Sleep Disruption Due to Stress in Women Veterans: A Comparison between Caregivers and Noncaregivers.
Sleep Disruption Due to Stress in Women Veterans: A Comparison between Caregivers and Noncaregivers.
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女性退伍军人因压力而导致的睡眠中断：护理人员和非护理人员之间的比较。
DOI：
10.1080/15402002.2020.1732981
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发表时间：
2021
影响因子：
3.1
通讯作者：
Martin,JenniferL
中科院分区：
文献类型：
--
作者：
Song,Yeonsu;Carlson,GwendolynC;McGowan,SarahKate;Fung,ConstanceH;Josephson,KarenR;Mitchell,MichaelN;McCurry,SusanM;Teng,Edmond;Irwin,MichaelR;Alessi,CathyA;Martin,JenniferL
目的/背景：睡眠问题在女性中很常见，照顾成年人是女性中常见的角色。然而，在女性退伍军人中，对照顾对睡眠的影响和相关的日间损害知之甚少。这项研究比较了担任照顾者和没有照顾者的女退伍军人之间与压力相关的睡眠障碍、失眠症状和睡眠相关的白天障碍。参与者：在12,225名在一个退伍军人管理局医疗系统接受护理的女退伍军人中，1,457人完成了邮寄调查的数据(平均年龄=1，51.7±1，15.9岁)。243名(17%)的受访者(平均年龄53.8岁±12.7岁)是成年人的照顾者，主要是为父母提供交通工具。方法：调查包括失眠症状、总睡眠时间、睡眠相关的日间障碍、照看特征、自评健康、疼痛、压力、体重指数和人口统计信息。结果：在调整的分析中，照顾者状态不能单独直接预测睡眠主诉。然而，在多元回归分析中，即使在调整了年龄、疼痛、自我评估的健康状况和其他特征后，作为照顾者(优势比1.7，p=4.001)显著预测了与压力相关的睡眠障碍。此外，在调整了年龄、疼痛、自评健康和其他因素后，作为照顾者(β=23.9，p=0.031)显著预测了更多与睡眠相关的日间损害症状。结论：与非照顾者相比，成年照顾者更有可能报告压力导致睡眠不良，并因睡眠不良而更多地报告日间损害。这些发现表明，在解决照顾女性退伍军人的睡眠障碍问题时，需要针对压力和其他因素。
Objective/Background: Sleep problems are common in women and caregiving for an adult is a common role among women. However, the effects of caregiving on sleep and related daytime impairment are poorly understood among women veterans. This study compared stress-related sleep disturbances, insomnia symptoms, and sleep-related daytime impairment between women veterans who were caregivers and those who did not have a caregiving role.Participants: Of 12,225 women veterans who received care in one Veterans Administration Healthcare System, 1,457 completed data on a postal survey (mean age = 51.7 ± 15.9 years). Two hundred forty three (17%) respondents (mean age 53.8 ± 12.7 years) were caregivers for an adult, predominantly for a parent, providing transportation.Methods: The survey included items that addressed insomnia symptoms, total sleep time, sleep-related daytime impairments, caregiving characteristics, self-rated health, pain, stress, body mass index, and demographic information.Results: In adjusted analyses, caregiver status did not directly predict sleep complaints alone. However, in multiple regression analyses, being a caregiver (odds ratio 1.7,p= .001) significantly predicted stress-related sleep disturbance, even after adjusting for age, pain, self-rated health, and other characteristics. Furthermore, being a caregiver (β = 3.9,p= .031) significantly predicted more symptoms of sleep-related daytime impairment after adjusting for age, pain, self-rated health, and other factors.Conclusions: Compared to noncaregivers, women veterans who were caregivers for an adult were more likely to report stress causing poor sleep, and more daytime impairment due to poor sleep. These findings suggest the need to target stress and other factors when addressing sleep disturbance among women veterans who are caregivers.
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