Song Yeonsu, McCurry Susan M, Fung Constance H, Josephson Karen R, Teng Edmond, Irwin Michael R, Alessi Cathy A, Martin Jennifer L
a Geriatric Research, Education and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
b David Geffen School of Medicine , University of California , Los Angeles, Los Angeles , California , USA.
Clin Gerontol. 2018 Mar-Apr;41(2):167-171. doi: 10.1080/07317115.2017.1365795. Epub 2017 Oct 9.
This pilot study explored caregivers' attitudes toward core elements of a behavioral sleep intervention for managing sleep problems of older veteran care recipients and the caregivers, as an initial step for developing a dyadic sleep intervention program.
Five caregivers (all women; age range, 66-75 years) participated in a focus group discussion. Data were collected at one Veterans Affairs, adult day health care program.
Caregivers' poor sleep was not necessarily explained by their caregiving responsibility. Caregivers felt that behavioral recommendations regarding sleep compression scheduling, increased indoor physical activity, and outdoor light exposure would be acceptable sleep interventions for themselves and the care recipients. Some challenges to the sleep recommendation were identified and they included limiting naptime of care recipients and change of their current sleep schedule.
Caregivers are receptive to some key components of behavioral approaches to improving sleep. Tailored sleep recommendation strategy is needed to address potential challenges.
If available within clinical care settings or delivered at the patient's home, caregivers of older veterans are likely to engage in behavioral sleep intervention programs.
本试点研究探讨了照顾者对一项行为睡眠干预核心要素的态度，该干预旨在解决老年退伍军人护理对象及其照顾者的睡眠问题，这是制定二元睡眠干预计划的第一步。
五名照顾者（均为女性；年龄范围66 - 75岁）参与了焦点小组讨论。数据在一个退伍军人事务部的成人日间保健项目中收集。
照顾者睡眠不佳不一定是由其照顾责任导致的。照顾者认为，关于睡眠压缩计划、增加室内体育活动和户外光照的行为建议，对他们自己和护理对象来说都是可接受的睡眠干预措施。确定了睡眠建议面临的一些挑战，包括限制护理对象的午睡时间和改变他们当前的睡眠时间表。
照顾者接受改善睡眠的行为方法的一些关键组成部分。需要制定量身定制的睡眠建议策略来应对潜在挑战。
如果在临床护理环境中可用或在患者家中实施，老年退伍军人的照顾者可能会参与行为睡眠干预计划。
