title: Differences in sleep complaints in adults with varying levels of bed days residing in extended care facilities for chronic disease management.
abstract: This cohort study examined differences in perceived insomnia and daytime sleepiness in 67 adults residing in extended care facilities for chronic disease management who had varying levels of bed days. One bed day was defined as spending 24 hours in bed. Planned pairwise comparisons, using Bonferroni adjustment, were made between participants who spent 0 (n = 21), 2 to 4 (n = 23), and 5 to 7 (n = 23) days in bed during 1 week of monitoring. Participants who spent 5 to 7 days in bed had significantly greater insomnia than those who spent 2 to 4 days in bed. No group differences were found in daytime sleepiness. Based on the findings, nurses may assess subjective insomnia and explore sleep hygiene strategies, such as increasing time out of bed with patients who have high levels of 5 to 7 bed days.
authors.affiliation: Faculty of Health, School of Nursing, York University, 4700 Keele St.,Toronto, Ontario, Canada. maryfox@yorku.ca
authors.forename: Mary T
authors.initials: MT
authors.lastname: Fox
authors.forename: Souraya
authors.initials: S
authors.lastname: Sidani
authors.forename: Dina
authors.initials: D
authors.lastname: Brooks
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001294:Attitude to Health; D001510:Bed Rest / Q000009:adverse effects / Q000523:psychology / Q000706:statistics & numerical data; D002170:Canada / Q000453:epidemiology; D016009:Chi-Square Distribution; D002908:Chronic Disease; D015331:Cohort Studies; D019468:Disease Management; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D012307:Risk Factors; D012866:Skilled Nursing Facilities / Q000458:organization & administration; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D018709:Statistics, Nonparametric