Dementia behavioural and psychiatric symptoms: effect on caregiver's sleep.
Dementia behavioural and psychiatric symptoms: effect on caregiver's sleep.
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DOI：
10.1111/jocn.12127
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发表时间：
2013-11
影响因子：
4.2
通讯作者：
Carter P
中科院分区：
文献类型：
--
作者：
Simpson C;Carter P
检查照顾者的睡眠质量，特别是与痴呆症患者的昼夜行为和心理症状的关系。与非照顾者相比，残疾患者的照顾者睡眠较差，睡眠不良与负面健康结果有关。照顾者睡眠不佳的原因很复杂，众所周知，残障人士的夜间行为会导致照顾者睡眠中断。然而，到目前为止，痴呆症的行为和心理症状的频率作为照顾者睡眠不佳的一个因素还没有得到充分的研究。非试验性的横截面设计。80名照顾者完成了关于PWD行为和心理症状频率的问卷调查、痴呆症严重程度评定量表、匹兹堡睡眠质量指数和流行病学研究中心抑郁量表。据报道，超过一半的照顾者出现了睡眠不佳的情况，残障人士会醒来。行为和症状的频率并不是照顾者全球睡眠差异的唯一贡献。行为的频率，特别是激动和冷漠的频率，导致了主观睡眠质量的差异，这是由照顾者对他们睡眠的评估定义的。研究结果表明，(A)残疾人的白天和夜间行为与(B)照顾者的睡眠质量之间存在关系，并强调了影响照顾者睡眠质量的因素的复杂性。这些发现表明，护士应该认识到残疾患者的日间行为与护理者对其睡眠的评估之间的关系，意识到将一个人的睡眠评估为差可能是导致长期睡眠问题的一个因素。旨在帮助照顾者管理PWD焦虑或照顾者对PWD冷漠的情绪反应的干预措施可能会改善照顾者对睡眠的感知。
To examine caregiver sleep quality, especially in relation to the daytime and nighttime behaviors and psychological symptoms exhibited by persons with dementia (PWDs). Caregivers of PWDs experience poorer sleep in comparison with noncaregivers, and poor sleep is related to negative health outcomes. The reasons for caregivers’ poor sleep are complex, and it is known that the nighttime behaviors of the PWD contribute to caregiver sleep disruption. However, the frequency of behavioral and psychological symptoms of dementia has hitherto not been sufficiently explored as a contributing factor to poor caregiver sleep. A nonexperimental cross-sectional design. Eighty caregivers completed questionnaires on the frequency of behavioral and psychological symptoms of the PWD, the Dementia Severity Rating Scale, the Pittsburgh Sleep Quality Index, and the Center for Epidemiologic Studies–Depression Scale. Poor sleep was reported with awakenings by the PWD occurring for more than half of the caregivers. The frequency of behaviors and symptoms did not make a unique contribution to the variance of caregivers’ global sleep. The frequency of behaviors, and specifically of agitation and apathy, contributed to the variance in subjective sleep quality, as defined by the caregivers’ appraisal of their sleep. The findings demonstrate the relationship between (a) daytime and nighttime behaviors of PWDs and (b) their caregivers’ sleep quality, and emphasize the complexity of the factors that contribute to caregiver sleep quality. These findings suggest that nurses should be cognizant of the relationship between daytime behaviors of the PWD and the caregivers’ appraisal of their sleep, realizing that appraising one’s sleep as poor can be a contributing factor to perpetuating sleep problems. Interventions aimed at helping the caregiver manage the PWD’s agitation or the caregiver’s emotional response to PWD apathy may improve caregivers’ perception of their sleep.
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影响因子：
6.3
作者：
Elliott AF;Burgio LD;Decoster J
通讯作者：
Decoster J
影响因子：
2.6
作者：
Carter, Patricia A.
通讯作者：
Carter, Patricia A.
影响因子：
3.1
作者：
Castro, Cynthia M.;Lee, Kathryn A.;King, Abby C.
通讯作者：
King, Abby C.
影响因子：
3.4
作者：
Pinquart, M;Sörensen, S
通讯作者：
Sörensen, S
影响因子：
11.3
作者：
BUYSSE, DJ;REYNOLDS, CF;KUPFER, DJ
通讯作者：
KUPFER, DJ