The Relationships between Night Excretion Care and Sleep-state of Elderly Residents at a Special Nursing Home

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  • 特別養護老人ホーム入居者の夜間の排泄ケアと睡眠状態との関連
  • トクベツ ヨウゴ ロウジンホーム ニュウキョシャ ノ ヤカン ノ ハイセツ ケア ト スイミン ジョウタイ ト ノ カンレン

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Abstract

<p>  In this study, we examined how the nature of care affects sleep-state by comparing sleep-state data between elderly residents at a special nursing home who were independent pertaining to their excretion (independent group) and those who were receiving regular night excretion assistance (assistance group). We examined sleep-state data collected over one year using mattress-type sleep monitors. Fourteen subjects were analyzed: eight in the independent group and six in the assistance group. Average ages of subjects in the independent and assistance groups were 86.9 ±6.5 and 85.3±10.9, respectively. The means of transportation were walking (four subjects in the independent group and two in the assistance group) and by wheelchair without support (four subjects in each of the two groups).</p><p>  The rate of interrupted sleep was 13.9% (90.2 ± 38 min) and 11.1% (74.3 ± 20 min) in the independent and assistance groups, respectively. The assistance group had slightly fewer instances of interrupted sleep, but the difference was not significant. Furthermore, no significant differences were observed between the two groups in the sleep-onset time, wake-up time, sleep duration, rate of REM sleep, rate of light sleep, and rate of deep sleep. Regular night excretion assistance was not always found to deteriorate the sleep-state in elderly people requiring long-term care. One approach to preventing inhibited sleep-state in elderly people requiring long-term care is to reduce the number of times of night excretion care as much as possible; however, the results of our study suggest that it is necessary to examine the number of times and timing of night excretion care while observing quality of sleep and sleep patterns of elderly people individually.</p>

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