Daily sleep, well-being, and adult day services use among dementia care dyads.
Daily sleep, well-being, and adult day services use among dementia care dyads.
复制标题
DOI：
10.1080/13607863.2021.1998354
复制
发表时间：
2022-12
影响因子：
3.4
通讯作者：
Zarit, Steven H.
中科院分区：
文献类型：
--
作者：
Liu, Yin;Leggett, Amanda N.;Kim, Kyungmin;Polenick, Courtney A.;McCurry, Susan M.;Zarit, Steven H.
该研究旨在描述在成人日间服务（ADS）使用的背景下痴呆症护理二人组的日常睡眠特征，并检查睡眠质量和日间功能（疲劳，情感和行为问题）的相关性。护理人员（CG; N = 173）报告了他们自己和痴呆患者（PLWD）连续8天（N = 1，359）的每日就寝时间、唤醒时间和睡眠质量，其中PLWD每周至少参加2天ADS。每天，看护者也报告他们自己的疲劳和影响以及PLWD的日间行为问题和夜间睡眠问题。考虑到ADS使用的背景，我们比较了ADS使用前后的就寝时间、清醒时间和总睡眠时间的平均差异。我们估计了多层次模型，以检查日常睡眠健康的关联。在即将到来的ADS日的前一天晚上，护理二人组上床睡觉和醒来的时间更早，在床上的时间更少。此外，PLWD在即将到来的ADS日的前一天晚上有更好的睡眠质量。白天使用ADS缓冲了前一天晚上PLWD睡眠问题的负面影响，减少了白天对照顾者的负面影响。对于看护者来说，昨天使用ADS减弱了比典型的卧床时间短和白天疲劳之间的关联;它也减弱了PLWD的夜间睡眠问题和白天积极情绪降低之间的关联。经常使用ADS可以促进更早的睡眠时间，并防止睡眠障碍对痴呆症护理二人组日间功能的不利影响。
The study aimed to describe daily sleep characteristics for dementia care dyads in the context of adult day services (ADS) use and examine the associations with sleep quality and daytime functioning (fatigue, affect, and behavior problems). Caregivers (CG; N = 173) reported daily bedtime, wake time, and sleep quality for themselves and the persons living with dementia (PLWD) across 8 consecutive days (N = 1,359), where PLWD attended ADS at least 2 days of the week. On each day, caregivers also reported their own fatigue and affect and PLWD’s daytime behavior problems and nighttime sleep problems. Considering the context of ADS use, we compared mean differences in bedtime, wake time, and total time in bed on nights before versus after ADS use. We estimated multilevel models to examine daily sleep-well-being associations. On nights before an upcoming ADS day, care dyads went to bed and woke up earlier, and spent less time in bed. Further, PLWD had better sleep quality the night before an upcoming ADS day. Using ADS during the day buffered the negative impact of PLWD’s sleep problems in the previous night, reducing daytime negative affect for caregivers. For caregivers, using ADS yesterday attenuated the association between shorter than typical time in bed and daytime fatigue; it also attenuated the association between PLWD’s nighttime sleep problems and lowered daytime positive affect. Regular ADS use may promote earlier sleep timing and protect against the adverse impact of sleep disturbances on daytime functioning for dementia care dyads.
登录
查看更多内容
DOI：
10.1080/17482631.2016.1267316
发表时间：
2017-12
影响因子：
1.8
作者：
Chung PYF;Ellis-Hill C;Coleman P
通讯作者：
Coleman P
影响因子：
2.8
作者：
Bartfay, Emma;Stewart, Paige;Papaconstantinou, Efrosini
通讯作者：
Papaconstantinou, Efrosini
影响因子：
4.4
作者：
Kalmbach DA;Anderson JR;Drake CL
通讯作者：
Drake CL
影响因子：
3.4
作者：
Beerens, Hanneke C.;Zwakhalen, Sandra M. G.;Hamers, Jan P. H.
通讯作者：
Hamers, Jan P. H.
影响因子：
5.6
作者：
Bei, Bei;Manber, Rachel;Wiley, Joshua F.
通讯作者：
Wiley, Joshua F.