The Hidden Cost of Caregiving: The Association Between Self-Assessed Caregiving-Related Awakenings and Nighttime Awakenings and Workplace Productivity Impairment Among Unpaid Caregivers to Older Adults in the US.
The Hidden Cost of Caregiving: The Association Between Self-Assessed Caregiving-Related Awakenings and Nighttime Awakenings and Workplace Productivity Impairment Among Unpaid Caregivers to Older Adults in the US.
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DOI：
10.1097/jom.0000000000002355
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发表时间：
2022-01-01
影响因子：
3.2
通讯作者：
Czeisler CA
中科院分区：
文献类型：
--
作者：
Robbins R;Weaver MD;Quan SF;Barger LK;Zhivotovsky S;Czeisler CA
评估老年人失眠是否与失眠症状和工作效率降低有关。我们分析了在美国从照顾者到老年人收集的数据。参与者自我报告从睡眠中醒来（睡眠相关或自发）和工作场所措施（出勤，缺勤和生产力障碍）。我们进行广义线性模型，以检查觉醒和工作场所的结果之间的关系，控制混杂因素。258名老年人的照顾者报告了目前的就业情况，并符合我们的纳入标准。调整后的分析发现，报告睡眠相关的觉醒与出勤（OR= 1.27，95%CI：1.16-1.40）、缺勤（OR= 1.10，95%CI：1.06-1.15）和生产力受损（OR= 1.41，95%CI：1.25-1.58）相关。校正后的分析发现，夜间自发觉醒与缺勤（OR=1.05，95%CI：1.01-1.08）和生产力受损（OR=1.12，95%CI：1.02-1.124）有关，但与出勤无关。与看护有关的觉醒是工作场所生产力受损的风险因素。未来的研究可能会检查改善护理人员睡眠的方法。
To evaluate whether caregiving for older adults is associated with insomnia symptoms and diminished workplace productivity. We analyzed data collected from caregivers to older adults in the US. Participants self-reported awakenings from sleep (caregiving-related or spontaneous) and workplace measures (presenteeism, absenteeism, and productivity impairment). We conduct generalized linear modeling to examine the relationship between awakenings and workplace outcomes, controlling for confounders. 258 caregivers to older adults reported current employment and met our inclusion criteria. Adjusted analyses found that reporting caregiving-related awakenings was associated with presenteeism (OR=1.27,95%CI:1.16-1.40), absenteeism (OR=1.10,95%CI:1.06-1.15), and productivity impairment (OR=1.41,95%CI:1.25-1.58). Adjusted analyses found that spontaneous nighttime awakenings were associated with absenteeism (OR=1.05, 95%CI: 1.01-1.08) and productivity impairment (OR=1.12, 95%CI: 1.02-1.124) but not presenteeism. Caregiving-related awakenings are a risk factor for workplace productivity impairment. Future studies may examine means for improving caregiver sleep.