ENVIRONMENTAL INTERVENTIONS ON SLEEP IN THE NURSING HOME

对疗养院睡眠的环境干预

• 批准号: 6168831
• 负责人: Cathy A Alessi
• 金额: $ 8.51万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-01 至 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6168831
• 关键词: Alzheimer's disease; behavior test; body physical activity; circadian rhythms; clinical research; geriatric nursing; human old age (65+); human subject; human therapy evaluation; longitudinal human study; medical rehabilitation related tag; noise; nursing homes; outcomes research; quality of life; rehabilitation; sleep; sleep disorders; wakefulness

DESCRIPTION (adapted from investigator's abstract): The primary purpose of this project is to test an environmental intervention aimed at improving nighttime sleep and decreasing daytime sleepiness among nursing home residents. The intervention will be targeted at improving disruptive environmental conditions that contribute to sleep disturbance. This 5-year project will be a randomized, controlled trial performed in 4 community nursing homes, with an expected enrollment of 120 subjects. Residents with both daytime sleepiness and nighttime sleep impairment will be targeted for the study. Subjects randomized to the treatment group will receive a daytime/nighttime (i.e., 24-hour) intervention that combines a previously-tested nighttime intervention (involving measures to decrease noise, light and sleep-disruptive nursing care practices) with a daytime intervention (involving structured sleep and awakening times, natural bright light exposure, increased physical activity, and limitation of time spent in bed). Control subjects will receive usual care. Outcome measures will include measures of sleep versus wakefulness (estimated by 24 hour wrist actigraphy) and behavior (measured by 24 hour behavioral observations). In addition, certain measures of the process of the intervention will be collected (i.e., noise levels, light exposure, in-bed time, and activity levels) to test the theoretical framework of the intervention. The major hypotheses are that the intervention will be associated with improvement in nighttime sleep and decreased daytime sleepiness and agitation. Results of this application may lead to dramatic changes in the nursing home environment, with the potential for significant improvement in the quality of life and well-being of this vulnerable population.

描述（根据调查员的摘要进行了改编）： 该项目是测试旨在改善的环境干预措施 夜间睡眠和养老院白天嗜睡的减少 居民。 干预措施将针对改善破坏性 导致睡眠障碍的环境条件。 这个五年 项目将是在4个社区中进行的随机对照试验 疗养院，预期入学120名受试者。 居民 白天的嗜睡和夜间睡眠障碍都将成为针对性的 研究。 随机分配给治疗组的受试者将接受 白天/夜间（即24小时）的干预措施 以前经过测试的夜间干预（涉及减少的措施 白天的噪音，光线和干扰性护理习惯） 干预（涉及结构化睡眠和觉醒时间，自然明亮 轻曝光，体育锻炼增加以及花费时间的限制 床）。 控制对象将获得常规护理。 结果措施将 包括睡眠与清醒的度量（由24小时手腕估算 Actraphy）和行为（通过24小时的行为观察衡量）。 在 此外，干预过程的某些措施将是 收集（即噪声水平，光线曝光，床内时间和活动 级别）测试干预的理论框架。 专业 假设是干预措施将与改善有关 夜间睡眠，白天嗜睡和搅动减少。 结果 该应用可能会导致疗养院发生巨大变化 环境，有可能显着改善质量 这种脆弱人群的生活和福祉。