Lee Kwo-Chen, Yiin Jia-Jean, Lin Pi-Chu, Lu Shu-Hua
School of Nursing, China Medical University, 91, Hsueh-Shih Road, Taichung, 40402, Taiwan.
Department of Nursing, China Medical University Hospital, 2, Yude Road, Taichung, 40447, Taiwan.
Psychooncology. 2015 Dec;24(12):1632-8. doi: 10.1002/pon.3816. Epub 2015 Apr 14.
Sleep disturbances among family caregivers (FCs) are common in advanced cancer. The comprehensive factors for sleep disturbances among the FCs of patients with cancer have not been investigated in Taiwan. The purposes of this study were to investigate the sleep disturbances among the FCs of patients with advanced cancer and to determine predictors of sleep disturbance.
A descriptive, cross-sectional study was conducted among 172 FCs. Data were collected using the Pittsburgh Sleep Quality Index and wrist actigraphy. A linear regression model was used to identify the predictive factors for sleep quality.
Seventy-six percent of the FCs experienced some sleep disturbances. Female gender, more fatigue, greater depression, more caregiving burden, and spending over 16 h per day on caregiving tasks were risk factors for sleep disturbances in caregivers.
Sleep disturbances were common among the Taiwanese FCs of patients with advanced cancer. FCs with risk factors for sleep disturbances should be identified and provided assistance.
在晚期癌症患者中，家庭照顾者（FCs）出现睡眠障碍的情况很常见。台湾尚未对癌症患者家庭照顾者睡眠障碍的综合因素进行研究。本研究的目的是调查晚期癌症患者家庭照顾者的睡眠障碍情况，并确定睡眠障碍的预测因素。
对172名家庭照顾者进行了一项描述性横断面研究。使用匹兹堡睡眠质量指数和手腕活动记录仪收集数据。采用线性回归模型确定睡眠质量的预测因素。
76%的家庭照顾者存在一定程度的睡眠障碍。女性、更多疲劳感、更严重的抑郁、更大的照顾负担以及每天花费超过16小时进行照顾任务是照顾者睡眠障碍的危险因素。
在台湾晚期癌症患者的家庭照顾者中，睡眠障碍很常见。应识别出有睡眠障碍危险因素的家庭照顾者并提供帮助。
