Fogelberg Donald J, Leland Natalie E, Blanchard Jeanine, Rich Timothy J, Clark Florence A
1 University of Washington, Seattle, WA, USA.
2 University of Southern California, Los Angeles, CA, USA.
OTJR (Thorofare N J). 2017 Apr;37(2):89-97. doi: 10.1177/1539449217691978. Epub 2017 Feb 14.
Poor sleep contributes to adverse health outcomes making it important to understand sleep in medically vulnerable populations, including those with spinal cord injury (SCI). However, little attention has been paid to circumstances specific to SCI that may negatively affect sleep, or to consequences of poor sleep in this population. The objective of this study was to examine the experience of sleep among individuals with SCI. Secondary analysis using thematic coding of qualitative data from an ethnographic study of community-dwelling adults with SCI was conducted. Sleep-related data were found in transcripts for 90% of the sample. Participants described diminished sleep duration and irregular sleep patterns. Several factors contributing to poor sleep were identified, including SCI-related circumstances and sleep environment. Participants also discussed how poor sleep affected occupational engagement. This study highlights the extent of sleep disturbance experienced after SCI and the subsequent impact on occupational performance, and provides direction for clinical practice.
睡眠质量差会导致不良健康后果，因此了解医学上易受伤害人群的睡眠情况很重要，包括脊髓损伤（SCI）患者。然而，很少有人关注可能对脊髓损伤患者睡眠产生负面影响的特定情况，或者该人群睡眠质量差的后果。本研究的目的是调查脊髓损伤患者的睡眠体验。我们对一项针对社区居住的成年脊髓损伤患者的人种学研究中的定性数据进行了主题编码的二次分析。在90%的样本转录本中发现了与睡眠相关的数据。参与者描述了睡眠时间缩短和睡眠模式不规律的情况。确定了几个导致睡眠质量差的因素，包括与脊髓损伤相关的情况和睡眠环境。参与者还讨论了睡眠质量差如何影响职业参与。这项研究突出了脊髓损伤后睡眠障碍的程度以及对职业表现的后续影响，并为临床实践提供了指导。
