Factors associated with daytime sleep in nursing home residents

Res Aging. 2015 Jan;37(1):103-17. doi: 10.1177/0164027514537081. Epub 2014 May 27.

Abstract

A retrospective, cross-sectional study was conducted to describe the occurrence of daytime sleep (DS) and to examine factors associated with DS in nursing home residents. We used the Minimum Data Set 2.0 records of 300 residents in a nursing home from January 2005 to March 2010. Descriptive statistics, independent t-test, chi-square, Pearson correlations, and logistic regression were utilized in analysis. About 71.3% of the residents slept more than 2 hours during the day, and this was significantly associated with residents' comorbidity (t = 2.0, p = .04), cognitive performance (t = 7.3, p = .01), activities of daily living (t = 3.7, p = .01), and social involvement (t = -7.6, p = .01). Cognitive performance and social involvement significantly predicted the occurrence of DS with social involvement being the strongest predictor (odds ratio: .58; 95% confidence interval: [.45, .75]). The findings suggest that interventions to engage nursing home residents in more social activities during the day may be beneficial to minimize their DS, especially for those who have difficulties with engaging socially on their own.

Keywords: activities of daily living; cognitive performance; daytime sleep; nursing home; social involvement.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activity Cycles*
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment / statistics & numerical data*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • New York
  • Nursing Homes
  • Retrospective Studies
  • Sleep*
  • Social Behavior
  • Suburban Health