Development of a multi-component intervention to promote sleep in older persons with dementia transitioning from hospital to home.
Int J Older People Nurs
; 17(5): e12463, 2022 Sep.
Article
em En
| MEDLINE
| ID: mdl-35362239
ABSTRACT
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos do Sono-Vigília
/
Demência
Limite:
Aged
/
Aged80
/
Humans
Idioma:
En
Revista:
Int J Older People Nurs
Ano de publicação:
2022
Tipo de documento:
Article