特別養護老人ホームの施設差が入所者の睡眠感および寝床内気候に及ぼす影響
二つの異なる特別養護老人ホーム入所者の寝床内気候, 睡眠感, 主観的気分と眠気の日内変動を比較した.調査対象は, 介護体制の異なる東京都心 (T) と長野県郊外 (N) にある特別養護老人ホーム入所者計30名 (東京22名, 長野8名) とし, さらにADL (日常生活活動) が自立している群 (T-high, N-high) と自立していないねたきりの群 (T-10w, N-low) にわけて比較した.測定項目は寝室内, 寝床内温湿度, 起床時の睡眠感, 主観的眠気, 活力, 気分のリズムとした.夜間の室内温湿度は, Nで有意に温度が低く, 湿度が高かった.日中の背部の寝床内温度は, T-h...
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| Published in | 日本家政学会誌 Vol. 51; no. 3; pp. 223 - 229 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
一般社団法人 日本家政学会
2000
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0913-5227 1882-0352 |
| DOI | 10.11428/jhej1987.51.223 |
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| Abstract | 二つの異なる特別養護老人ホーム入所者の寝床内気候, 睡眠感, 主観的気分と眠気の日内変動を比較した.調査対象は, 介護体制の異なる東京都心 (T) と長野県郊外 (N) にある特別養護老人ホーム入所者計30名 (東京22名, 長野8名) とし, さらにADL (日常生活活動) が自立している群 (T-high, N-high) と自立していないねたきりの群 (T-10w, N-low) にわけて比較した.測定項目は寝室内, 寝床内温湿度, 起床時の睡眠感, 主観的眠気, 活力, 気分のリズムとした.夜間の室内温湿度は, Nで有意に温度が低く, 湿度が高かった.日中の背部の寝床内温度は, T-highでN-highよりも有意に低かった。夜間の寝床内気候に群による差はみられず, 32～34℃, 50～60%RHの問に保たれていた.日中の眠気はT-highでN-highより有意に低く, T-10wでもN-10wより低い傾向であった.睡眠感はT-high, T-lowで N-high, N-lowよりも有意に高かった.ADLは同じでも, ホームにより睡眠感は差がみられ, 介護体制を改善していくことで睡眠感が改善する可能性が示唆された. |
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| AbstractList | 二つの異なる特別養護老人ホーム入所者の寝床内気候, 睡眠感, 主観的気分と眠気の日内変動を比較した.調査対象は, 介護体制の異なる東京都心 (T) と長野県郊外 (N) にある特別養護老人ホーム入所者計30名 (東京22名, 長野8名) とし, さらにADL (日常生活活動) が自立している群 (T-high, N-high) と自立していないねたきりの群 (T-10w, N-low) にわけて比較した.測定項目は寝室内, 寝床内温湿度, 起床時の睡眠感, 主観的眠気, 活力, 気分のリズムとした.夜間の室内温湿度は, Nで有意に温度が低く, 湿度が高かった.日中の背部の寝床内温度は, T-highでN-highよりも有意に低かった。夜間の寝床内気候に群による差はみられず, 32～34℃, 50～60%RHの問に保たれていた.日中の眠気はT-highでN-highより有意に低く, T-10wでもN-10wより低い傾向であった.睡眠感はT-high, T-lowで N-high, N-lowよりも有意に高かった.ADLは同じでも, ホームにより睡眠感は差がみられ, 介護体制を改善していくことで睡眠感が改善する可能性が示唆された. |
| Author | 工藤, 優子 横谷, 智明 水野, 一枝 |
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| References | Gentili, A., Weiner, D. K., Kuchibhatla, M., and Edinger, J. D. (1997) Factors That Disturb Sleep in Nursing Home Residents, Aging Clin. Exp. Res., 9,207-213 Middlekoop, H. A. M., Kerkhof, G. A., Smilde-van den doel, D. A., Ligthart, G. J., and Kamphuisen, H. A. C. (1994) Sleep and Ageing : The Effect of Institutionalisation on Subjective and Objective Characteristics of Sleep, Age Ageing, 23,411-417 Horne, J. A., and Minard, A. (1985) Sleep and Sleepiness Following a Behaviourally Active Day, Ergonomics, 28,567-575 Katz, S. (1970) Progress in Development of the Index of ADL, Gerontologist, 10, 20-30 Carskadon, M. A., Brown, E. D., and Dement, W. C. (1982) Sleep Fragmentation in the Elderly; Relationship to Daytime Sleep Tendency, Neurobiol. Aging, 3,321-327 Buysee, D. J., Reynolds, 3rd C. F., Monk, T. H., Hoch, C. C., Yeager, A. L., and Kupfer, D. J. (1991) Quantification of Subjective Sleep Quality in Healthy Elderly Men and Women Using the Pittsburgh Sleep Quality Index, Sleep, 14,331-338 Cohen, D. C., Eisdorfer, C., Printz, P., Breen, A., Davis, M., and Gadsby, A. (1983) Sleep Disturbances in the Institutionalised Aged, J. Am. Geriatr. Soc., 31, 79-82 Ceolim, M. F., Campedelli, M. C., and Mennabarreto, L. (1996) Circadian Amplitude and Quality of Sleep in a Group of Active Elderly Subjects, Biol. Rhythm. Res., 27,398-408 Miyazawa, M., Yanase, T., and Hanoka, T. (1974) On the Correlation between the Seasonal Changes of Bed Climate and Sleep (in Japanese), Res. J. Living Sci., 21, 