{"title":"退伍军人身份对癌症患者主要照护者疲劳与睡眠障碍关系的调节作用","authors":"Huei-Chuan Yu, Shu-Wen Chen","doi":"10.6224/JN.202302_70(1).07","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Fatigue may lead to disordered sleep. Primary caregivers of patients with cancer may suffer from higher levels of disordered sleep because of care-related fatigue. Older-adult veterans with cancer tend to be emotionally negative, which increases the challenges of care.</p><p><strong>Purpose: </strong>This study was designed to investigate the veteran status of patients as a possible moderator in the relationship between fatigue and disordered sleep in primary caregivers.</p><p><strong>Methods: </strong>In this cross-sectional study, 127 primary caregivers of patients with cancer were randomly recruited from three hospitals in northern Taiwan. Data were collected using a demographics datasheet, the Taiwanese version of the Brief Fatigue Inventory, and the Chinese version of the Pittsburgh Sleep Quality Index. Descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation analyses, and hierarchical regression analyses were used to analyze the obtained data.</p><p><strong>Results: </strong>Fatigue in the participants was shown to correlate significantly and positively with their sleep quality (r = .632, p < .01), with fatigue found to affect sleep quality positively (β = .472, p < .001). The regression analyses showed the explanatory power of fatigue on sleep disorders (b = .148, p < .001) to be higher in caregivers of veteran patients than in caregivers of non-veteran patients (b = .091, p < .001).</p><p><strong>Conclusions / implications for practice: </strong>Veteran patient status may moderate the relationship between fatigue and disordered sleep in primary caregivers. Nurses should assess caregiver fatigue status and offer appropriate resources.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[The Moderating Effect of Veteran Status on the Relationship Between Fatigue and Sleep Disturbance in Primary Caregivers of Patients With Cancer].\",\"authors\":\"Huei-Chuan Yu, Shu-Wen Chen\",\"doi\":\"10.6224/JN.202302_70(1).07\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Fatigue may lead to disordered sleep. Primary caregivers of patients with cancer may suffer from higher levels of disordered sleep because of care-related fatigue. Older-adult veterans with cancer tend to be emotionally negative, which increases the challenges of care.</p><p><strong>Purpose: </strong>This study was designed to investigate the veteran status of patients as a possible moderator in the relationship between fatigue and disordered sleep in primary caregivers.</p><p><strong>Methods: </strong>In this cross-sectional study, 127 primary caregivers of patients with cancer were randomly recruited from three hospitals in northern Taiwan. Data were collected using a demographics datasheet, the Taiwanese version of the Brief Fatigue Inventory, and the Chinese version of the Pittsburgh Sleep Quality Index. Descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation analyses, and hierarchical regression analyses were used to analyze the obtained data.</p><p><strong>Results: </strong>Fatigue in the participants was shown to correlate significantly and positively with their sleep quality (r = .632, p < .01), with fatigue found to affect sleep quality positively (β = .472, p < .001). The regression analyses showed the explanatory power of fatigue on sleep disorders (b = .148, p < .001) to be higher in caregivers of veteran patients than in caregivers of non-veteran patients (b = .091, p < .001).</p><p><strong>Conclusions / implications for practice: </strong>Veteran patient status may moderate the relationship between fatigue and disordered sleep in primary caregivers. Nurses should assess caregiver fatigue status and offer appropriate resources.</p>\",\"PeriodicalId\":35672,\"journal\":{\"name\":\"Journal of Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.6224/JN.202302_70(1).07\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6224/JN.202302_70(1).07","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
摘要
背景:疲劳可能导致睡眠紊乱。癌症患者的主要护理人员可能会因为护理相关的疲劳而遭受更高水平的睡眠紊乱。患有癌症的老年退伍军人往往情绪消极,这增加了护理的挑战。目的:本研究旨在探讨患者的退伍军人身份在主要护理人员的疲劳和睡眠障碍之间的关系中可能起到的调节作用。方法:采用横断面研究方法,随机从台湾北部三家医院招募127名癌症患者的主要照护者。数据收集使用人口统计数据表,台湾版本的简短疲劳量表和中国版本的匹兹堡睡眠质量指数。采用描述性统计、独立t检验、单因素方差分析、Pearson相关分析和层次回归分析对所得数据进行分析。结果:疲劳与睡眠质量呈显著正相关(r = 0.632, p < 0.01),疲劳与睡眠质量呈正相关(β = 0.472, p < 0.001)。回归分析显示,疲劳对退伍军人护理人员睡眠障碍的解释力(b = .148, p < .001)高于非退伍军人护理人员(b = .091, p < .001)。结论/对实践的启示:退伍军人患者的身份可能会缓和主要护理人员的疲劳和睡眠障碍之间的关系。护士应评估照顾者的疲劳状态,并提供适当的资源。
[The Moderating Effect of Veteran Status on the Relationship Between Fatigue and Sleep Disturbance in Primary Caregivers of Patients With Cancer].
Background: Fatigue may lead to disordered sleep. Primary caregivers of patients with cancer may suffer from higher levels of disordered sleep because of care-related fatigue. Older-adult veterans with cancer tend to be emotionally negative, which increases the challenges of care.
Purpose: This study was designed to investigate the veteran status of patients as a possible moderator in the relationship between fatigue and disordered sleep in primary caregivers.
Methods: In this cross-sectional study, 127 primary caregivers of patients with cancer were randomly recruited from three hospitals in northern Taiwan. Data were collected using a demographics datasheet, the Taiwanese version of the Brief Fatigue Inventory, and the Chinese version of the Pittsburgh Sleep Quality Index. Descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation analyses, and hierarchical regression analyses were used to analyze the obtained data.
Results: Fatigue in the participants was shown to correlate significantly and positively with their sleep quality (r = .632, p < .01), with fatigue found to affect sleep quality positively (β = .472, p < .001). The regression analyses showed the explanatory power of fatigue on sleep disorders (b = .148, p < .001) to be higher in caregivers of veteran patients than in caregivers of non-veteran patients (b = .091, p < .001).
Conclusions / implications for practice: Veteran patient status may moderate the relationship between fatigue and disordered sleep in primary caregivers. Nurses should assess caregiver fatigue status and offer appropriate resources.