A brief behavioral sleep intervention for family caregivers of persons with cancer
A brief behavioral sleep intervention for family caregivers of persons with cancer
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DOI：
10.1097/00002820-200603000-00003
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发表时间：
2006-03-01
期刊：
影响因子：
2.6
通讯作者：
Carter, Patricia A.
中科院分区：
文献类型：
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作者：
Carter, Patricia A.
支持照顾者安稳睡眠的行为干预可能会推迟或减轻衰弱抑郁症状的发生。反过来，这可能会增加照顾者的身心健康和幸福感。采用重复测量的实验设计，对晚期癌症患者的家庭照料者进行短暂的行为睡眠干预的可行性和有效性进行测试。护理者睡眠干预(CASI)包括刺激控制、放松、认知治疗和睡眠卫生元素。CASI是个性化的，并提供以适应照顾者的负担。30名成年照顾者参与其中。采用匹兹堡睡眠质量指数(PSQI)、流行病学研究中心抑郁量表(CES-D)和Caregiver生活质量-癌症量表(CQOLC)测量患者的睡眠质量、抑郁症状和生活质量。Actigraph测量了潜伏期、持续时间、效率和睡眠开始后唤醒(WASO)评分。在基线、基线后3周和5周、2、3和4个月收集数据。在所有组中都看到了改善；然而，干预性照顾者在PSQI和CES-D得分上比对照组照顾者表现出更多的改善。CASI似乎在改善癌症患者照顾者的睡眠质量和抑郁症状方面有效。生活质量得分的改善在不同组之间是相似的。样本量和同质性限制了推广性。
Behavioral interventions that support caregivers' restful sleep may delay the onset or decrease the severity of debilitating depressive symptoms. This, in turn, may increase caregivers' physical and psychological health and wellbeing. A repeated-measures experimental design was used to test the feasibility and effectiveness of a brief behavioral sleep intervention for family caregivers of persons with advanced stage cancer. The CAregiver Sleep Intervention (CASI) includes stimulus control, relaxation, cognitive therapy, and sleep hygiene elements. CASI is individualized and delivered to accommodate caregiver burden. Thirty adult caregivers participated. The Pittsburgh Sleep Quality index (PSQI), Center for Epidemiological Studies-Depression scale (CES-D), and Caregiver Quality of Life-Cancer scale (CQOLC) were used to measure self-reported sleep quality, depressive symptoms, and quality of life. Actigraphs measured latency, duration, efficiency, and wake after sleep onset (WASO) scores. Data were collected at baseline, 3 and 5 weeks, 2, 3, and 4 months post baseline. Improvement was seen across groups; however, intervention caregivers showed more improvement in PSQI and CES-D scores than control caregivers. The CASI appears to be effective in improving sleep quality and depressive symptoms in caregivers of persons with cancer. Improvements in quality of life scores were similar across groups. Sample size and homogeneity limit generalizeability.