Sleep disturbance in family caregivers of children who depend on medical technology.

作者: Krista Keilty , Eyal Cohen , Karen Spalding , Eleanor Pullenayegum , Robyn Stremler

DOI: 10.1136/ARCHDISCHILD-2016-312205

关键词:

摘要: Objectives Family caregivers of children who depend on medical technology (CMT) provide highly skilled care up to 24 hours per day. Sleep disruption places family at risk for poor health and related outcomes that threaten their long-term caregiving capacity. Few studies exist have measured sleep in caregivers, most relied entirely subjective measures. Methods In a prospective cohort study, CMT (n=42) healthy (n=43) were recruited. Actigraphy data concurrent diary collected 6 days/7 nights. Measures quality, depression, sleepiness, fatigue quality life also administered. Results averaged fewer hours night (mean (SD)) (6.56±1.4 vs 7.21±0.6, p = 0.02) poorer (7.75±2.9 5.45±2.8, 0.01) than the control group. Three times as many scored range significant depressive symptomatology (12(33%) 4(10%), experienced excessive daytime sleepiness (16(38%) 5(12%), 0.01). Fatigue was more problematic among (22.12±9.1 17.44±9.0, 0.02). Conclusions are acute chronic deprivation, psychological distress impaired function may capacity sustained caregiving. be important targets screening disorders development novel sleep-promoting interventions.

参考文章(38)
Steven W. Lockley, Laura K. Barger, Najib T. Ayas, Jeffrey M. Rothschild, Charles A. Czeisler, Christopher P. Landrigan, Effects of Health Care Provider Work Hours and Sleep Deprivation on Safety and Performance The Joint Commission Journal on Quality and Patient Safety. ,vol. 33, pp. 7- 18 ,(2007) , 10.1016/S1553-7250(07)33109-7
Roger J. Cole, Daniel F. Kripke, William Gruen, Daniel J. Mullaney, J. Christian Gillin, Automatic sleep/wake identification from wrist activity Sleep. ,vol. 15, pp. 461- 469 ,(1992) , 10.1093/SLEEP/15.5.461
Krista Keilty, Eyal Cohen, Michelle Ho, Karen Spalding, Robyn Stremler, Sleep disturbance in family caregivers of children who depend on medical technology: A systematic review. Journal of pediatric rehabilitation medicine. ,vol. 8, pp. 113- 130 ,(2015) , 10.3233/PRM-150325
Ann E. Rogers, Linda D. Scott, Michele C. Balas, Frequency and type of errors and near errors reported by critical care nurses. Canadian Journal of Nursing Research Archive. ,vol. 38, pp. 24- 41 ,(2006)
Sonia Ancoli-Israel, Roger Cole, Cathy Alessi, Mark Chambers, William Moorcroft, Charles P. Pollak, The role of actigraphy in the study of sleep and circadian rhythms. Sleep. ,vol. 26, pp. 342- 392 ,(2003) , 10.1093/SLEEP/26.3.342
William C. Dement., Thomas Roth, Meir H. Kryger, Principles and Practice of Sleep Medicine ,(1989)
David F Dinges, Frances Pack, Katherine Williams, Kelly A Gillen, John W Powell, Geoffrey E Ott, Caitlin Aptowicz, Allan I Pack, Cumulative sleepiness, mood disturbance, and psychomotor vigilance performance decrements during a week of sleep restricted to 4-5 hours per night Sleep. ,vol. 20, pp. 267- 277 ,(1997) , 10.1093/SLEEP/20.4.267