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Sleep disturbances in the institutionalized aged.

D Cohen, C Eisdorfer, P Prinz

    Journal of the American Geriatrics Society
    |February 1, 1983
    PubMed
    Summary

    Many nursing home residents experience sleep disturbances, impacting their perceived sleep quality. Nurse assessments of resident sleep quality did not align with resident self-reports, highlighting a potential gap in care.

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    Area of Science:

    • Gerontology
    • Sleep Medicine
    • Nursing Home Care

    Background:

    • Sleep disturbances are prevalent in older adults, particularly in institutional settings.
    • Assessing sleep quality in nursing home residents is complex, involving subjective and objective factors.

    Purpose of the Study:

    • To characterize sleep patterns and identify the prevalence of sleep disturbances in non-psychotic, non-demented nursing home residents.
    • To compare resident self-reported sleep quality with night nurse ratings.
    • To explore the relationship between sleep disturbances and resident-reported outcomes.

    Main Methods:

    • A structured interview was administered to 180 nursing home residents (average age 82).
    • Residents and night nurses rated sleep quality, appetite, and exercise on five-point scales.

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  • Sleep disturbance was defined by specific criteria including sleep latency, nighttime awakenings, and total sleep time.

    • Main Results:

    • 45% of residents met criteria for a sleep disturbance.
    • Residents with sleep disturbances reported significantly lower sleep quality compared to peers.
    • Nurse ratings of sleep quality showed poor correlation with resident ratings and did not effectively identify residents with sleep problems.

    Conclusions:

    • A significant proportion of nursing home residents suffer from sleep disturbances.
    • Subjective resident evaluations of sleep quality are crucial and may differ from nursing staff perceptions.
    • Discrepancies between resident and nurse ratings warrant further investigation regarding care and medication management.