The Relationship Between Caregiver Burden With Insomnia and Malnutrition in Caregivers of Older Hospitalized Patients

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

International Journal of Geriatric Psychiatry Pub Date : 2025-05-28 DOI:10.1002/gps.70106

Nisa Ozen Aydin, Irem Tanriverdi, Ozge Pasin, Betul Sumbul Sekerci, Lee Smith, André Hajek, Pinar Soysal

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引用次数: 0

Abstract

Objectives

The aim of this study was to investigate among caregivers of older hospitalized patients, the relationship between caregiver burden, caregivers' nutrition, and the two most common sleep disorders—excessive daytime sleepiness and insomnia—as well as the interplay between these factors.

Method

The study universe consisted of informal caregivers of older inpatients at an university hospital in Turkiye. The sample included 100 caregivers selected through purposive sampling between March 2024-/January 2025. Data were collected on personal information, caregiver burden (assessed using the Multidimensional Caregiver Burden Inventory [MCBI]), nutritional status (evaluated using the Mini Nutritional Assessment Test [MNA] and the Healthy Eating Attitude Scale), sleep status (assessed using the Epworth Sleepiness Scale and the Insomnia Severity Index [ISI]), and muscle strength (measured by a handgrip dynamometer).

Result

A total of 100 caregivers (79% female, with a mean age of 50.5 years). Females comprised 61% of the patient population, and the mean age was 78.5 years. A significant positive correlation was found between the MCBI score and caregiving duration, ISI score, and patient age (p < 0.005). In contrast, the MCBI score showed a significant negative correlation with the MNA score and muscle strength (p ≤ 0.005). The adjusted linear regression analysis revealed that the MNA score had a significant negative effect on MCBI, while the ISI score had a significant positive effect.

Conclusion

In the present study caregiver burden was associated with poor nutrition and sleep disturbances. Thus, reducing caregiver burden may improve insomnia and malnutrition. Moreover, addressing sleep and nutrition problems in caregivers suffering from insomnia or malnutrition may contribute to a reduction in overall caregiver burden.

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老年住院患者照顾者失眠负担与营养不良的关系

目的探讨老年住院患者护理人员负担、营养状况与两种最常见的睡眠障碍日间过度嗜睡和失眠症之间的关系及其相互作用。方法研究对象为土耳其某大学医院老年住院患者的非正式护理人员。样本包括2024年3月至2025年1月期间通过有目的抽样选择的100名护理人员。收集的数据包括个人信息、照顾者负担（使用多维照顾者负担量表[MCBI]评估）、营养状况（使用迷你营养评估测试[MNA]和健康饮食态度量表评估）、睡眠状况（使用爱普沃斯嗜睡量表和失眠严重程度指数[ISI]评估）和肌肉力量（通过握力计测量）。结果共100名护理人员，女性79%，平均年龄50.5岁。女性占患者总数的61%，平均年龄为78.5岁。MCBI评分与护理时间、ISI评分和患者年龄呈显著正相关(p <；0.005)。MCBI评分与MNA评分和肌力呈显著负相关（p≤0.005）。调整后的线性回归分析显示，MNA评分对MCBI有显著的负向影响，而ISI评分对MCBI有显著的正向影响。结论在本研究中，照顾者负担与营养不良和睡眠障碍有关。因此，减轻照顾者负担可能改善失眠和营养不良。此外，解决患有失眠或营养不良的照顾者的睡眠和营养问题可能有助于减轻照顾者的总体负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.