"It's Been a Hard Day's Night": Sleep Problems in Caregivers for Older Adults.
"It's Been a Hard Day's Night": Sleep Problems in Caregivers for Older Adults.
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DOI：
10.1007/s40675-020-00164-0
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发表时间：
2020-03
影响因子：
1.8
通讯作者：
Smagula SF
中科院分区：
文献类型：
--
作者：
Leggett AN;Morley M;Smagula SF
本文批判性地评估了过去三年来关于老年人护理者睡眠的文献。研究主要在四个方面进行评估：与照顾者睡眠问题相关的因素，各种类型照顾者的睡眠健康，照顾者的睡眠和健康如何相互关联，以及改善睡眠的干预措施。一系列的护理接受者和照顾者的特点已经与照顾者的睡眠质量测量主观和客观。与护理者睡眠质量相关的护理接受者因素包括跌倒风险和睡眠质量，而护理者因素包括压力，持续时间，强度，提供医疗/护理任务，甚至特定的5-羟色胺基因型（例如5-HTTLPR的短等位基因携带者）。虽然最大的焦点是痴呆症照顾者，但最近的工作表明，诸如临终照顾者，前照顾者和具有多种护理角色的照顾者（例如儿童，老年人，付费护理）等群体的睡眠障碍因其独特的环境而异。护理人员的睡眠，特别是主观评估，与他们的情绪和生理健康有关;有证据表明，睡眠可能是将护理压力源与心理健康联系起来的重要中介。正念和连贯性等因素可能会保护照顾者免受睡眠障碍。关于哪些看护者有睡眠障碍的风险以及睡眠如何与健康相关，存在重要的证据。照顾者对睡眠健康的评价与他们的心理健康和幸福感密切相关。对睡眠的客观评估与心血管疾病等医疗状况有关。然而，还需要做更多的工作，以共同瞄准两个正在成长的人，并帮助进行干预，以保持健康并防止健康状况下降。最后，鉴于全球人口老龄化，在生育的独特背景下进行干预仍然是一个重大公共卫生利益的挑战。
This paper critically evaluates literature from the last three years on sleep in caregivers for older adults. Research is evaluated in four main areas: factors related to caregivers having sleep problems, sleep health in various types of caregivers, how caregivers’ sleep and health inter-relate, and interventions to improve sleep. A range of both care recipients’ and caregivers’ characteristics have been associated with caregiver sleep quality measured subjectively and objectively. Care recipient factors associated with caregiver sleep quality include fall risk and sleep quality, while caregiver factors include stress, duration, intensity, provision of medical/nursing care tasks, and even particular serotonin genotypes (e.g. short allele carriers for 5-HTTLPR). While the greatest focus has been on dementia caregivers, recent work suggests groups such as end-of-life caregivers, former caregivers, and caregivers with multiple care roles (e.g. child, older adult, paid care) have sleep disturbances that vary by their unique contexts. Caregiver’s sleep, particularly subjective assessments, relates to their mood and physiological well-being; and evidence suggests that sleep may be an important mediator linking care stressors with mental health. Factors such as mindfulness and sense of coherence may protect caregivers from sleep disturbances. Significant evidence exists regarding which caregivers are at risk for sleep disturbances and how sleep is associated with health. Caregivers’ appraisals of sleep health were strongly associated with their mental health and well-being. Objective assessments of sleep have been associated with medical conditions such as cardiovascular disease. Yet more work needs to be done to target the caregiving dyad jointly and help intervene to maintain health over time and prevent declining health. Ultimately, intervening within the unique context of caregiving still presents a challenge of significant public health interest given global population aging.
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影响因子：
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作者：
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通讯作者：
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