Sleep Quality in Residents of Assisted Living Facilities: Effect on Quality of Life, Functional Status, and Depression

摘要: Older people increasingly reside in assisted living facilities (ALFs) when they are unable to live independently but do not require nursing home (NH)-level care.1 The specific services offered at ALFs somewhat variable typically include congregate meals, housekeeping, and personal care assistance. provide private or semiprivate rooms. ALF residents function more than have greater autonomy their daily living. Estimates of the number vary considerably based on how defined, ranging from 11,500 50,000 nationwide. reported United States varies 611,000 1 million.2,3 Evidence suggests that a vulnerable period lives, with high risk for further functional decline subsequent placement;4,5 24% 40% discharged long-term facility annually.6 A growing literature sleep disturbance is common older significant factor poor health, impairment, falls, depression, quality life, mortality institutionalized people.7–11 Although impairment setting has been well studied, few published studies found insomnia daytime sleepiness negative effect functioning.12,13 A cross-sectional pilot study had more-fragmented nighttime home-dwelling adults.14 In addition, age health status places them sleepdisturbance disorders. Numerous demonstrate longer onset latency, wakefulness, less deep sleep, earlier morning awakening, napping associated advancing age15–19 most primary disorders (e.g., apnea, restless legs syndrome) increase prevalence as well.20,21 prospective, observational cohort was performed residing Los Angeles area. purpose this describe patterns determine whether status, depression over 6month follow-up period. It hypothesized self-reported quality, disrupted excessive sleeping (according actigraphy) would be residents; abnormal sleep–wake baseline (more sleeping, sleep) worse baseline; 3 6 months follow-up.