Caregivers' descriptions of sleep changes and depressive symptoms.
Caregivers' descriptions of sleep changes and depressive symptoms.
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DOI：
10.1188/02.onf.1277-1283
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发表时间：
2002-10-01
影响因子：
1.9
通讯作者：
Carter, Patricia A
中科院分区：
文献类型：
--
作者：
Carter, Patricia A
目的/目标：使用护理人员叙述来描述护理人员的睡眠和抑郁情况。将定性描述与定量评分进行比较。设计：描述性、一次性、开放式访谈，然后提出结构化睡眠和抑郁问题。设置：根据护理人员的喜好亲自或通过电话进行访谈。样本：47 名晚期癌症患者的护理人员。照顾者的平均年龄为 54 岁，大多数是女性 (81%)、白人 (82%) 和配偶 (61%)。他们提供的护理时间平均为 24 个月。患者的诊断结果为肺癌 (36%)、结直肠癌 (13%) 或复发癌 (51%)。 方法： 南加州的两个癌症护理中心提供了参与者。征得同意后，研究者进行了访谈。访谈后使用匹兹堡睡眠质量指数 (PSQI) 和抑郁症流行病学研究中心 (CES-D) 工具。 主要研究变量：护理人员定义的睡眠模式随时间的变化和抑郁水平。调查结果：护理人员描述了睡眠模式随时间的严重波动以及这些变化如何影响护理人员的抑郁症状。 PSQI 和 CES-D 评分与叙述性评论相符。结论：护理人员的叙述表明他们遭受进行性睡眠剥夺，影响他们的情绪和继续担任护理人员的能力。对护理的影响：护士必须认识到护理人员经历的严重睡眠问题，并采取干预措施来提高睡眠质量和减少抑郁。
PURPOSE/OBJECTIVES: To describe caregiver sleep and depression using caregiver narratives. To compare qualitative descriptions with quantitative scores.DESIGN: Descriptive, one-time, open-ended interview followed by structured sleep and depression questions.SETTING: Interview conducted in person or via telephone at caregiver's preference.SAMPLE: 47 caregivers of patients with advanced stage cancer. Caregivers had a mean age of 54 years, and most were female (81%), Caucasian (82%), and spouses (61%). They provided care for a mean of 24 months. Patients' diagnoses were lung cancer (36%), colorectal cancer (13%), or recurrences (51%).METHODS: Two cancer care sites in southern California provided participants. After consent, the researcher conducted interviews. The Pittsburgh Sleep Quality Index (PSQI) and Center for Epidemiological Studies-Depression (CES-D) instruments were administered following interviews.MAIN RESEARCH VARIABLES: Sleep pattern changes and depression levels over time as defined by caregivers.FINDINGS: Caregivers described severe fluctuations in sleep patterns over time and how these changes affected caregiver depressive symptoms. PSQI and CES-D scores matched narrative comments.CONCLUSIONS: Caregivers' narratives suggest they suffer progressive sleep deprivation that affects their emotions and ability to continue as caregivers.IMPLICATIONS FOR NURSING: Nurses must recognize the severe sleep problems experienced by caregivers and respond with interventions to increase sleep quality and decrease depression.