痴呆症养老院居民睡眠障碍给护士造成的负担：多中心横断面研究
Nurses' burden caused by sleep disturbances of nursing home residents with dementia: multicenter cross-sectional study.
作者信息
Wilfling Denise, Dichter Martin N, Trutschel Diana, Köpke Sascha
机构信息
Institute of Social Medicine and Epidemiology, Nursing Research Group, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.
Institute of Nursing Science, University Hospital Cologne, Gleueler Straße 176-178, 50935 Cologne, Germany.
出版信息
BMC Nurs. 2020 Sep 9;19:83. doi: 10.1186/s12912-020-00478-y. eCollection 2020.
BACKGROUND
Sleep disturbances are common in people with dementia. In nursing homes, this is frequently associated with residents' challenging behavior and potentially with nurses' burden. This study examined nurses' burden associated with nursing home residents' sleep disturbances.
METHODS
A multicenter cross-sectional study was conducted. Nurses' burden associated with residents' sleep disturbances was assessed using the Sleep Disorder Inventory (SDI). Additionally, the proportion of nurses' total burden associated with sleep disturbances of residents with dementia was assessed. A linear mixed regression model was used to investigate the association with nurses', residents' and institutional characteristics.
RESULTS
One hundred eleven nurses from 38 nursing homes were included. 78.4% stated to be regularly confronted with residents' sleep disturbances during nightshifts, causing distress. The mean proportion of nurses' total burden caused by residents' sleep disturbances was 23.1 % (SD 18.1). None of the investigated characteristics were significantly associated with nurses' total burden.
CONCLUSIONS
Nurses report burden associated with sleep disturbances as common problem. There is a need to develop effective interventions for sleep problems and to train nurses how to deal with residents' sleep disturbances.
背景
睡眠障碍在痴呆症患者中很常见。在养老院，这通常与居民的挑战性行为有关，并且可能给护士带来负担。本研究调查了与养老院居民睡眠障碍相关的护士负担。
方法
进行了一项多中心横断面研究。使用睡眠障碍量表（SDI）评估与居民睡眠障碍相关的护士负担。此外，评估了痴呆症居民睡眠障碍相关的护士总负担比例。采用线性混合回归模型研究与护士、居民和机构特征的关联。
结果
纳入了来自38家养老院的111名护士。78.4%的护士表示在夜班期间经常遇到居民的睡眠障碍，这会造成困扰。居民睡眠障碍导致的护士总负担平均比例为23.1%（标准差18.1）。所调查的特征均与护士的总负担无显著关联。
结论
护士报告称与睡眠障碍相关的负担是一个常见问题。需要制定有效的睡眠问题干预措施，并培训护士如何应对居民的睡眠障碍。
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