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

[引言]我们对养老院的人的睡眠质量进行了调查。知情同意书已收到，Actiwatch [○!（ITC Co. Ltd.） 戴在每个受试者的非优势手腕上。该装置中包括加速度计，并连续昼夜进行连续监测。计算夜间总睡眠时间和昼夜总睡眠时间。建立了养老院老年人睡眠数据库。[研究对象与方法]选择近4年来的"望之家"、"鹤栖园"、"太阳希望"、"浦良"、"海海"和一家私立小型养老院。本研究未纳入痴呆或瘫痪受试者。部分受试者白天主要在床上活动，倾向于待在社区活动室。每年4月至11月进行测量。每名受试者的行为不受限制。设备"Actiwatch [○! R] ...更多信息 由护士和主要研究者佩戴在受试者的非优势手腕上。在一半的疗养院中，每两周重置一次仪器，并连续监测每个受试者的活动。从仪器中提取数据后，我们用“Excel”表格计算了夜间和全天候的总睡眠时间。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1，540个昼夜数据。对受试者进行了失眠访谈，但没有受试者抱怨失眠或失眠。夜间总睡眠时间（21：00~次日早晨6：00）为118~539分钟。平均值±标准差为432 ± 75。如果加上白天的睡眠，总睡眠时间在400到1429之间。平均值±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，在这种情况下睡眠不会变得很深。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，部分受试者表现出清晰的睡眠-觉醒周期，白天活动清晰。半夜醒来是罕见的。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。少

【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