Time spent in bed at night by care-home residents: choice or compromise?
Time spent in bed at night by care-home residents: choice or compromise?
复制标题
疗养院居民晚上在床上度过的时间：选择还是妥协？
DOI：
10.1017/s0144686x10001285
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发表时间：
2011
影响因子：
2.5
通讯作者：
S. Arber
中科院分区：
文献类型：
--
作者：
R. Luff;Theresa Ellmers;I. Eyers;E. Young;S. Arber
摘要 本文研究了疗养院居民夜间在床上花费的时间，重点关注如何管理居民的就寝时间和起床时间。采用混合方法，在 14 天内收集了英格兰东南部 10 个护理院的 125 名居民的日记数据。调查结果表明，居民晚上平均在床上度过近 11 个小时，明显多于睡眠时间。需要帮助的居民在床上花费的时间比独立居民的差异更大。对六家护理院（每家都有晚上 8 点至早上 8 点夜班）的详细调查显示，受抚养居民的就寝时间和起床时间受到工作人员轮班模式的影响。对 38 名居民的定性访谈分析表明，居民对就寝时间缺乏选择，并且居民为了适应护理院的轮班和人员配置模式而做出了许多妥协。养老院早睡的社会规范也影响了独立居民。有人认为，目前护理院的夜班制度大约为 12 小时，而夜班的工作人员比例远低于白天，导致“夜间工作时间”过长，并限制了居民对就寝和起床时间的选择，尤其是对最受抚养的居民而言。
ABSTRACT This paper examines the amount of time that care-home residents spend in bed at night, focusing on how residents' bedtimes and getting-up times are managed. Using a mixed-methods approach, diary data were collected over 14 days from 125 residents in ten care homes in South East England. The findings indicate that residents spent, on average, nearly 11 hours in bed at night, significantly more time than was spent sleeping. There was greater variance in the amount of time residents who needed assistance spent in bed than there was for independent residents. Detailed investigation of six care homes, each with 8 pm to 8 am night shifts, showed that bedtimes and getting-up times for dependent residents were influenced by the staff's shift patterns. Analysis of qualitative interviews with 38 residents highlighted a lack of resident choice about bedtimes and many compromises by the residents to fit in with the care-home shift and staffing patterns. The social norm of early bedtimes in care homes also influenced the independent residents. It is argued that the current system in care homes of approximately 12-hour night shifts, during which staff ratios are far lower than in the daytime, promotes an overly long ‘night-time’ and curbs residents' choices about the times at which they go to bed and get up, particularly for the most dependent residents.
身体依赖的疗养院居民的睡眠卫生：行为和环境干预的影响。
影响因子：
5.6
作者：
Schnelle,JF;Cruise,PA;Alessi,CA;Ludlow,K;al-Samarrai,NR;Ouslander,JG
通讯作者：
Ouslander,JG