Nighttime urinary incontinence and sleep disruption among nursing home residents

Article Abstract:

Nighttime urinary incontinence does not appear to cause significant sleep loss in nursing home residents. Researchers wrist actigraphs to detect periods of awakening in 73 incontinent nursing home patients and also wired their incontinence pads to detect wetness. Only about one-fourth of the incontinence episodes occurred while the patient was asleep for longer than 10 minutes and only 12% woke the patient. Incontinence was associated with 4% of awakenings.

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Developing rehabilitative behavioral interventions for long-term care: technology transfer, acceptance, and maintenance issues

Article Abstract:

A research model is described to modify clinical trials of behavioral interventions so they evaluate the cost and feasibility of implementing the intervention in nursing homes. Most clinical trials must detect a significant outcome but this sometimes creates protocols and guidelines that are difficult to implement. Thus the intervention may have high efficacy but low effectiveness.

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The nursing home at night: effects of an intervention on noise, light, and sleep

Article Abstract:

Less intrusive night care may not improve the sleep patterns of incontinent nursing home residents. After reducing noise and light levels during the night, the amount of sleeping during day or night did not change significantly in 267 incontinent patients. Since many patients remain in bed for much of the day, more differentiated research is needed.

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