Sleep characteristics of family caregivers of individuals with a primary malignant brain tumor.
Sleep characteristics of family caregivers of individuals with a primary malignant brain tumor.
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DOI：
10.1188/13.onf.171-179
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发表时间：
2013-03
影响因子：
1.9
通讯作者：
Sherwood PR
中科院分区：
文献类型：
--
作者：
Pawl JD;Lee SY;Clark PC;Sherwood PR
目的：探讨原发性恶性脑肿瘤患者家庭照顾者的睡眠特征。采用纵向研究基线数据的横断面相关设计。在美国一个城市三级医疗中心的神经肿瘤学和神经外科诊所，133名家庭护理人员在诊断出家庭成员的PMBT后一到两个月被招募。主观和客观的睡眠测量通过自我报告和使用加速度计（三个晚上）获得。睡眠特征包括睡眠潜伏期、总睡眠时间、睡眠开始后醒来、小睡次数、觉醒次数、睡眠-觉醒周期和睡眠质量。护理人员的睡眠潜伏期平均为35分钟（SD = 34.5），是正常值15分钟的两倍多(t[113]) = 6.18, p < 0.01)。护理人员平均总睡眠时间为5小时57分钟（SD = 84.6），显著少于推荐的7小时（t[113] = - 8, p < 0.01），夜间醒着的时间为15%，显著高于正常值10% （t[111] = 5.84, p < 0.01）。护理人员在夜间睡眠中平均被唤醒8.3次（SD = 3.5，范围= 2-21），约32%的人报告睡眠质量差或非常差。护理人员经历睡眠障碍，使他们面临精神和身体健康状况不佳的风险，并可能损害他们继续担任护理角色的能力。护士需要评估PMBT患者护理人员的睡眠，并实施干预措施以改善睡眠。在治疗PMBT患者的早期阶段，睡眠剥夺在家庭照顾者中很常见。一个单项睡眠质量问题可能是一个简单但有价值的工具，用于评估PMBT患者的家庭护理人员的睡眠障碍。家庭照顾者的健康轨迹值得进一步的纵向研究，除了检查受照顾者和家庭照顾者的健康状况的双向关系。
To describe the sleep characteristics of family caregivers of individuals with a primary malignant brain tumor (PMBT). Cross-sectional, correlational design using baseline data from a longitudinal study. Neuro-oncology and neurosurgery clinics at an urban tertiary medical center in the United States. 133 family caregivers recruited one to two months following diagnosis of family member’s PMBT. Subjective and objective measures of sleep were obtained via self-report and the use of accelerometers (three nights). Sleep characteristics including sleep latency, total sleep time, wake after sleep onset, number of naps, number of arousals, sleep-wake cycle, and sleep quality. Sleep latency in caregivers was, on average, 35 minutes (SD = 34.5)—more than twice as long as the norm of 15 minutes (t[113]) = 6.18, p < 0.01). Caregivers averaged a total sleep time of 5 hours and 57 minutes (SD = 84.6), significantly less than the recommended 7 hours (t[113] = −8, p < 0.01), and were awake in the night 15% of the time, significantly more than the norm of 10% (t[111] = 5.84, p < 0.01). Caregivers aroused an average of 8.3 times during nocturnal sleep (SD = 3.5, range = 2–21), with about 32% reporting poor or very poor sleep quality. Caregivers experienced sleep impairments that placed them at risk for poor mental and physical health, and may compromise their ability to continue in the caregiving role. Nurses need to assess sleep in caregivers of individuals with PMBT and implement interventions to improve sleep. Sleep deprivation is common in family caregivers during the early stages of care for individuals with a PMBT. A single-item sleep quality question could be an easy but valuable tool in assessing sleep disturbances in family caregivers of individuals with a PMBT. The health trajectory of family caregivers warrants further longitudinal study, in addition to the examination of the bidirectional relationship of health status of care recipients and their family caregiver.