Lee Kwo-Chen, Yiin Jia-Jean, Lu Shu-Hua, Chao Yann-Fen
Author Affiliations: School of Nursing, China Medical University, and Department of Nursing, China Medical University Hospital, Taichung (Drs Lee and Lu); Neurosurgery, Veteran General Hospital, Taichung, and Graduate Institute of Medical Science, National Defense Medical Center, Taipei (Dr Yiin); and Department of Nursing, Mackay Medical College, New Taipei, Taiwan (Dr Chao).
Cancer Nurs. 2015 Jul-Aug;38(4):E10-8. doi: 10.1097/NCC.0000000000000166.
Sleep disturbance may cause physical and psychological problems. The relationship between sleep disturbance and the burden of caregiving among family caregivers (FCs) has not previously been investigated.
The purposes of this study were to (1) assess subjective and objective information on the sleep patterns of FCs of advanced cancer patients and (2) identify the components of caregiving burden that are risk factors for sleep disturbance among these FCs.
A prospective, cross-sectional study of 176 FCs was conducted. Subjective and objective tools measuring sleep quality and caregiver burden were used. A hierarchical regression model was applied to identify the predictive factors for sleep disturbance among FCs.
Approximately 72.2% of FCs experienced sleep disturbance. The major sleep disturbance was frequent "wake after sleep onset" to provide patient care; a nap during the day was necessary. Correlations were strong between caregiver burden and sleep quality. The final regression model, which included subjective and objective burden, predicted 56.6% of the variance in sleep disturbance.
Sleep disturbance was common in FCs of advanced cancer patient, and our results demonstrated the relationship between sleep disturbance and caregiving burden.
Family caregivers with risk factors for sleep disturbance should be identified and be provided resources for sleep quality improvement.
睡眠障碍可能导致身体和心理问题。此前尚未对家庭照顾者（FCs）的睡眠障碍与照顾负担之间的关系进行研究。
本研究的目的是（1）评估晚期癌症患者家庭照顾者睡眠模式的主观和客观信息，以及（2）确定这些家庭照顾者中作为睡眠障碍危险因素的照顾负担的组成部分。
对176名家庭照顾者进行了一项前瞻性横断面研究。使用了测量睡眠质量和照顾者负担的主观和客观工具。应用分层回归模型来确定家庭照顾者睡眠障碍的预测因素。
约72.2%的家庭照顾者经历了睡眠障碍。主要的睡眠障碍是为照顾患者频繁出现“入睡后觉醒”；白天需要小睡。照顾者负担与睡眠质量之间存在很强的相关性。最终的回归模型，包括主观和客观负担，预测了睡眠障碍方差的56.6%。
晚期癌症患者的家庭照顾者中睡眠障碍很常见，我们的结果证明了睡眠障碍与照顾负担之间的关系。
应识别有睡眠障碍危险因素的家庭照顾者，并为他们提供改善睡眠质量的资源。
