Perspectives on sleep of people living with dementia in nursing homes: a qualitative interview study

BMC Geriatrics

Research

Kathrin Schmüdderich¹  Jonas Dörner¹  Johann-Moritz Hüsken²  Martin N. Dichter³  Claudia Dinand⁴  Margareta Halek⁴ 

[1] Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Stockumer st. 12, 58453, Witten, Germany;School of Nursing Science, Faculty of Health, Witten/Herdecke University, Alfred- Herrhausen-st. 45, 58455, Witten, Germany;German Institute of Applied Nursing Research, Hülchrather st. 15, 50670, Cologne, Germany;Institute of Nursing Science, Medical Faculty and University Hospital of Cologne, University of Cologne, Gleueler st. 176-178, 50935, Cologne, Germany;School of Nursing Science, Faculty of Health, Witten/Herdecke University, Alfred- Herrhausen-st. 45, 58455, Witten, Germany;

关键词: Dementia;    Sleep;    Sleep disturbances;    Nursing home;    Qualitative study;    Thematic analysis;   

DOI  :  10.1186/s12877-023-04052-4

 received in 2023-01-10, accepted in 2023-05-20,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDisturbed sleep among people living with dementia in nursing homes is widespread and is associated with diseases and all-cause mortality. This study examined the sleep of people living with dementia from their perspectives in nursing homes and that of the nurses who care for people living with dementia.MethodsA qualitative cross-sectional study was conducted. A total of 15 people living with dementia and 15 nurses in 11 German nursing homes were enrolled in this study. Data was collected between February and August 2021 through semistructured interviews, which were audio recorded and transcribed. Thematic analyses were performed by three independent researchers. Thematic mind maps and controversial findings were discussed with the Research Working Group of People with Dementia of the German Alzheimer Association.ResultsThematic analysis identified five overarching themes from the nursing home participants regarding sleep patterns: (1) characteristics of good sleep, (2) characteristics of bad sleep, (3) personal influences of people living with dementia on sleep, (4) environmental factors on sleep, and (5) sleep strategies of people living with dementia. Analysis also identified five overarching themes from the nurses participants: (1) characteristics of good sleep, (2) characteristics of bad sleep, (3) personal influences on sleep, (4) environmental factors on sleep, and (5) interventions for sleep promotion.ConclusionsThe thematic analyses demonstrated that the perspectives of people living with dementia and nurses indicate the need to give more consideration to psychosocial factors and individual aspects of sleep in clinical practice. The results could also be helpful for the development of targeted assessment instruments and complex non-pharmacological interventions to promote sleep.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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