Tonight's Sleep Predicts Tomorrow's Fatigue: A Daily Diary Study of Long-Term Care Employees With Nonwork Caregiving Roles
Tonight's Sleep Predicts Tomorrow's Fatigue: A Daily Diary Study of Long-Term Care Employees With Nonwork Caregiving Roles
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DOI：
10.1093/geront/gny176
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发表时间：
2019-12-01
期刊：
影响因子：
5.7
通讯作者：
Almeida, David M.
中科院分区：
文献类型：
--
作者：
DePasquale, Nicole;Crain, Tori;Almeida, David M.
背景与目的：长期护理人员和非工作护理人员有较高的睡眠问题和疲劳风险。然而，对于从事非工作护理工作的长期护理员工的睡眠和疲劳之间的关系，我们知之甚少。本研究考察了较长的睡眠时间和较好的睡眠质量是否可以减少非工作护理角色的长期护理员工之间的疲劳发生率和严重程度，并调查了非工作护理角色占用在这些关系中的调节作用。研究设计与方法：样本包括166名在美国养老院工作的女性。所有的妇女都有9-17岁的孩子，有些人还承担着照顾成年亲属的非工作责任。通过连续8个晚上的电话访谈评估睡眠（持续时间和质量）和疲劳（发生和严重程度）。多层模型被用来检验人与人之间和人与人之间的联系。结果：在个人水平上，睡眠时间长于平时或睡眠质量好于平时的夜晚，随后的白天报告疲劳的几率较低；这些相同的睡眠特征预示着第二天不那么严重的疲劳。在人与人之间的水平上，平均睡眠质量较好的员工感到疲劳的几率较低，但睡眠时间不长。睡眠和疲劳之间的关系基本上是相似的，无论是否承担照顾孩子的非工作责任，或者是否同时照顾孩子和成人。讨论与启示：研究结果表明，今晚的睡眠预示着明天的疲劳。考虑到疲劳的严重和广泛的后果，睡眠构成了一个有价值的干预目标，对员工、护理对象和组织都有潜在的好处。
Background and Objectives: Long-term care employees and employees with nonwork caregiving roles are at high risk for sleep problems and fatigue. Little is known, however, about relationships between sleep and fatigue among long-term care employees who occupy nonwork caregiving roles. This study examined whether longer sleep duration and better sleep quality reduce fatigue occurrence and severity within and between long-term care employees with nonwork caregiving roles, and investigated nonwork caregiving role occupancy as a moderator of these relationships.Research Design and Methods: The sample comprised 166 women working in U.S.-based nursing homes. All women had children aged 9-17 years and some also had nonwork caregiving responsibilities for adult relatives. Sleep (duration and quality) and fatigue (occurrence and severity) were assessed via telephone interviews for eight consecutive evenings. Multilevel modeling was used to examine within-person and between-person associations.Results: At the within-person level, nights characterized by longer-than-usual sleep duration or better-than-usual sleep quality were followed by days with lower odds of reporting fatigue; these same sleep characteristics predicted less severe next-day fatigue. At the between-person level, employees with better average sleep quality, but not longer sleep duration, had lower odds of experiencing fatigue. Relationships between sleep and fatigue were generally similar regardless of nonwork caregiving responsibilities for children or for both children and adults.Discussion and Implications: Findings suggest that tonight's sleep predicts tomorrow's fatigue. Given the serious and wide-ranging consequences of fatigue, sleep constitutes a worthwhile intervention target with potential benefits for employees, care recipients, and organizations.