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Insomnia symptoms among old people in nursing homes
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University. Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Sweden; Department of Health Sciences, Luleå University of Technology, Sweden.
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2018 (English)In: International psychogeriatrics, ISSN 1041-6102, E-ISSN 1741-203X, Vol. 30, p. 77-85Article in journal (Refereed) Published
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
New York: Cambridge University Press, 2018. Vol. 30, p. 77-85
Keyword [en]
cognitive impairment, dementia, hypnotics and sedatives, insomnia symptoms, nursing homes
National Category
Nursing Geriatrics
Identifiers
URN: urn:nbn:se:umu:diva-139893DOI: 10.1017/S1041610217001703ISI: 000423081100009PubMedID: 28927479OAI: oai:DiVA.org:umu-139893DiVA, id: diva2:1144285
Available from: 2017-09-26 Created: 2017-09-26 Last updated: 2018-06-09Bibliographically approved

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Skottheim, AndreasLövheim, HugoIsaksson, UlfSandman, Per-OlofGustafsson, Maria

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Skottheim, AndreasLövheim, HugoIsaksson, UlfSandman, Per-OlofGustafsson, Maria
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Geriatric MedicineDepartment of NursingArctic Research Centre at Umeå UniversityDepartment of Pharmacology and Clinical Neuroscience
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International psychogeriatrics
NursingGeriatrics

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