Research on nursing care for moderating sleep-awake patterns of older adults with dementia

调节老年痴呆症睡眠觉醒模式的护理研究

• 批准号: 15592342
• 负责人: HAGINO Etsuko
• 金额: $ 2.24万
• 依托单位: Health Sciences University of Hokkaido
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15592342/
• 关键词: nursing; elderly with dementia; sleep pattern disturbances; long-term care facility; 睡眠・覚醒リズム; 痴呆(認知症); 痴呆

First study investigated the environmental condition of lighting intensity at a long-term care facility, especially focusing on places where demented elderly with sleep pattern disturbances spend their daily time. The result of this study suggested that assessing the environmental condition of lighting intensity, utilization of natural lighting based on the characteristics of the facility, and frequency of outside activities were important for one aspects of care adjusting lighting environment of demented elderly with sleep pattern disturbances.Second study investigated the assessment method of sleep-awake patterns of elderly with dementia. The result suggested possibility of observational method for making wrong assessment when subjects were staying in bed quietly with their eyes close, or when subjects' awakening patterns were shorter than observational intervals. It was also found that actigraphs tend to detect involuntary movement such as scratching or fumbling blankets as awakening, and static activity as sleeping. It was suggested that subjects' physical activity, involuntary movement, and sleeping fragmentation would be an important factor for selecting an appropriate method of assessing sleep-awake patterns among elderly with dementia.

第一项研究调查了长期护理设施的照明强度的环境条件，特别是有睡眠模式障碍的痴呆症老人每天花费时间的地方。本研究的结果表明，根据设施的特点评估照明强度的环境状况、自然照明的利用情况以及户外活动的频率是护理调整睡眠模式障碍老年痴呆患者光环境的一个重要方面。第二项研究探讨了老年痴呆患者睡眠-觉醒模式的评估方法。这一结果表明，当受试者安静地躺在床上闭着眼睛，或者当受试者的觉醒模式短于观察间隔时，观察法可能会做出错误的评估。研究还发现，活动记录仪倾向于将抓挠或摸索毯子等不自主运动检测为觉醒，将静态活动检测为睡眠。研究表明，研究对象的体力活动、不自主运动和睡眠碎片将是选择合适的方法评估老年痴呆症患者睡眠-觉醒模式的重要因素。

项目成果

睡眠に障害をもつ認知症高齢者の生活の場における光環境の実態とケアの方向性

存在睡眠问题的痴呆老人居住空间光环境现状及护理方向

• 发表时间: 2006
• 期刊: 日本認知症ケア学会誌 第5巻1号(印刷中)
• 作者: 萩野悦子;萩野悦子
• 通讯作者: 萩野悦子

認知症高齢者の睡眠・覚醒状態を把握するための方法の検討-睡眠・覚醒観察法とアクチグラフの比較から-

了解痴呆症老年人睡眠/觉醒状态的方法研究 - 睡眠/觉醒观察法与体动记录法的比较 -

• 发表时间: 2006
• 期刊: 北海道医療大学看護福祉学部学会誌 第2巻1号
• 作者: 萩野悦子

Assessing the sleep-awake patterns of elderly with dementia : Comparison between an actigraph and observational method-

评估痴呆症老人的睡眠清醒模式：活动记录仪与观察方法的比较-

• 发表时间: 2006
• 期刊: Journal of School of Nursing and Social Services, Health Sciences University of Hokkaido 2(1)

Adjustment of lighting environment for the aspect of sleep pattern disturbance among the elderly with dementia in the long-term care facility

长期护理机构中痴呆老人睡眠模式障碍的照明环境调整

• 期刊: Journal of Japanese society for dementia care 5(1)(in press)