Moyle Wendy, Jones Cindy, Murfield Jenny, Draper Brian, Beattie Elizabeth, Shum David, Thalib Lukman, O'Dwyer Siobhan, Mervin Cindy M
Menzies Health Institute QLD, Griffith University, Nathan, Brisbane, Queensland, Australia; School of Nursing and Midwifery, Nathan Campus, Griffith University, Nathan, Brisbane, Queensland, Australia.
Menzies Health Institute QLD, Griffith University, Nathan, Brisbane, Queensland, Australia; School of Nursing and Midwifery, Nathan Campus, Griffith University, Nathan, Brisbane, Queensland, Australia.
Maturitas. 2017 Aug;102:62-68. doi: 10.1016/j.maturitas.2017.05.015. Epub 2017 May 30.
To objectively measure over a 24-h period the daytime and nighttime levels of physical activity and sleep patterns of older people with dementia living in long-term care facilities.
Nested within a larger research program, this cross-sectional study involved 415 residents, aged ≥60 years, with a documented diagnosis of dementia, from 28 long-term care facilities in south-east Queensland, Australia.
Residents wore SenseWear activity armbands continuously for 24h, with data recorded for: step count; total energy expenditure; metabolic equivalent of task (MET); and the amount of time spent physically active, lying down, awake, and asleep. Residents' levels of cognitive impairment (assessed using the Rowland Universal Dementia Assessment Scale) and agitation (assessed using the Cohen-Mansfield Agitation Inventory-Short Form), and demographic data were also collected.
From a total of 415 residents monitored with the SenseWear activity armbands, 192 met the valid wear-time of 21h or more, and had activity and sleep data recorded. These residents were largely inactive during the daytime (engaged in an average of 1.8h of light physical activity), but achieved recommended amounts of sleep at night (average of 6.8h). There was considerable variation within the sample, and activity and sleep differed by sex (p<0.001), age (p=0.010), mobility (p<0.001), and antipsychotic usage (p=0.030).
These data can be used by long-term care clinicians to assist in planning interventions and care approaches which promote physical activity and good sleep practices, and are individualized to physical and cognitive capabilities. Australian New Zealand Clinical Trials Registry (ACTRN12614000508673).
客观测量居住在长期护理机构中的老年痴呆症患者在24小时内的白天和夜间身体活动水平及睡眠模式。
这项横断面研究嵌套在一个更大的研究项目中，涉及澳大利亚昆士兰州东南部28家长期护理机构中415名年龄≥60岁、有痴呆症确诊记录的居民。
居民连续24小时佩戴SenseWear活动臂带，记录的数据包括：步数；总能量消耗；代谢当量（MET）；身体活动、躺下、清醒和睡眠所花费的时间。还收集了居民的认知障碍水平（使用罗兰通用痴呆评估量表进行评估）和激越程度（使用科恩-曼斯菲尔德激越量表简表进行评估）以及人口统计学数据。
在总共415名佩戴SenseWear活动臂带监测的居民中，192名符合有效佩戴时间21小时或更长时间，并记录了活动和睡眠数据。这些居民白天大多不活动（平均进行1.8小时轻度身体活动），但夜间睡眠达到推荐量（平均6.8小时）。样本中存在相当大的差异，活动和睡眠因性别（p<0.001）、年龄（p=0.010）、活动能力（p<0.001）和抗精神病药物使用情况（p=0.030）而有所不同。
长期护理临床医生可利用这些数据协助规划促进身体活动和良好睡眠习惯的干预措施及护理方法，并使其针对身体和认知能力进行个性化定制。澳大利亚新西兰临床试验注册中心（ACTRN12614000508673）。
