Predictors of psychological distress and sleep deprivation in caregivers of stroke survivors
Predictors of psychological distress and sleep deprivation in caregivers of stroke survivors
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中风幸存者护理人员心理困扰和睡眠剥夺的预测因素
DOI：
10.1016/j.jstrokecerebrovasdis.2022.106899
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发表时间：
2023
影响因子：
2.5
通讯作者：
Sumiyoshi Tomiki
中科院分区：
文献类型：
--
作者：
Sugawara Norio;Yasui-Furukori Norio;Maruo Kazushi;Shimoda Kazutaka;Sumiyoshi Tomiki
研究背景卒中幸存者照顾者的护理时间长、支持有限、经济困难，往往影响其心理健康。本研究旨在确定影响卒中幸存者的心理困扰和睡眠时间的因素。提取了841对中风幸存者和社区卫生服务的关联数据。采用Kessler‘s心理困难量表(K6)评定心理困难感。每天睡眠少于5小时的受试者被归类为睡眠时间较短。采用多因素Logistic回归分析和前向选择方法，对精神障碍和睡眠不足的预测因素进行分析。结果社区卫生服务人员的平均年龄为65.4(12.5)岁。这些照顾者中有5.6%的人表现出严重的心理困扰，12.0%的人睡眠不足。严重的心理困扰与没有人咨询、在几天内出现主观症状、睡眠时间短有关，而拥有自己的房子会降低严重心理困扰的风险。此外，睡眠时间短与长期护理水平为4级或5级、无人咨询、参与海绵浴作为护理活动的一部分以及有严重心理困扰的中风幸存者有关。结论本次全国性调查确定了中风患者心理应激和睡眠剥夺的几个危险因素，并建议采取多维度的方法来减少他们的痛苦。
BackgroundCaregivers for stroke survivors (CSS) suffer from long hours of care, limited support, and financial difficulties, which often affect their mental health.ObjectivesThis study sought to determine the factors affecting psychological distress and sleep duration among CSS.MethodsWe analyzed cross-sectional data from the 2013 Comprehensive Survey of the Living Conditions for Stroke Survivors and CSS. Linked data from 841 pairs of stroke survivors and CSS were extracted. Kessler's Psychological Distress scale (K6) was used to evaluate psychological distress. CSS who slept less than 5 hours per day were classified as having short sleep duration. Factors predictive of psychological distress and short sleep duration were evaluated using multivariable logistic regression analysis with the forward selection method.ResultsThe mean (SD) age of the CSS was 65.4 (12.5) years. A total of 5.6% of these caregivers presented with serious psychological distress, and 12.0% were sleep deprived. Serious psychological distress was associated with not having someone to consult with, having subjective symptoms within a few days, and having short sleep duration, while having their own houses reduced the risk of serious psychological distress. Furthermore, short sleep duration was associated with stroke survivors in long-term care levels 4 or 5, not having someone to consult with, participation in sponge baths as part of nursing care activities, and having serious psychological distress.ConclusionsThis nationwide survey identified several risk factors for psychological stress and sleep deprivation among CSS and suggests the need for multidimensional approaches to reduce their distress.