Effectiveness of sleep management strategies for residents of aged care facilities: findings of a systematic review

Détails

ID Serval
serval:BIB_1A54D390BF20
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Effectiveness of sleep management strategies for residents of aged care facilities: findings of a systematic review
Périodique
Journal of Clinical Nursing
Auteur(s)
Koch  S., Haesler  E., Tiziani  A., Wilson  J.
ISSN
0962-1067 (Print)
Statut éditorial
Publié
Date de publication
10/2006
Volume
15
Numéro
10
Pages
1267-75
Notes
Journal Article
Review --- Old month value: Oct
Résumé
AIMS AND OBJECTIVES: The objectives of this systematic review were to determine the most effective tools for the assessment and diagnosis of sleep problems, as well as identify the most effective strategies for the promotion of sleep within this population. BACKGROUND: Experiencing reduced sleep quality is often associated with normal ageing, however this may be exacerbated for residents of aged care facilities. External factors such as noise, light and night-time nursing may impact negatively upon sleeping patterns. METHODS: Eleven electronic databases and the reference lists and bibliographies of included studies were searched. Papers were grouped according to type of intervention or assessment tool and presented in a narrative summary. CONCLUSIONS: The review identified many interventions to promote sleep. Multidisciplinary strategies such as combining a reduction in environmental noise, reduction of night-time nursing care and promotion of daytime activity, are likely to be most effective for promoting sleep in the population of interest. The use of sedating medications is cautioned, as their long-term efficacy in promoting sleep is questionable. Wrist actigraphy was found to be the most accurate objective sleep assessment tool. RELEVANCE TO CLINICAL PRACTICE: Lack of sleep, disturbed sleep and the overuse of medications especially sedations reduce the quality of life for older people. Effective, safe sleep interventions should be promoted and practised by nurses.
Mots-clé
Aged Dementia/complications Exercise Geriatric Assessment Geriatric Nursing/*organization & administration Health Facility Environment/organization & administration Health Promotion Humans Hypnotics and Sedatives/adverse effects/therapeutic use Lighting/adverse effects Night Care Noise/adverse effects Nursing Assessment Nursing Evaluation Research Nursing Homes/*organization & administration Patient Care Team/organization & administration Polysomnography Quality of Life/psychology Research Design Risk Factors Risk Reduction Behavior Safety Sleep Disorders/*diagnosis/etiology/*prevention & control/psychology
Pubmed
Création de la notice
29/01/2008 9:56
Dernière modification de la notice
03/03/2018 14:28
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