通过辅导行为和环境重组 (SLUMBER) 改善睡眠
Jennifer L Martin1, Mary Cadogan2, Abraham A Brody3
1Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA; David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Journal of the American Medical Directors Association
|March 17, 2024
概括
辅导计划改善了熟练护理机构 (SNF) 居民的睡眠质量和减少了抑郁症,但这些好处在随访时没有持续. 由于COVID-19大流行,该研究提前结束.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在熟练护理机构 (SNF) 居民中,睡眠障碍很普遍,影响他们的整体健康和福祉.
- 工作人员提供的干预措施对于改善SNF居民护理至关重要.
- 现有的睡眠干预措施往往缺乏持续的影响.
研究的目的:
- 评估一项专注于SNF居民睡眠促进策略的员工辅导计划的有效性.
- 评估该计划对居民睡眠质量,日常功能,抑郁和焦虑的影响.
- 为了确定干预效应在3个月的随访期间的可持续性.
主要方法:
- 在两个城市SNF中实施了一种修改后的分阶式单位级干预.
- 专家导师通过网络研讨会,研讨会和短信为SNF工作人员提供培训.
- 使用手腕动图,行为观察,PSQI,PHQ-9,BADS,BCAT和MDS 3.0.0来衡量居民的结果.
主要成果:
- 干预后观察到睡眠质量 (PSQI) 和抑郁症减少 (PHQ-9) 的显著改善.
- 最初注意到白天活动和清醒程度增加,随访时有所下降.
- 在日常生活活动和疼痛得分方面有所改善,但焦虑和认知功能没有显著变化.
结论:
- 导师计划最初改善了SNF居民的睡眠质量和抑郁症.
- 观察到的好处在3个月的随访期间没有持续,这表明需要持续支持.
- 由于COVID-19大流行,研究的终止限制了关于长期影响的最终结论.
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