Sleep: Effect on Dementia Caregiver Mastery, Perceived Stress & Depression

描述（由申请人提供）：本研究的广泛，长期目标是改善痴呆症PWD患者的非正式护理人员的健康结果，使他们能够成功地继续提供护理。这是一项重要的研究，因为随着人口老龄化，对残疾人非正式护理的需求将继续增长。照顾者的经历是有压力的，通常会给照顾者带来负面的结果，如抑郁或身体衰退。个人/物质资源的耗尽导致残疾人被送入机构。照顾者需要资源来满足照顾的需求。这些资源中的两个是充足的睡眠和掌握，这是他们对生活中重要力量的控制感和效能感。睡眠质量和掌握都与抑郁症呈负相关，但关于掌握和感知压力的关系，或者睡眠如何影响与抑郁症和感知压力有关的掌握的研究有限。本研究的具体目的是：1）测试睡眠质量，掌握，感知整体压力和抑郁之间的关系; 2）探索睡眠质量对掌握和感知压力的直接和间接影响;掌握和抑郁。对这些关系的进一步了解可以导致有针对性的干预措施的发展，以提高睡眠质量和掌握，以防止负面结果。这与国家护理研究所的使命是一致的，以预防或延迟疾病和残疾，并促进健康的生活方式。研究设计将是一个非实验性的重复测量。在基线、第4周和第8周收集数据，观察应激的动态体验。使用的工具将包括人口统计学数据和痴呆严重程度评定量表，以分析性别和护理人员对PWD状态的感知的混杂变量，匹兹堡睡眠质量指数，Pearlin掌握量表;流行病学研究中心抑郁量表和Cohen感知压力量表。分析将包括测试相关性和多元回归，从而进行路径分析。这项研究的相关性是与两个主要的公共卫生问题，睡眠和睡眠质量的一致性。我们的社会依赖于非正式养老的成功，《美国老年人法》中针对照顾者支持的具体立法证明了这一点。2006年，医学研究所睡眠医学和研究委员会将护理人员经历的睡眠障碍和睡眠剥夺视为未解决的公共卫生问题。

DESCRIPTION (provided by applicant): The broad, long-term objective of this research is to improve the health outcomes of informal caregivers of persons with dementia PWD so they are able to successfully continue providing care. This is important research because the demand for informal caregiving of PWD will continue to grow as our population ages. The experience of caregiving is stressful and often results in negative outcomes for the caregiver such as depression or physical decline. Depletion of personal/physical resources results in institutionalization of the PWD. Caregivers need resources to meet the demands of caregiving. Two of these resources are adequate sleep and mastery which is the sense of control and efficacy they feel they exert over forces that are important in their lives. Both sleep quality and mastery have an inverse relationship with depression but there is limited research on the relationship of mastery and perceived stress, or how sleep impacts mastery in relation to depression and perceived stress. The specific aims of this research are to 1) test the relationship between sleep quality, mastery, perceived global stress, and depression and 2) explore the direct and indirect effect of sleep quality on mastery and perceived stress; mastery and depression. Further understanding of these relationships can lead to development of targeted interventions to improve sleep quality and mastery in order to prevent negative outcomes. This is consistent with the National Institute of Nursing Research's mission to prevent or delay disease and disability, and to promote healthy lifestyles. The research design will be a non-experimental repeated measure. Data will be collected at baseline, week 4 and week 8 to observe the dynamic experience of caregiving stress. Instruments used will include demographic data and the Dementia Severity Rating Scale to analyze confounding variables of gender and the caregiver's perception of PWD status, the Pittsburgh Sleep Quality Index, Pearlin's mastery scale; Center for Epidemiolgical Studies Depression Scale, and Cohen's Perceived Stress Scale. Analysis will consist of testing correlations and multiple regression resulting in a path analysis. The relevance of this research is the alignment with two major public health issues, caregiving and sleep quality. Our society is dependent on the success of informal caregiving evidenced by specific legislation in the Older Americans Act targeting caregiver support. Sleep disorders and sleep deprivation experienced by caregivers are recognized as an unmet public health problem by the Committee on Sleep Medicine and Research from the Institute of Medicine in 2006.