Sleep disturbance in family caregivers of children who depend on medical technology
Sleep disturbance in family caregivers of children who depend on medical technology
复制标题
DOI：
10.1136/archdischild-2016-312205
复制
发表时间：
2018-02-01
影响因子：
5.2
通讯作者：
Stremler, Robyn
中科院分区：
文献类型：
--
作者：
Keilty, Krista;Cohen, Eyal;Stremler, Robyn
目的依赖医疗技术（CMT）的儿童的家庭照顾者每天可提供长达24小时的高技能护理。睡眠中断会使家庭照顾者面临健康状况不佳和相关后果的风险，从而威胁到他们的长期照顾能力。很少有研究测量了家庭照顾者的睡眠，而且大多数研究完全依赖于主观测量。方法采用前瞻性队列研究，招募CMT的家庭照顾者（n=42）和健康儿童的照顾者（n=43）。活动记录仪数据和同步睡眠日记收集6天/7夜。对睡眠质量、抑郁、困倦、疲劳和生活质量也进行了测量。结果CMT的家庭照顾者平均每晚睡眠时间更少（平均（SD）） （6.56 +/- 1.4 vs 7.21 +/- 0.6, p=0.02），质量较差（7.75 +/- 2.9 vs 5.45 +/- 2.8, p=0.02）
Objectives Family caregivers of children who depend on medical technology (CMT) provide highly skilled care up to 24 hours per day. Sleep disruption places family caregivers at risk for poor health and related outcomes that threaten their long-term caregiving capacity. Few studies exist that have measured sleep in family caregivers, and most have relied entirely on subjective measures.Methods In a prospective cohort study, family caregivers of CMT (n=42) and caregivers of healthy children (n=43) were recruited. Actigraphy data and a concurrent sleep diary were collected for 6 days/7 nights. Measures of sleep quality, depression, sleepiness, fatigue and quality of life were also administered.Results Family caregivers of CMT averaged fewer hours of sleep per night (mean (SD)) (6.56 +/- 1.4 vs 7.21 +/- 0.6, p=0.02) of poorer quality (7.75 +/- 2.9 vs 5.45 +/- 2.8, p