RESEARCH TO FIND A WAY TO KEEP GOOD SLEEP IN ELDERLY IN RELATION TO SLEEP POSTURE AND ROLLING.

我们在去年的研究中发现，夜间睡眠中的身体滚动运动量受床垫材料的影响，夜间滚动幅度是否足够是决定POHEMOS睡眠质量的重要因素。还检查了他们的照顾者为他们提供身体运动护理的频率和幅度，探讨了护理方式对老年人睡眠质量感的影响，并对81名门诊护士站使用者和81名住院老年人进行了调查，养老院车站卧床老人使用者中，90.5%使用专用床垫预防褥疮，其中使用充气床垫者占73.8%。与居家照顾老人相比，只有118%的机构老人使用充气床垫。姿势变化量分为两种，一种是大的，一种是小的。机构老年人对大的姿势改变有兴趣的分别为73.8%和90.2%，对小的姿势改变有兴趣的分别为78.6%和29.4%。无论在家中还是在机构，这种姿势改变的间隔在白天都是2 ~ 3 h。到了晚上，在家庭护理情境中，他们根据自己的需要改变姿势，而在机构化情境中，持续2 - 3小时的间隔。在家庭护理情境中，他们的躺姿几乎是仰卧的，而在机构化情境中，躺姿是半仰卧的。讨论了躺姿被认为对随后的身体运动量是如此重要，即使他们不能移动，也必须给予更多的注意。自己并讨论了如何维持有褥疮潜在危险的体弱老人的连续睡眠。

We showed, in the previous year, that the amount of body movement of rolling in the night sleep was influenced by the material of mattress and that whether amplitude of rolling was kept enough or not in the night was the important factor to decide her sense of quality of sleep measured by POHEMUS.This year, we examined the material of mattress of frail elderly persons, and also examined how often and how much amplitude of body movement care was offered to them by their caregivers, and discussed on the influences of the way of care to elderly person's sense of quality of sleep.We examined on the 81 users of visiting nurse stations and 81 institutionalized elderly persons to nursing homes. Among bedridden elderly in the station users, 90.5% were used special mattress to prevent bedsore, which included 73.8% of air-mattress. In contrast to home care elderly, only 118% of institutionalized elderly were used air mattress. The amount of posture change was classified into two, one was large and the other was a little. Large posture change was offered 73.8% and 90.2% of institutionalized elderly and a little posture change was 78.6% and 29.4% respectively. The interval of this posture change was 2〜3 hours in the day time both in home and in institution. In the night time, they were offered posture change depending on their needs in the home care situation but 2〜3 hours interval in the institutionalized situation continuously The lying posture was almost supine in home care situation but in half in institutionalized situation.It was discussed that lying posture is considered so important to the amount of following body movement that more attention must be paid even though they cannot move by themselves. And also discussed that how can we maintain continuous sleep of the frail elderly who had potential risk of bedsore.