications

References 72 publications

Impact of a nurse‐led sleep programme on the sleep quality and depressive symptomatology among older adults in nursing homes: A non‐randomised controlled study

Impact of a nurse‐led sleep programme on the sleep quality and depressive symptomatology among older adults in nursing homes: A non‐randomised controlled study

Acupressure to improve sleep quality of older people in residential aged care: a randomised controlled trial protocol

Treatment of sleep disturbance in older adults

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