| |
Centre for Policy on Ageing | |
 | |
|
The nursing home at night
— effects of an intervention on noise, light, and sleep | | Author(s) | John F Schnelle, Cathy A Alessi, Nahla R Al-Samarrai |
| Journal title | Journal of the American Geriatrics Society, vol 47, no 4, April 1999 |
| Pages | pp 430-438 |
| Keywords | Sleep behaviour ; Incontinence ; Residents [care homes] ; Noise ; Lighting systems ; Nursing homes ; United States of America. |
| Annotation | Nursing home residents' sleep is fragmented by frequent awakening episodes mainly associated with environmental factors including noise and light changes. This study aimed to improve sleep by reducing the frequency of nighttime noise and light changes. 267 incontinent nursing home residents in 8 nursing homes were assigned to an immediate or delayed intervention group. The behavioural intervention was implemented between 7pm and 6am and involved feedback to nursing home staff about noise levels; nighttime incontinence care routines were individualised to be less disruptive to sleep. Noise was reduced significantly, from an average of 83 intervals per night with peak noises recorded above 50 dBs to an average of 58 intervals per night in the group receiving the initial intervention, whereas noise in the control group showed no change. However, the significant reductions in noise and light resulting from the intervention did not lead to significant improvements in day sleep and most night sleep measures. An intervention combining both behavioural and environmental strategies dealing with daytime behavioural factors associated with poor sleep would be more effective in improving residents' night sleep and quality of life. (RH). |
| Accession Number | CPA-990825294 A |
| Classmark | CG: CTM: KX: RAN: YG: LHB: 7T |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|