Richtlijn Omgaan met gedragsproblemen bij patiënten met dementie

Bijlage 2F Sleeplessness (Slapeloosheid)
Intervention Source (review) Included Type dementia N Setting Outcome
studies
measure
Light** Forbes, 2004 2
Alzheimer, Lewy 105 Nursing home WASO; TST;
body,
Percent sleep/
Vascular, DSM-III-R,
wake; number
DSM-IV, NINCDS-
and average
ADRDA,
length of
ICD-10
nighttime
awakenings;
number, duration
and length
between naps;
Sleep logs: time
of going to bed
and getting up
Skjerve, 2004 14 Alzheimer, Vascular 277 Institutional Sleep log,
or other diagnoses (compl.) setting, at home actigraphy, PSG
Music
White noise
Staff training
Livingston, 2005 1 See ¹
Outcome Level of Quality of
evidence* evidence
No change 2xB Level 2.1
9x improvement,
3x noimprovement,
2x improvement
in some
measures but
no-improvement
in other
measures
14xB
20 Not specified Not specified Improved sleep B Level 3
Livingston, 2005 1 See ¹ 8 Not specified Not specified No immediate
effect on sleep
Livingston, 2005 1 See ¹
(vetgedrukt / bold = aanbeveling)
33 Not specified Not specified No change in
sleep
B Level 3
B Level 3
Overall effect
Inconclusive,
possibly
effective
Possibly positive
results
Possibly no
effect
Possibly no
effect
¹Dementia, Alzheimer’s disease, vascular dementia, multi-infarct, cerebrovascular, fronto-temporal, frontal, Picks, semantic, senile dementia, pre-senile dementia, Huntington’s disease,
dementia in Parkinson’s disease, dementia with Lewy bodies, Lewy body dementia, Creutzfeld-Jakob disease, prion disease, neuroacanthatosis, alcohol-related dementia, Korsakoff’s disease,
78