Identification and treatment of sleep problems in the elderly.
Identification and treatment of sleep problems in the elderly.
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DOI：
10.1016/s1087-0792(97)90002-2
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发表时间：
1997-11-01
影响因子：
10.5
通讯作者：
Gehrman, P
中科院分区：
文献类型：
--
作者：
Ancoli-Israel, S;Poceta, J S;Gehrman, P
对于许多成年人来说，睡眠的变化随着年龄的增长而发生。据估计，约有1500万老年人，即50%的美国老年人，经历过一些睡眠问题。老年人抱怨说，他们的睡眠更加分散，随着年龄的增长，他们白天的困倦更多。实验室研究证实了这些投诉。研究表明，随着年龄的增长，睡眠的需求并没有减少，而是睡眠的能力。昼夜节律紊乱、睡眠障碍（如睡眠呼吸障碍和睡眠中的周期性运动）、医学疾病、药物使用和认知功能受损都导致睡眠不良和白天警觉性降低。在机构化的老年人中，睡眠甚至更受干扰和破坏。通过仔细评估，许多问题可以得到解决和治疗，有时甚至治愈。
For many adults, changes in sleep occur with aging. An estimated 15 million elderly, or 50% of older Americans, experience some sleep problem. The elderly complain that their sleep is more fragmented and that as they have gotten older, they experience more daytime sleepiness. Laboratory studies have confirmed these complaints. Research has shown that it is not the need for sleep that decreases with age, but rather the ability to sleep. Circadian rhythm disturbances, sleep disorders such as sleep disordered breathing and periodic movements in sleep, medical illness, medication use, and impaired cognitive functioning all contribute to poor sleep and decreased daytime alertness. In institutionalized elderly, sleep is even more disturbed and disrupted. With careful assessment, many of these problems can be addressed and treated, and sometimes cured.