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.
BMC Geriatr. 2023 May 26;23(1):331. doi: 10.1186/s12877-023-04052-4.
Disturbed 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.
A 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.
Thematic 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.
The 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.
养老院中痴呆症患者的睡眠紊乱较为普遍，且与疾病和全因死亡率有关。本研究从养老院中痴呆症患者和护理他们的护士的角度来研究痴呆症患者的睡眠情况。
本研究采用定性的横断研究设计。总共纳入了来自德国 11 家养老院的 15 名痴呆症患者和 15 名护士。2021 年 2 月至 8 月期间，通过半结构式访谈收集数据，访谈进行了录音并转录。由三位独立的研究人员进行主题分析。主题思维导图和有争议的发现与德国阿尔茨海默病协会的痴呆症患者研究工作组进行了讨论。
主题分析从养老院参与者中确定了五个关于睡眠模式的总体主题：（1）良好睡眠的特征，（2）不良睡眠的特征，（3）痴呆症患者对睡眠的个人影响，（4）睡眠的环境因素，和（5）痴呆症患者的睡眠策略。分析还从护士参与者中确定了五个总体主题：（1）良好睡眠的特征，（2）不良睡眠的特征，（3）对睡眠的个人影响，（4）睡眠的环境因素，和（5）促进睡眠的干预措施。
主题分析表明，痴呆症患者和护士的观点表明，在临床实践中需要更多地考虑心理社会因素和睡眠的个体方面。研究结果还可能有助于开发有针对性的评估工具和复杂的非药物干预措施来促进睡眠。
