Abstract:
OBJECTIVES:Older people who are admitted to inpatient rehabilitation settings often experience sleep disturbance or disorders. Both intrinsic and environmental factors may contribute to reduced sleep quality. Poor sleep quality has been reported to be associated with poorer rehabilitation outcomes. The aim of this review was (1) to describe the prevalence of sleep disturbance or disorder among older people participating in inpatient rehabilitation, and (2) to describe interventions that have been trialed to increase sleep quality and/or quantity in older people in rehabilitation settings and report on their efficacy. DESIGN:Systematic review involving search of 3 electronic databases and gray literature. Two authors independently reviewed citations and reviewed full text and agreed on included studies. Data were extracted and synthesized and risk of bias was assessed. SETTING AND PARTICIPANTS:Studies were included if they provided quantitative data about the prevalence of sleep disturbance or disorder in older people in a rehabilitation setting or if they reported the results of a randomized trial evaluating an intervention to improve sleep quality in older people in a rehabilitation setting. MEASURES:Studies were included if they reported data from monitoring (such as polysomnography or actigraphy), clinical assessments, or questionnaires. RESULTS:16 studies reporting prevalence data and 3 studies reporting evaluations of interventions were included in this review. Studies reported data from stroke and mixed population rehabilitation settings. The prevalence of obstructive sleep apnea was high and ranged from 12% to 92% in stroke rehabilitation settings. Other types of sleep disturbance, such as difficulty initiating sleep, were also common. CONCLUSIONS AND IMPLICATIONS:Many older people participating in inpatient rehabilitation have sleep disturbance or sleep disorders. Poor sleep quality is associated with poorer health status and recovery; therefore, it is important that rehabilitation settings take steps to enhance sleep quality for inpatients drawing on the principles of good sleep hygiene.
journal_name
J Am Med Dir Assocjournal_title
Journal of the American Medical Directors Associationauthors
Laver KE,Spargo C,Saggese A,Ong V,Crotty M,Lovato N,Stevens D,Vakulin Adoi
10.1016/j.jamda.2020.03.002subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1824-1832.e2issue
12eissn
1525-8610issn
1538-9375pii
S1525-8610(20)30222-Xjournal_volume
21pub_type
杂志文章,评审abstract:OBJECTIVES:Structured programs for routine pain assessment and treatment are necessary to optimize care for residents of long-term care facilities (LTCFs). A pilot study was designed to develop, implement, and evaluate a system for pain assessment and monitoring in a LTCF. Additional goals were to determine whether a v...
journal_title:Journal of the American Medical Directors Association
pub_type: 临床试验,杂志文章
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journal_title:Journal of the American Medical Directors Association
pub_type: 杂志文章
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journal_title:Journal of the American Medical Directors Association
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journal_title:Journal of the American Medical Directors Association
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journal_title:Journal of the American Medical Directors Association
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journal_title:Journal of the American Medical Directors Association
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doi:10.1016/j.jamda.2015.10.011
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journal_title:Journal of the American Medical Directors Association
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journal_title:Journal of the American Medical Directors Association
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更新日期:2003-01-01 00:00:00
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journal_title:Journal of the American Medical Directors Association
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jamda.2014.08.013
更新日期:2015-02-01 00:00:00
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journal_title:Journal of the American Medical Directors Association
pub_type: 杂志文章
doi:10.1016/j.jamda.2007.07.004
更新日期:2007-10-01 00:00:00
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journal_title:Journal of the American Medical Directors Association
pub_type: 杂志文章
doi:10.1016/j.jamda.2016.01.002
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journal_title:Journal of the American Medical Directors Association
pub_type: 杂志文章
doi:10.1016/j.jamda.2009.12.091
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journal_title:Journal of the American Medical Directors Association
pub_type: 杂志文章
doi:10.1016/j.jamda.2009.07.006
更新日期:2010-02-01 00:00:00
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journal_title:Journal of the American Medical Directors Association
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journal_title:Journal of the American Medical Directors Association
pub_type: 杂志文章,评审
doi:10.1016/j.jamda.2010.12.099
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journal_title:Journal of the American Medical Directors Association
pub_type: 杂志文章
doi:10.1097/01.JAM.0000073964.19754.C0
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doi:
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pub_type: 杂志文章,多中心研究
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journal_title:Journal of the American Medical Directors Association
pub_type: 杂志文章,评审
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journal_title:Journal of the American Medical Directors Association
pub_type: 杂志文章,多中心研究
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更新日期:2012-03-01 00:00:00
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journal_title:Journal of the American Medical Directors Association
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更新日期:2019-07-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2020-03-01 00:00:00
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更新日期:2020-07-15 00:00:00
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更新日期:2020-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-08-02 00:00:00