[Sleep complaints and disorders in residential home patients taking hypnotic drugs].
OBJECTIVE
To analyze sleep of residential home patients taking hypnotic drugs.


METHODS
This prospective, observational and multicentric study was performed a given day in nursing homes. Residents over than 65, having MMSE ≥ 15 and coherence A or B (for the AGGIR scale) were included. Aphasic residents or having acute pathology were excluded. Sleep complain was expressed by the resident himself and sleep disorder was observed by care givers. Sleep qualitative (complain versus disorder, difficulty to fall asleep and night awakenings) and quantitative (sleep duration) aspects were compared to residents who take or not hypnotic treatments.


RESULTS
635 residents were included. 28.2% of the residents expressed sleep complains whereas care givers reported that only 11.4% of resident presented real sleep disorders (p&#60;0.001). Compared to the residents who take hypnotic drugs (55.6%), residents without such treatment had shown less sleep complaints (31.2 versus 24.8%; p&#60;0.05), less difficulties to fall asleep (38.6 versus 26.5%; p&#60;0.001), and less night awakenings (69.5 versus 60.9%; p&#60;0.05). No sleep duration difference was found according to hypnotic drugs.


CONCLUSIONS
Institutionalized geriatric patients who take hypnotic drugs seem to have a significant lower quality of sleep.
Clinique de gérontologie, Centre hospitalier régional et universitaire (CHRU) de Lille.
Emmanuelle
E
Delzenne
Sébastien
S
Pesch
Isabelle
I
Martin
Christophe
C
Di Pompeo
Dominique
D
Huvent
Éric
É
Boulanger
François
F
Puisieux
Jean
J
Roche
D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005602:France; D015577:Geriatric Assessment; D006707:Homes for the Aged; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects* / Q000627:therapeutic use*; D008297:Male; D008609:Mental Status Schedule; D009735:Nursing Homes; D011446:Prospective Studies; D007319:Sleep Initiation and Maintenance Disorders / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy*; D011795:Surveys and Questionnaires
D006993:Hypnotics and Sedatives