University of South Florida, Tampa, USA.
Florida Policy Exchange Center on Aging, Tampa, USA.
J Appl Gerontol. 2022 Jan;41(1):274-284. doi: 10.1177/0733464820978612. Epub 2020 Dec 15.
This study examined sleep concerns among direct-care workers in long-term care and their perceived need for a sleep intervention. Thirty-five participants reported their sleep concerns and willingness to participate in a sleep intervention with preferred delivery forms/content. Multiple sleep characteristics were assessed via ecological momentary assessment and actigraphy for 2 weeks. Eighty percent reported at least one sleep concern with insomnia-related concerns being most prevalent. Those with insomnia-related concerns tended to have long sleep onset latency, frequent awakenings, suboptimal (long) sleep duration, and long naps. Most participants (66%) expressed interest in participating in a sleep intervention either online or in group sessions; interest was higher in those with insomnia-related concerns. Mindfulness strategies were most preferred, followed by cognitive-behavioral therapy and sleep hygiene education. The high prevalence of insomnia-related concerns in direct-care workers needs to be addressed for the well-being of these workers and for the quality of geriatric care delivery.
本研究调查了长期护理中直接护理人员的睡眠问题及其对睡眠干预的需求。35 名参与者报告了他们的睡眠问题，并表示愿意参与睡眠干预，同时还提出了他们希望的干预形式和内容。通过 2 周的生态瞬时评估和活动记录仪来评估多种睡眠特征。80%的人报告了至少一个睡眠问题，其中与失眠相关的问题最为普遍。有失眠相关问题的人往往入睡潜伏期长、频繁醒来、睡眠质量差（时间长）、午睡时间长。大多数参与者（66%）表示有兴趣参加在线或小组形式的睡眠干预；有失眠相关问题的人兴趣更高。参与者最偏好的是正念策略，其次是认知行为疗法和睡眠卫生教育。直接护理人员中与失眠相关的问题普遍存在，这需要引起重视，以确保这些护理人员的福祉和老年护理的服务质量。
