Factors associated with daytime sleep in nursing home residents

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Li, Junxin ; Chang, Yu-Ping ; Porock, Davina (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 activities during the day may be beneficial to minimize their DS, especially for those who have difficulties with engaging socially on their own.
  • References (23)
    23 references, page 1 of 3

    Alessi, C. A., & Vitiello, M. V. (2012). Sleep disturbance among older adults in long-term care: A significant problem in an important clinical setting. American Association for Geriatric Psychiatry, 20, 457-459. doi:10.1097/JGP.0b013e31 825688e4

    Ancoli-Israel, S., Klauber, M. R., Jones, D. W., & Kripke, D. F. (1997). Variations in circadian rhythms of activity, sleep and light exposure related to dementia in nursing-home patients. Sleep, 20, 18-23.

    Bates-Jensen, B. M., Schnelle, J. F., Alessi, C. A., Al-Samarrai, N. R., & Levy-Storms, L. (2004). The effects of staffing on in-bed times of nursing home residents. Journal of the American Geriatrics Society, 52, 931-938. doi:10.1111/j.1532-5415.2004. 52260.x

    Bombois, S., Derambure, P., Pasquier, F., & Monaca, C. (2010). Sleep disorders in aging and dementia. Journal of Nutrition Health and Aging, 14, 212-217.

    Burrows, A. B., Morris, J. N., Simon, S. E., Hirdes, J. P., & Phillips, C. (2000). Development of a minimum data set-based depression rating scale for use in nursing homes. Age and Ageing, 29, 165- 172.

    Byers, A. L., Yaffe, K., Covinsky, K. E., Friedman, M. B., & Bruce, M. L. (2010). High occurrence of mood and anxiety disorders among older adults: The National Comorbidity Survey Replication. Archives of General Psychiatry, 67, 489. doi:10. 1001/archgenpsychiatry.2010.35

    Carpenter, G. I., Hastie, C. L., Morris, J. N., Fries, B. E., & Ankri, J. (2006). Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment. BMC geriatrics, 6, 7.

    Centers for Medicare and Medicaid Services. (2003). The assessment schedule for the RAI, revised long-term care resident assessment instrument user's manual (2nd ed.). Milwaukee, WI: Briggs Corporation.

    Chang, Y. P., Li, J., & Porock, D. (2013). The effect on nursing home resident out- comes of creating

    a household within a traditional structure. Journal of the American Medical Directors Association, 14,

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