Sleep Disturbance and Strain Among Caregivers of Persons Living With Dementia.
Sleep Disturbance and Strain Among Caregivers of Persons Living With Dementia.
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DOI：
10.3389/fnagi.2021.734382
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发表时间：
2021
影响因子：
4.8
通讯作者：
Jean-Louis G
中科院分区：
文献类型：
--
作者：
Osakwe ZT;Senteio C;Bubu OM;Obioha C;Turner AD;Thawani S;Saint Fleur-Calixte R;Jean-Louis G
本研究的目的是探讨痴呆症患者（PLWD）照顾者睡眠障碍和紧张的预测因素。这项横断面研究利用了来自2017年全国健康和老龄化趋势研究和全国护理研究的社区居住老年人及其家庭护理人员的样本。多变量逻辑回归被用来评估照顾者和PLWD特征之间的关联，以及一个复合的测量值。高应变定义为6个应变项目的总分≥ 5（例如，情绪困难，没有时间给自己）。在调整其他照顾者和PLWD因素后，我们使用多变量比例优势模型来检查照顾者睡眠相关结局的预测因素（难以重新入睡和睡眠中断）。在1,142名家庭照顾者中，65.2%是女性，15%是黑人，14%是西班牙裔。平均年龄60岁。与男性照顾者相比，女性照顾者更可能报告高水平的紧张（OR：2.61，95%CI = 1.56，4.39）。与非西班牙裔白人相比，非西班牙裔黑人和西班牙裔照顾者报告更大的入睡困难的几率降低[OR = 0.55，CI（0.36，0.82）和OR = 0.56，CI（0.34，0.91），分别]。报告更大的困难，重新入睡的几率显着更大的照顾者与高血压相比，照顾者没有高血压[OR = 1.62，CI（1.12，2.33）]。在这项横断面研究中，睡眠困难（难以入睡）的照顾者更有可能报告患有高血压。我们发现PLWD的照顾者在睡眠中断方面没有种族/民族差异。这些结果表明，改善PLWD照顾者睡眠的干预措施可能会减少该组不良心血管结局。
The study objective was to examine predictors of sleep disturbance and strain among caregivers of persons living with dementia (PLWD). This cross-sectional study utilized a sample of community-dwelling older adults and their family caregivers drawn from the 2017 National Health and Aging Trends Study and National Study of Caregiving. Multivariable logistic regression was used to assess the association between caregiver and PLWD characteristics and a composite measure of caregiving strain. High caregiving strain was defined as a total score of ≥ 5 on the 6 caregiving strain items (e.g., emotional difficulty, no time for self). We used multivariable proportional odds models to examine predictors of caregiver sleep-related outcomes (trouble falling back to sleep and interrupted sleep), after adjusting for other caregiver and PLWD factors. Of the 1,142 family caregivers, 65.2% were female, 15% were Black, and 14% were Hispanic. Average age was 60 years old. Female caregivers were more likely to report high level of strain compared to male caregivers (OR: 2.61, 95% CI = 1.56, 4.39). Compared to non-Hispanic Whites, non-Hispanic Black and Hispanic caregivers had reduced odds of reporting greater trouble falling back asleep [OR = 0.55, CI (0.36, 0.82) and OR = 0.56, CI (0.34, 0.91), respectively]. The odds of reporting greater trouble falling back asleep was significantly greater among caregivers with high blood pressure vs. caregivers without high blood pressure [OR = 1.62, CI (1.12, 2.33)]. In this cross-sectional study, caregivers with greater sleep difficulty (trouble falling back asleep) were more likely to report having high blood pressure. We found no racial/ethnic differences in interrupted sleep among caregivers to PLWD. These results suggest that interventions to improve sleep among caregivers to PLWD may decrease poor cardiovascular outcomes in this group.
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影响因子：
6.3
作者：
Amjad H;Roth DL;Samus QM;Yasar S;Wolff JL
通讯作者：
Wolff JL
影响因子：
7.2
作者：
Brodaty, Henry;Woodward, Michael;Balshaw, Robert
通讯作者：
Balshaw, Robert
影响因子：
5.7
作者：
Fabius, Chanee D.;Wolff, Jennifer L.;Kasper, Judith D.
通讯作者：
Kasper, Judith D.
影响因子：
6.6
作者：
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通讯作者：
Spillman, Brenda C.
影响因子：
5.4
作者：
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Kawachi, Ichiro