Description
Sleep quality decreases with age (deep sleep and REM sleep decrease, and intra-sleep awakenings increase), while the frequency of sleep disorders, such as insomnia, sleep apnea syndrome, and restless legs syndrome, increase. These can lead to mental and physical health problems (depression, metabolic syndrome, falls, cognitive disorders,...). A study showed that 37.5% of hospitalized geriatric patients complained of sleep disorders, and new complaints of insomnia were reported in 21.3% of cases. Screening for sleep disorders in hospitalized geriatric patients is not part of the standard of care even though the subjective quality of sleep in this population is significantly impaired. The hospital environment is not conducive to quality sleep (noise, light, care-related disturbances,...). Although sleep quality has been studied subjectively, no previous study has focused on the objective changes in sleep in hospitalized geriatric patients. Pharmacological treatments, such as hypnotics, are frequently prescribed in cases of insomnia complaints during hospitalization. A study showed that 14% of hospitalized geriatric patients went home with a new hypnotic treatment, even though these treatments are not recommended in this population because they increase the risk of falls and cognitive deterioration. It therefore seems important to develop non-pharmacological approaches to reduce the onset of sleep disorders in this population. Sleep studies on non-pharmacological interventions aimed at improving the sleep of hospitalized patients are rare, especially for geriatric patients. Therapies derived from cognitive-behavioral therapy for insomnia (CBT-I), the reference for the treatment of chronic insomnia, seem promising for improving the sleep quality of hospitalized patients. CBT-I has proven effective in older adults for chronic insomnia.Our study aims to investigate 1) subjective sleep parameters via validated questionnaires and objective sleep parameters via actigraphy (wrist actimeter), Dreem© +/- polysomnography (PSG) (according to our eligibility criteria) (subgroups) and 2) the impact of behavioral and psycho-educational interventions inspired by CBT-I on the sleep of hospitalized geriatric patients.
We will use a two-phase interventional study. The first phase will study the objective and subjective sleep parameters in standard condition without behavioral and psycho-educational interventions. The second phase will study the objective and subjective sleep parameters when behavioral and psycho-educational interventions aimed at improving sleep are implemented.
| Periode | 10 mrt. 2020 |
|---|---|
| Gehouden op | Brugmann University Hospital, Belgium |
| Mate van erkenning | Local |