Natural Light Therapy to Lower Agitation and Sleep Disturbance of Dementia Patients in Semarang
DOI:
https://doi.org/10.61841/p11r3067Keywords:
Light Therapy, Agitation, Sleep Disorder, Dementia, Mental IllnessAbstract
Agitation is the mismatch of verbal, vocal, and motor activities that are not based on clear or confused needs. This disorder is a common and challenging symptom affecting dementia patients and impacting on sleep quality. This study aims to describe the effect of light therapy on agitation and sleep disturbance experienced by dementia patients in Semarang. The study used a quasi-experimental with one group design pre and posttest. The research samples were 83 respondents using a purposive sampling technique. The respondents received a daily routine of light therapy over a seven day period. Pre and posttest data were obtained from the Pittsburgh Agitation Scale to obtain agitation level and sleep pattern observation sheet to observe sleep disturbance. For the empirical investigation, 32 men and 51 women were recruited (mean age 67.35 years). Of these, 100% of respondents suffered a moderate level of agitation and 34.9% had sleep disturbance observed from sleep hours in a day. A Wilcoxon test was conducted to compare the agitation levels and sleep disturbance before and after light therapy. Findings showed that agitation level and sleep disturbance decreased with the light therapy (z = (-8.11), p<0.05; z = (-8.08), p<0.05). These findings suggested that light therapy confers benefits in terms of agitation and sleep disturbance in dementia patients, as well as cost-effectiveness in an intervention that can readily be implemented in nursing homes.
Downloads
References
[1] H. C. Kales, L. N. Gitlin, and C. G. Lyketsos, “Assessment and management of behavioral and psychological symptoms of dementia,” BMJ, vol. 350, no. March, 2015.
[2] S. H. McFadden and J. T. McFadden, Aging together: Dementia, friendship, and flourishing communities. Johns Hopkins University Press, 2011.
[3] M. Panca et al., “Healthcare resource utilisation and costs of agitation in people with dementia living in care homes in England - The Managing Agitation and Raising QUality of LifE in Dementia (MARQUE) study,” PLoS One, vol. 14, no. 2, pp. 1–12, 2019.
[4] M. Prince, A. Comas-Herrera, M. Knapp, M. Guerchet, and M. Karagiannidou, “World Alzheimer Report 2016 Improving healthcare for people living with dementia. Coverage, Quality and costs now and in the future,” Alzheimer’s Dis. Int., pp. 1–140, 2016.
[5] Alzheimer’s Indonesia, “Statistics of Dementia,” 2019. .
[6] A. M. V. Wennberg, M. N. Wu, P. B. Rosenberg, and A. P. Spira, “Sleep Disturbance, Cognitive Decline, and Dementia: A Review,” Semin Neurol, vol. 37, no. 4, pp. 395–406, 2017.
[7] K. Palmer, M. Mitolo, F. Burgio, F. Meneghello, and A. Venneri, “Sleep disturbance in mild cognitive impairment and association with cognitive functioning. A case-control study,” Front. Aging Neurosci., vol. 10, no. November, pp. 1–9, 2018.
[8] B. Guarnieri et al., “Prevalence of sleep disturbances in mild cognitive impairment and dementing disorders: A multicenter Italian clinical cross-sectional study on 431 patients,” Dement. Geriatr. Cogn. Disord., vol. 33, no. 1, pp. 50–58, 2012.
[9] L. Webster et al., “Measuring the prevalence of sleep disturbances in people with dementia living in care homes: a systematic review and meta-analysis,” Sleep Res. Soc., vol. XX, No.XX, no. October, pp. 1–14, 2019.
[10] E. K. Kim and H. Park, “Factors Affecting Verbal Agitation in Dementia Patients Living in Nursing Homes, South Korea,” Open J. Nurs., vol. 08, no. 06, pp. 339–354, 2018.
[11] E. O. Ijaopo, “Dementia-related agitation: a review of non-pharmacological interventions and analysis of risks and benefits of pharmacotherapy,” Transl. Psychiatry, vol. 7, no. 10, p. e1250, 2017.
[12] G. A. Martin and M. N. Sabbagh, Palliative Care for Advanced Alzheimer’s and Dementia: Guidelines and Standards for Evidence-Based Care. New York: Springer Publishing Company, LLC, 2011.
[13] E. S. Krishnamoorthy, M. J. Prince, and J. L. Cummings, Dementia: A Global Approach. New York: Cambridge University Press, 2010.
[14] R. Lindquist, M. Snyder, and and M. F. Tracy, Complementary & Alternative Therapies in Nursing 7th Ed. Springer Publishing Company, 2013.
[15] M. G. Figueiro, “Light, sleep and circadian rhythms in older adults with Alzheimer’s disease and related dementias,” Neurodegener. Dis. Manag., vol. 7, no. 2, pp. 119–145, 2017.
[16] M. G. Figueiro, B. Plitnick, C. Roohan, L. Sahin, M. Kalsher, and M. S. Rea, “Effects of a tailored lighting intervention on sleep quality, rest-activity, mood, and behavior in older adults with Alzheimer disease and related dementias: A randomized clinical trial,” J. Clin. Sleep Med., vol. 15, no. 12, pp. 1757–1767, 2019.
[17] T. D. Dimitriou and M. Tsolaki, “Evaluation of the efficacy of randomized controlled trials of sensory stimulation interventions for sleeping disturbances in patients with dementia: A systematic review,” Clin. Interv. Aging, vol. 12, pp. 543–548, 2017.
[18] J. Rosen et al., “The Pittsburgh Agitation Scale: A User-Friendly Instrument for Rating Agitation in Dementia Patients.,” Am. J. Geriatr. Psychiatry, vol. 2, no. 1, pp. 52–59, 1994.
[19] O. A. M. Bubu, “Sleep and alzheimer’s disease: A critical examination of the risk that sleep problems or disorders particularly obstructive sleep apnea pose towards developing alzheimer’s disease,” ProQuest Diss. Theses Glob., 2017.
[20] D. T. Brown, J. L. Westbury, and B. Schüz, “Sleep and agitation in nursing home residents with and without dementia,” Int. Psychogeriatrics, vol. 27, no. 12, pp. 1945–1955, 2015.
[21] G. Düzgün and A. Durmaz Akyol, “Effect of Natural Sunlight on Sleep Problems and Sleep Quality of the Elderly Staying in the Nursing Home,” Holist. Nurs. Pract., vol. 31, no. 5, pp. 295–302, 2017.
[22] S. M. Faulkner, P. E. Bee, N. Meyer, D. J. Dijk, and R. J. Drake, “Light therapies to improve sleep in intrinsic circadian rhythm sleep disorders and neuro-psychiatric illness: A systematic review and meta-analysis,” Sleep Med. Rev., vol. 46, pp. 108–123, 2019.
[23] R. Smonig et al., “Impact of natural light exposure on delirium burden in adult patients receiving invasive mechanical ventilation in the ICU: a prospective study,” Ann. Intensive Care, vol. 9, no. 1, 2019.
[24] S. Devaraj and P. C. Patel, “Taxicab tipping and sunlight,” PLoS One, vol. 12, no. 6, pp. 1–17, 2017.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
