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Sleep promotion in hospitalized elders.
Corey L Nagel1, Megan B Markie, Kathy C Richards
1Oregon Health and Science University, Portland, OR, USA.
Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
|November 12, 2003
Summary
Hospitalized older adults frequently experience poor sleep. This study explores factors causing sleep disturbances and discusses interventions to improve sleep quality in elderly patients.
Area of Science:
- Gerontology
- Sleep Medicine
- Hospital Medicine
Background:
- Hospitalized older adults commonly suffer from poor and fragmented sleep.
- Sleep disturbances in this demographic are linked to various negative health outcomes.
- Understanding the specific causes is crucial for effective management.
Purpose of the Study:
- To identify key factors contributing to sleep disruption in hospitalized elderly patients.
- To review and discuss evidence-based interventions aimed at improving sleep in this population.
- To provide a comprehensive overview for clinicians and researchers.
Main Methods:
- Literature review of studies on sleep in hospitalized older adults.
- Analysis of factors affecting sleep, including environmental, physiological, and psychological aspects.
- Synthesis of data on non-pharmacological and pharmacological interventions.
Main Results:
- Common factors include noise, light, frequent awakenings, pain, and medication side effects.
- Interventions such as environmental modifications, scheduled care, and cognitive behavioral therapy show promise.
- Pharmacological options should be considered cautiously due to potential side effects.
Conclusions:
- Sleep disturbance is a significant issue for hospitalized elders, influenced by multiple factors.
- A multi-faceted approach combining environmental adjustments and targeted therapies is recommended.
- Further research is needed to optimize sleep interventions for this vulnerable group.