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Insomnia symptoms among old people in nursing homes
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University.
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University.
Department of Nursing, Umeå University.
Luleå University of Technology, Department of Health Sciences, Nursing Care. Department of Nursing, Umeå University.
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2017 (English)In: International psychogeriatrics, ISSN 1041-6102, E-ISSN 1741-203XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

Background:: Insomnia symptoms are common among old people, and hypnotics and sedative drugs are often prescribed in spite of small benefits. The aim of this study was to estimate the prevalence of insomnia symptoms and to analyze the association between insomnia symptoms, cognitive level, and prescription of hypnotics and sedatives among old people living in nursing homes. Methods:: The study comprised 2,135 people living in nursing homes in the county of Västerbotten, Sweden. Data concerning hypnotic and sedative drugs, cognitive function, and prevalence of insomnia symptoms were collected, using the Multi-Dimensional Dementia Assessment Scale (MDDAS). Results:: The three most common insomnia symptoms were “sleeps for long periods during the day,” “interrupted night-time sleep,” and “wakes up early in the morning” with 57.8%, 56.4%, and 48.0%, respectively, of the residents exhibiting the symptoms at least once a week. Different insomnia symptoms showed different association patterns with sex and age. Most insomnia symptoms were more common among people with cognitive impairment compared to those with no cognitive impairment and seemed to reach their peak prevalence in people with moderate to severe cognitive impairment, subsequently decreasing with further cognitive decline. Of the study population, 24.0% were prescribed hypnotics and sedatives. Prescriptions were more common among those without cognitive impairment, and among those exhibiting the symptom “difficulty initiating sleep.” Conclusions:: Insomnia symptoms and prescription of hypnotics and sedatives are common among old people living in nursing homes. Considering the risk of adverse effects, it is important to regularly re-evaluate the need for these drugs

Place, publisher, year, edition, pages
Cambridge University Press, 2017.
National Category
Nursing
Research subject
Nursing
Identifiers
URN: urn:nbn:se:ltu:diva-66179DOI: 10.1017/S1041610217001703OAI: oai:DiVA.org:ltu-66179DiVA: diva2:1150324
Available from: 2017-10-18 Created: 2017-10-18 Last updated: 2017-11-24

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  • apa
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