Sleep Problems, Anxiety, and Global Self-Rated Health Among Hospice Family Caregivers.

Sleep Problems, Anxiety, and Global Self-Rated Health Among Hospice Family Caregivers.
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临终关怀家庭护理人员中的睡眠问题,焦虑和全球自我评估的健康。

DOI:
10.1177/1049909117703643
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发表时间:
2018-03
期刊:
The American journal of hospice & palliative care
影响因子:
--
通讯作者:
Demiris G
Demiris G
中科院分区:
其他
文献类型:
--
作者:
Washington KT;Parker Oliver D;Smith JB;McCrae CS;Balchandani SM;Demiris G

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虽然研究已将非临终关怀机构中患者家庭成员的睡眠问题、焦虑和不良健康结果联系起来,但人们对临终关怀家庭护理人员中这些往往相互关联的问题知之甚少。我们试图研究临终关怀家庭护理人员的睡眠问题、焦虑和整体自评健康之间的关系。我们对美国中西部和东南部 395 名临终关怀患者家庭护理人员的定量数据进行了二次分析。参与这项研究的临终关怀家庭护理人员中有近三分之一经历了临床上值得注意的睡眠问题和/或焦虑水平。照顾者的焦虑症状和睡眠问题密切相关。报告更频繁的睡眠问题和更高程度的焦虑的护理人员报告整体健康状况较差。负责满足患者及其家庭护理人员需求的临终关怀服务提供者可以通过定期评估家庭护理人员的睡眠问题和焦虑并提供适当的干预或转介来改进他们的实践。
While research has linked sleep problems, anxiety, and poor health outcomes among patients’ family members in non-hospice settings, little is known about these often interrelated issues among hospice family caregivers. We sought to examine the relationships between sleep problems, anxiety, and global self-rated health among hospice family caregivers. We conducted a secondary analysis of quantitative data from 395 family caregivers of hospice patients in the Midwest and Southeastern United States. Nearly one-third of the hospice family caregivers who participated in this study experienced clinically noteworthy levels of sleep problems and/or anxiety. Caregivers’ symptoms of anxiety and sleep problems were strongly correlated. Caregivers who reported more frequent sleep problems and higher levels of anxiety reported poorer overall health. Hospice providers, who are charged with attending to the needs of both patients and their family caregivers, may improve their practice by regularly assessing for sleep problems and anxiety among family caregivers and providing appropriate interventions or referrals.
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