痴呆症患者和非痴呆症患者的护理人员之间的睡眠质量差异。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Aging & Mental Health Pub Date : 2024-12-01 Epub Date: 2024-05-31 DOI:10.1080/13607863.2024.2354888
Darina V Petrovsky, Sophia R Geisser, Sharvari Kolte, Elizabeth A Luth
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引用次数: 0

摘要

研究目的本研究探讨了照顾痴呆症患者/无痴呆症患者与照顾者睡眠质量之间的关系,并分析了照顾者感知到的照顾益处以及对照顾者与受照顾者关系质量的评估在多大程度上解释了受照顾者痴呆症状况与照顾者睡眠质量之间的关系:我们分析了参加2017年全国护理研究(NSOC)和全国健康与老龄化趋势研究的无痴呆症或可能痴呆症患者的护理人员的数据。护理人员的睡眠质量通过NSOC时间日记访谈进行测量。对护理和关系质量的看法采用 4 项调查进行评估。我们使用多变量逻辑回归法研究了护理对象痴呆症状况与护理者睡眠质量之间的关系,并控制了协变量:样本包括 1,374 名护理人员(平均年龄 = 62.3 岁,SD = 14,68.3% 为女性,69.4% 为非西班牙裔白人)。在调整了照顾者和接受照顾者特征的多变量模型中,作为痴呆症患者的照顾者,报告睡眠质量 "极好/非常好 "的几率要低 23%(OR:0.77,95%CI:0.61-0.98,p = 0.032)。对护理益处的更多感知与睡眠质量 "极佳/非常好 "的几率增加 8%有关(AOR:1.08,95%CI:1.02-1.15,p = 0.013),但不能解释痴呆症与护理者睡眠质量之间的关系。对人际关系质量的正面评价可以解释受照料者痴呆状态与照料者睡眠质量之间的关系(AOR:0.82,95%CI:0.65-1.05,p = 0.12):结论:改善对关系质量的评估并提高对护理益处的认识,可以减少痴呆症患者或非痴呆症患者的护理者之间在睡眠质量上的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep quality differences among caregivers for persons living with and without dementia.

Objectives: This study examined the relationship between caring for a person with/without dementia and caregiver sleep quality, and analyzed the extent to which perceived benefits of caregiving and assessments of caregiver-recipient relationship quality explain the relationship between care recipient dementia status and caregiver sleep quality.

Method: Data were analyzed from caregivers for persons with no or probable dementia who participated in the 2017 National Study of Caregiving (NSOC) and National Health and Aging Trends Study. Caregiver sleep quality was measured using NSOC time diary interview. Perceptions of caregiving and relationship quality were assessed using 4-item surveys. We used multivariable logistic regressions to examine the association between care recipient dementia status and caregiver sleep quality controlling for covariates.

Results: The sample consisted of 1,374 caregivers (mean age = 62.3, SD = 14, 68.3% women, 69.4% non-Hispanic White). In multivariable models adjusting for caregiver and care recipient characteristics, being a caregiver for someone with dementia was associated with 23% lower odds of reporting "excellent/very good" sleep quality (OR: 0.77, 95%CI: 0.61-0.98, p = 0.032). Greater perception of caregiving benefits was associated with 8% greater odds of "excellent/very good" sleep quality (AOR: 1.08, 95%CI: 1.02-1.15, p = 0.013), but did not explain the relationship between dementia and caregiver sleep quality. Positive ratings of relationship quality explained the relationship between care recipient dementia status and caregiver sleep quality (AOR: 0.82, 95%CI: 0.65-1.05, p = 0.12).

Conclusion: Improving assessments of relationship quality and amplifying perceptions of caregiving benefits may reduce disparities in sleep quality between caregivers of persons living with or without dementia.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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