Development of a multi-component intervention to promote sleep in older persons with dementia transitioning from hospital to home.

Autor: Sidani S; Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada., Fox MT; School of Nursing, York University, Toronto, Ontario, Canada.; York University Centre for Aging Research and Education, Toronto, Ontario, Canada., Butler JI; School of Nursing, York University, Toronto, Ontario, Canada.; York University Centre for Aging Research and Education, Toronto, Ontario, Canada., Maimets IK; Steacie Science and Engineering Library, York University, Toronto, Ontario, Canada.
Jazyk: angličtina
Zdroj: International journal of older people nursing [Int J Older People Nurs] 2022 Sep; Vol. 17 (5), pp. e12463. Date of Electronic Publication: 2022 Apr 01.
DOI: 10.1111/opn.12463
Abstrakt: Background: Hospitalised older persons with dementia are commonly discharged with intensified sleep disturbances. These disturbances can impede the recovery process. Nurses are well-positioned to assist persons with dementia and their family caregivers in managing sleep disturbances during the transition from hospital to home.
Objectives: To describe the development of a multi-component intervention to promote sleep.
Methods: We applied three stages of the intervention mapping method to develop a non-pharmacological, multi-component sleep intervention. The first stage involved a review of the literature to generate an understanding of the determinants of sleep disturbances experienced by persons with dementia in hospital and home settings. The second stage consisted of a literature review to identify therapies for managing commonly reported determinants of sleep disturbances. The third stage entailed delineation of the intervention components.
Results: The most common determinants of sleep disturbances experienced by persons with dementia in hospital and home settings were: physiological changes associated with ageing, sleep environments non-conducive to sleep, limited exposure to light and engagement in physical activity, stress and sleep-related beliefs and behaviours. Therapies found effective included: light therapy, physical activity therapy, sleep hygiene, and stimulus control therapy. These therapies were integrated into a multi-component sleep intervention to be provided using the teach-back technique, during and following hospitalisation.
Discussion: Consistent with the principles of patient engagement, the multi-component sleep intervention will be evaluated for its acceptability and feasibility.
Implications for Practice: The intervention has potentials to improve sleep during the transition from hospital to home.
(© 2022 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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