Petrovsky Darina V, McPhillips Miranda Varrasse, Li Junxin, Brody Ariana, Caffeé Laurel, Hodgson Nancy A
University of Pennsylvania School of Nursing, Claire M. Fagin Hall, 418 Curie Boulevard, Philadelphia, PA 19104-4217, USA.
School of Nursing, Center for Sleep and Circadian Neurobiology, University of Pennsylvania, USA.
Geriatr Nurs. 2018 Nov;39(6):640-645. doi: 10.1016/j.gerinurse.2018.04.014. Epub 2018 May 24.
Sleep disruption in persons with dementia is pervasive and contributes to negative health outcomes and decreased quality of life. Using Lawton's framework for quality of life in persons with dementia, the aim of this state-of-the-art review was to synthesize current knowledge on the association between sleep disruption and quality of life in persons with dementia in four domains: physical, social/behavioral, emotional well-being, and cognitive. Based on the final sample of six studies, sleep disruption was negatively associated with all four quality of life domains in persons with dementia. Given the variations in research design, measurement and sample size, conclusions could not be generated on the magnitude of the effects by domain. We do, however, provide recommendations for future research and clinical practice.
痴呆症患者的睡眠障碍普遍存在,会导致负面健康结果并降低生活质量。运用劳顿针对痴呆症患者生活质量的框架,本前沿综述的目的是综合当前关于痴呆症患者睡眠障碍与生活质量在四个领域(身体、社会/行为、情感幸福和认知)之间关联的知识。基于六项研究的最终样本,睡眠障碍与痴呆症患者生活质量的所有四个领域均呈负相关。鉴于研究设计、测量方法和样本量的差异,无法就各领域影响的程度得出结论。不过,我们确实为未来研究和临床实践提供了建议。