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The research on the quality of sleep on persons in the nursing home by using accerelometer

利用加速度计对养老院人员睡眠质量的研究

基本信息

批准号：
16590517
负责人：
KAWADA Tomoyuki
金额：
$ 2.45万
依托单位：
Nippon Medical School
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2007
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-16590517/
关键词：
Sleep-wake rhythm Elderly subject Nursing home Accerelometer Sleep environment Subjective sleep Amenity Quality of Life 特別養護老人ホームアメニティー

项目摘要

【Introduction】We examined the quality of sleep on persons in the nursing home. Informed consent was received from the persons, and Actiwatch[○!R] (ITC Co. Ltd.) was worn in the non-dominant wrist of each subjects. Accerelometer was included in the device, and consecutive days and nights were monitored continuously. Total sleep time in the night and total sleep time in all day and night were calculated. Sleep database of institutionalized old subjects was made.【Subjects and Methods】"Nozomi nursing home", "Hakkyu-en nursing home", "Sun Hope nursing home", "Urara nursing home", "Koaikai nursing home" and a private small nursing home were selected in the past four years. Subjects having dementia or paralysis were not adopted in this study. Some of the subjects spend mainly on the bed, and they were oriented to stay in the community room in daytime. The measurement was performed from April to November in each year. Behavior of each subject was not restricted. The apparatus "Actiwatch[○!R] … More was worn in the non-dominant wrist of the subjects by nurse and principal investigator. In half of nursing home, the apparatus was reset in every two weeks and the activity of each subject was monitored continuously. After extraction of data from the apparatus, we calculated total sleep time during night and all day and night long by using "Excel" sheet. After making database, statistical analysis was conducted by the software "SPSS". 【Results and Conclusion】A total of 1,540 day and night data could be analyzed. Interview of insomnia from the subjects was conducted, but there were no subjects who complaint sleeplessness or insomnia. The total sleep time in the night (from 21: 00 to 6: 00 in the next morning) ranged from 118 to 539 minutes. Mean ± standard deviation was 432 ± 75. When daytime sleep was added, the total sleep time ranged from 400 to 1429. It's mean ± standard deviation was 1,000 ± 234. The elongation of sleeping time might be explained by the fact that some of the subjects spend all of the time in bed. Poly-phasic sleep and waking patterns were observed, and sleep could not become deep in such cases. As sleep polysomnogram could not be measured, the precise sleep stage could not be obtained. On the other hand, some subjects showed clear sleep-wake cycle, and day activity was clear. Midnight awakening was rare in that case. We continue to analyze this database, and intervention was planned to improve the quality of sleep for subjects in the nursing home. Less

[导言]我们调查了养老院里的人的睡眠质量。收到了当事人的知情同意，Actiwatch[0！R](ITC Co.Ltd.)戴在每个受试者的非优势手腕上。装置内置精度计，连续昼夜连续监测。计算夜间总睡眠时间和全天、夜间总睡眠时间。[对象和方法]在过去的4年中选择“Nozomi养老院”、“Hakkyu-en养老院”、“Sun Hope养老院”、“Urara养老院”、“Koaikai养老院”和一家私营小型养老院。患有痴呆症或瘫痪的受试者不在这项研究中。一些受试者主要在床上度过，他们倾向于白天呆在社区房间里。测量时间为每年的4月至11月。每个受试者的行为都不受限制。设备“ActiWatch[0！R]…护士和首席调查员在受试者的非优势手腕上戴了更多。在一半的养老院，每两周重置一次仪器，并持续监测每个受试者的活动。从仪器中提取数据后，使用Excel表格计算夜间和全天夜间的总睡眠时间。建立数据库后，用SPSS软件进行统计分析。[结果与结论]共可分析1540个昼夜资料。对受试者进行失眠访谈，但没有受试者抱怨失眠或失眠。夜间总睡眠时间(21：00至次日早上6：00)为118-539分钟。平均标准差为432±75。加上白天的睡眠，总的睡眠时间在400到1429之间。其均值±标准差为1,000±234。睡眠时间的延长可能是因为一些受试者所有的时间都在床上。观察到多相睡眠和觉醒模式，这种情况下睡眠不能变深。由于无法测量睡眠多导睡眠图，因此无法获得准确的睡眠阶段。另一方面，一些受试者表现出明显的睡眠-觉醒周期，白天活动明显。在这种情况下，半夜醒来的情况很少见。我们继续分析这个数据库，并计划进行干预，以改善疗养院受试者的睡眠质量。较少