Using a Non-Wearable Actigraphy in Nursing Care for Dementia With Lewy Bodies

Abstract

People who have dementia with Lewy bodies often have sleep disorders. We used non-wearable devices to record and categorize the sleep patterns of patients with Lewy body dementia. Individual sleep data at a dementia–care unit in Japan were recorded using non-wearables. One week’s worth of data from 18 patients was analyzed. Median metrics for all participants were the following: sleep efficiency, 68% (23-89); sleep duration at night, 6.8 hours (1.6-11.1); times getting out of bed at night, 3.5 (0-13). We identified three types of abnormal sleep: extremely short sleep duration, excessive sleep duration at night, and excessive number of times getting out of bed at night. Sleep disturbances in Lewy body dementia patients are treated using various practices; staff must choose the most effective plan for each patient’s situation. Monitoring patient sleep using non-wearable provides more objective data that can help staff better personalize nursing care.

Sleep disturbances in Lewy body dementia: A systematic review

“…Overall, as these results indicate that there is a very high prevalence of sleep disturbances and EDS in Lewy body dementia, and that they are complex in nature. Importantly, our results indicate that the majority of the studies have focussed on DLB 12,21–75 . Whilst we have identified clear knowledge gaps in a range of areas (e.g.…”

“…One study examined objective sleep in DLB patients who underwent routine clinical visits 47 and another compared objective sleep between DLB and PD 36 . One study used actigraphy, alongside questionnaire and caregiver sleep diaries 34 and finally, one study measured objective sleep using a non‐wearable commercially available movement sensor, which is placed under a mattress 75 …”

“…The number of participants ranged from one (single‐case studies) to 4531. Fifty‐six studies recruited only DLB, 12,21–75 12 studies recruited both people with DLB and PDD, 76–87 and two recruited only PDD patients 88,89 ; these figures include studies that investigated the conversion from idiopathic RBD (iRBD) to DLB or PDD.…”

“…Twenty studies investigated subjective sleep, 12,[21][22][23][24][25][26][27][28][29][30][31][76][77][78][79][80][81][82]88 where 12 used participant, caregiver or informant questionnaires 12,[21][22][23][25][26][27][28]76,81,82,88 ; two relied upon clinical evaluations and participant or informant questionnaires, 79,80 two relied upon a clinical evaluation 24,78 and one study each used a retrospective review of clinical records, 29 patient, family or caregiver reports, 30 self-report patient sleep duration estimates 77 or subjective sleep diaries. 22 Seven studies focussed on objective sleep [32][33][34][35][36]47,75,81 , where five studies used o...…”

“…36 One study used actigraphy, alongside questionnaire and caregiver sleep diaries 34 and finally, one study measured objective sleep using a non-wearable commercially available movement sensor, which is placed under a mattress. 75 Eight studies assessed EDS. [37][38][39][40][41][42][43]89 One study solely used subjective questionnaire measures.…”