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HUMAN KINETICS

Evaluation of Diversional Therapy With Sleep-Wake Assessment of Aged Persons Using Actigraphy

In this research, sleep-wake assessments using actigraph were conducted on 3 groups. From this result, the effect of diversional therapy on the quality of life for aged persons was evaluated.

Mari Miyake, Department of Public Health, Kansai Medical University; Anne Rock, Research of Aged Care, CEO of Quality Care Training, Australia; Aran Tajika, Department of Psychiatry, Kansai Medical University; Shinitirou Hozu, Toshimasa Nishiyama, Department of Public Health, Kansai Medical University, Japan



Objective: Aging in Japan is advancing at a globally unprecedented rate and there is a need to provide high quality nursing care for aged persons. In Australia, an advanced country in the field of nursing care, emphasis is placed on preventive approaches and cognitive rehabilitation with activities offered at nursing care facilities focusing on resident care needs and the promotion of independence. In this research, sleep-wake assessments using actigraph were conducted on 3 groups. From this result, the effect of diversional therapy on the quality of life for aged persons was evaluated.

Method: The subjects comprised 3 groups; 9 nursing facility residents in Australia where diversional therapy is practiced (A1), 10 nursing facility residents in Japan where there is no diversional therapy (J1), and 11 solitary and independent persons (J2). Upon explanation of the research objective to the 3 groups and obtaining their consent, participants were equipped with wristwatch style actigraphs.

Results: The activity of (A1) was highest on the 24 hr Activity Index (p = .011). The time period with the greatest amount of activity was 13-14 which was observed as being significantly high compared with (J1) where p < .001. Among the 3 groups, the period of alertness during sleep (rest period) were longest for (J1) with 87.8 ± 59.3 min where p < .001 which was observed to be a significant variation. The group also had the longest wake after onset of sleep with 102.2 ± 82.6 min where p < .001 with a protracted period being observed before falling asleep.

Conclusion: The results of these activities as borne out by this research have been revealed. From the authoritative assessment of aged persons’ lifestyle evaluations and hobbies et cetera, it’s thought that an environment where activities are provided improves the quality of life for aged persons by enhancing independent abilities, which is similarly linked to preventive approaches and nursing care reduction.




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