Sleep Quality and Risk for Sleep Apnea in Incarcerated Women
Sleep Quality and Risk for Sleep Apnea in Incarcerated Women
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DOI：
10.1097/nnr.0000000000000031
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发表时间：
2014-05-01
期刊：
影响因子：
2.5
通讯作者：
Budescu, Mia
中科院分区：
文献类型：
--
作者：
Harner, Holly M.;Budescu, Mia
背景 对女性在监禁期间的睡眠特征知之甚少。 目的 研究目的是描述被监禁女性的睡眠质量，记录被监禁女性发生睡眠呼吸暂停的风险，并确定导致监禁期间睡眠质量差的其他因素。 方法 这项横断面描述性探索性调查是在美国最高安全级别的女子监狱中进行的。分别使用匹兹堡睡眠质量指数和多变量呼吸暂停预测评分来评估被监禁妇女的睡眠质量和睡眠呼吸暂停风险。结果 438 名被监禁妇女参与了本次调查。结果表明，72% 的样本符合匹兹堡睡眠质量指数针对睡眠不佳者的标准。与未达到睡眠质量差阈值的女性相比，睡眠质量差的女性报告睡眠障碍的可能性明显更高，并且在睡眠呼吸暂停风险量表上的得分也显着更高。大约 10% 的样本患有睡眠呼吸暂停的概率高于 0.50。导致睡眠质量不佳的因素包括 (a) 思绪/担忧/思考事物，(b) 环境噪音和其他因素，(c) 身体健康状况/疼痛，(d) 噩梦和闪回，以及 (e) 不服用安眠药物。 讨论 大多数参与者报告在监禁期间睡眠质量较差。睡眠不佳可能会加剧现有的健康状况，并导致被监禁妇女出现新的健康问题。此外，睡眠质量差可能会降低女性充分参与有益的监狱项目的能力。这项调查首次了解了女性在监狱中的睡眠情况，并为未来的研究提供了建议。
Background Little is known about characteristics of women's sleep during incarceration.Objectives The study objectives were to describe incarcerated women's sleep quality, document incarcerated women's risk for sleep apnea, and identify other factors that contribute to poor sleep quality during incarceration.Methods This cross-sectional descriptive exploratory investigation was conducted in a maximum security women's prison in the United States. Incarcerated women's sleep quality and their risk for sleep apnea was assessed by using the Pittsburgh Sleep Quality Index and the Multivariable Apnea Prediction Score, respectively.Results Four hundred thirty-eight incarcerated women participated in this investigation. Results indicate that 72% of the sample met the Pittsburgh Sleep Quality Index criteria for poor sleepers. Poor sleepers were significantly more likely to report sleep disturbances and scored significantly higher on the risk for sleep apnea scale compared to women who did not meet the poor sleep threshold. Approximately 10% of the sample had a probability for sleep apnea higher than .50. Factors that contributed to poor sleep included (a) racing thoughts/worry/thinking about things, (b) environmental noise and other factors, (c) physical health conditions/pain, (d) nightmares and flashbacks, and (e) not taking sleep medication.Discussion Most participants reported poor sleep quality during incarceration. Poor sleep might exacerbate existing health conditions and contribute to the development of new health problems for incarcerated women. Furthermore, poor sleep quality may reduce a woman's ability to fully participate in beneficial prison programming. This investigation provides a first look at how women sleep in prison and offers recommendations for future research.