title: Factors associated with daytime sleep in nursing home residents.
abstract: A retrospective, cross-sectional study was conducted to describe the occurrence of daytime sleep (DS) and to examine factors associated with DS in nursing home residents. We used the Minimum Data Set 2.0 records of 300 residents in a nursing home from January 2005 to March 2010. Descriptive statistics, independent t-test, chi-square, Pearson correlations, and logistic regression were utilized in analysis. About 71.3% of the residents slept more than 2 hours during the day, and this was significantly associated with residents' comorbidity (t = 2.0, p = .04), cognitive performance (t = 7.3, p = .01), activities of daily living (t = 3.7, p = .01), and social involvement (t = -7.6, p = .01). Cognitive performance and social involvement significantly predicted the occurrence of DS with social involvement being the strongest predictor (odds ratio: .58; 95% confidence interval: [.45, .75]). The findings suggest that interventions to engage nursing home residents in more social activities during the day may be beneficial to minimize their DS, especially for those who have difficulties with engaging socially on their own.
authors: UB Institute for Person-Centered Care, University at Buffalo School of Nursing, Buffalo, NY, USA junxinli@buffalo.edu.
authors: Junxin
authors: J
authors: Li
authors: UB Institute for Person-Centered Care, University at Buffalo School of Nursing, Buffalo, NY, USA.
authors: Yu-Ping
authors: YP
authors: Chang
authors: UB Institute for Person-Centered Care, University at Buffalo School of Nursing, Buffalo, NY, USA.
authors: Davina
authors: D
authors: Porock
mesh_terms: D000204:Activity Cycles; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D015577:Geriatric Assessment / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009518:New York; D009735:Nursing Homes; D012189:Retrospective Studies; D012890:Sleep; D012919:Social Behavior; D018881:Suburban Health
keywords: activities of daily living; cognitive performance; daytime sleep; nursing home; social involvement