99-106 Spiegel, R. (1981) Sleep and Sleepiness in Advanced Age, Spectrum Publications Inc., New York, 169-188 Brown, L. F., Reynolds, 3rd C. F., Monk, T. H., Pigerson, H. G., Dew, M. A., Hoouck, P. R., Mazumdar, S., Buysee, D. J., Hoch, C. C., and Kupfer, D. J. (1996) Social Rhythm Stability Following Late-Life Spousal Bereavement; Association with Depression and Sleep Impariment, Psychiatr. Res., 62,161-169 Monk, T. H., Buysee, D. J., Reynolds, 3rd C. F., Kupfer, D. J., and Houck, P. R. (1996) Subjective Alertness Rhythms in Elderly People, J. Biol. Rhythms, 11,268-276 Pollak, C. P., Perlick, D., Linsner, J. P., Wenston, J., and Hsieh, F. (1990) Sleep Problems in the Community Elderly as Predictors of Death and Nursing Home Placement, J. Community Health, 15,123-135 Cruise, P. A., Schnelle, J. F., Alessi, C. A., Simmons, S. F., and Ouslander, J. G. (1998) The Night-Time Environment and Incontinence Care Practices in Nursing Homes, J. Am. Geriatr. Soc., 46,181-186 Iwashige, H., Igarashi, Y., Miyazawa, M., Sakakibara, N., Mizuno, Y., Kubo, H., Isoda, N., and Yanase, T. (1995) A Survey of Residential Thermal Environments on the Age in the Daily Living (Part 2) Aspects of Ambient Temperature on the Aged (in Japanese), Nihon Kasei Gakkaishi (J. Home Econ. Jpn.), 46,455-464 Czeisler, C. A., Dumont, M., Duffy, J. F., Steinberg, J. D., Richardson, G. S., Brown, E. N., Sanchez, R., Rios, C. D., and Ronda, J. M. (1992) Association of Sleep-Wake Habits in Older People with Changes in Output of Circadian Pacemaker, Lancet, 340,933-936 Monk, T. H. (1991) Sleep and Circadian Rhythms, Exp. Gerontol., 26,233-243 Monk, T. H., Reynolds, 3rd C. F., Machen M. A., and Kupfer, D. J. (1992) Daily Social Rhythms in the Elderly and Their Relation to Objectively Recorded Sleep, Sleep, 15,322-329 Ancoli-Israel, S., Parker, L., Sinaee, R., Fell, R. L., and Kripke, D. F. (1989) Sleep Fragmentation in Patients from a Nursing Home, J. Gerontol., 44, 18-21 Okamoto, K., Kudoh, Y., Yokoya, T., and Okudaira, N. (1998) A Survey of Bedroom and Bed Climate of the Elderly in a Nursing Home, Appl. Hum. Sci., 17,115-120 Candas, V., Libert, J. P., Vogt, J. J., Ehrhart, J., and Muzet, A. (1979) Body Temperature during Sleep under Different Thermal Conditions, in Indoor Climate; Effects on Human Comfort, Performance and Health (ed. by Fanger, P. O., and Valbjorn, O.), Danish Building Research Institute, Copenhagen, 763-775 |
| References_xml | – reference: Katz, S. (1970) Progress in Development of the Index of ADL, Gerontologist, 10, 20-30 – reference: Ceolim, M. F., Campedelli, M. C., and Mennabarreto, L. (1996) Circadian Amplitude and Quality of Sleep in a Group of Active Elderly Subjects, Biol. Rhythm. Res., 27,398-408 – reference: Gentili, A., Weiner, D. K., Kuchibhatla, M., and Edinger, J. D. (1997) Factors That Disturb Sleep in Nursing Home Residents, Aging Clin. Exp. Res., 9,207-213 – reference: Monk, T. H. (1991) Sleep and Circadian Rhythms, Exp. Gerontol., 26,233-243 – reference: Buysee, D. J., Reynolds, 3rd C. F., Monk, T. H., Hoch, C. C., Yeager, A. L., and Kupfer, D. J. (1991) Quantification of Subjective Sleep Quality in Healthy Elderly Men and Women Using the Pittsburgh Sleep Quality Index, Sleep, 14,331-338 – reference: Miyazawa, M., Yanase, T., and Hanoka, T. (1974) On the Correlation between the Seasonal Changes of Bed Climate and Sleep (in Japanese), Res. J. Living Sci., 21, 99-106 – reference: Monk, T. H., Reynolds, 3rd C. F., Machen M. A., and Kupfer, D. J. (1992) Daily Social Rhythms in the Elderly and Their Relation to Objectively Recorded Sleep, Sleep, 15,322-329 – reference: Okamoto, K., Kudoh, Y., Yokoya, T., and Okudaira, N. (1998) A Survey of Bedroom and Bed Climate of the Elderly in a Nursing Home, Appl. Hum. Sci., 17,115-120 – reference: Middlekoop, H. A. M., Kerkhof, G. A., Smilde-van den doel, D. A., Ligthart, G. J., and Kamphuisen, H. A. C. (1994) Sleep and Ageing : The Effect of Institutionalisation on Subjective and Objective Characteristics of Sleep, Age Ageing, 23,411-417 – reference: Ancoli-Israel, S., Parker, L., Sinaee, R., Fell, R. L., and Kripke, D. F. (1989) Sleep Fragmentation in Patients from a Nursing Home, J. Gerontol., 44, 18-21 – reference: Cruise, P. A., Schnelle, J. F., Alessi, C. A., Simmons, S. F., and Ouslander, J. G. (1998) The Night-Time Environment and Incontinence Care Practices in Nursing Homes, J. Am. Geriatr. Soc., 46,181-186 – reference: Czeisler, C. A., Dumont, M., Duffy, J. F., Steinberg, J. D., Richardson, G. S., Brown, E. N., Sanchez, R., Rios, C. D., and Ronda, J. M. (1992) Association of Sleep-Wake Habits in Older People with Changes in Output of Circadian Pacemaker, Lancet, 340,933-936 – reference: Spiegel, R. (1981) Sleep and Sleepiness in Advanced Age, Spectrum Publications Inc., New York, 169-188 – reference: Monk, T. H., Buysee, D. J., Reynolds, 3rd C. F., Kupfer, D. J., and Houck, P. R. (1996) Subjective Alertness Rhythms in Elderly People, J. Biol. Rhythms, 11,268-276 – reference: Cohen, D. C., Eisdorfer, C., Printz, P., Breen, A., Davis, M., and Gadsby, A. (1983) Sleep Disturbances in the Institutionalised Aged, J. Am. Geriatr. Soc., 31, 79-82 – reference: Horne, J. A., and Minard, A. (1985) Sleep and Sleepiness Following a Behaviourally Active Day, Ergonomics, 28,567-575 – reference: Candas, V., Libert, J. P., Vogt, J. J., Ehrhart, J., and Muzet, A. (1979) Body Temperature during Sleep under Different Thermal Conditions, in Indoor Climate; Effects on Human Comfort, Performance and Health (ed. by Fanger, P. O., and Valbjorn, O.), Danish Building Research Institute, Copenhagen, 763-775 – reference: Carskadon, M. A., Brown, E. D., and Dement, W. C. (1982) Sleep Fragmentation in the Elderly; Relationship to Daytime Sleep Tendency, Neurobiol. Aging, 3,321-327 – reference: Brown, L. F., Reynolds, 3rd C. F., Monk, T. H., Pigerson, H. G., Dew, M. A., Hoouck, P. R., Mazumdar, S., Buysee, D. J., Hoch, C. C., and Kupfer, D. J. (1996) Social Rhythm Stability Following Late-Life Spousal Bereavement; Association with Depression and Sleep Impariment, Psychiatr. Res., 62,161-169 – reference: Iwashige, H., Igarashi, Y., Miyazawa, M., Sakakibara, N., Mizuno, Y., Kubo, H., Isoda, N., and Yanase, T. (1995) A Survey of Residential Thermal Environments on the Age in the Daily Living (Part 2) Aspects of Ambient Temperature on the Aged (in Japanese), Nihon Kasei Gakkaishi (J. Home Econ. Jpn.), 46,455-464 – reference: Pollak, C. P., Perlick, D., Linsner, J. P., Wenston, J., and Hsieh, F. (1990) Sleep Problems in the Community Elderly as Predictors of Death and Nursing Home Placement, J. Community Health, 15,123-135 |
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| SubjectTerms | 寝床内気候 睡眠 養護老人ホーム 高齢者 |
| Title | 特別養護老人ホームの施設差が入所者の睡眠感および寝床内気候に及ぼす影響 |
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