Fernández-Puerta Laura, Prados Germán, Jiménez-Mejías Eladio
Department of Nursing, School of Health Sciences, University of Granada, Granada, Spain.
Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.
West J Nurs Res. 2022 Feb;44(2):180-199. doi: 10.1177/0193945921995477. Epub 2021 Mar 9.
The purpose of the present review was to compile and analyze all interventions aimed at improving the sleep-rest pattern of adult caregivers. A database search was performed in PubMed, Embase, Scopus, CINAHL and PsycINFO. Twenty-four papers published between 1998 and 2020 met the inclusion criteria. Informal caregivers can benefit from various types of sleep interventions, including (a) cognitive-behavioral sleep interventions (CBIs), (b) caregiver health interventions (CHIs), and (c) exercise programs. Other types of interventions such as acupressure, back massage, reflexology, music, and heart rate variability biofeedback sessions may have beneficial effects on the sleep of caregivers. Yet, studies on this topic are heterogeneous and often have considerable methodological shortcomings. Few clinical trials have explored sleep problems as a dyadic caregiver-patient relationship. It is necessary to conduct new clinical trials to determine the viability and level of evidence of the various strategies aimed at improving sleep of informal caregivers.
本综述的目的是汇编和分析所有旨在改善成年照料者睡眠-休息模式的干预措施。在PubMed、Embase、Scopus、CINAHL和PsycINFO数据库中进行了检索。1998年至2020年间发表的24篇论文符合纳入标准。非正式照料者可从各种类型的睡眠干预措施中受益,包括(a)认知行为睡眠干预(CBI)、(b)照料者健康干预(CHI)和(c)锻炼计划。其他类型的干预措施,如指压、背部按摩、反射疗法、音乐和心率变异性生物反馈治疗,可能对照料者的睡眠有有益影响。然而,关于这一主题的研究参差不齐,且往往存在相当大的方法学缺陷。很少有临床试验将睡眠问题作为照料者-患者二元关系进行探讨。有必要开展新的临床试验,以确定旨在改善非正式照料者睡眠的各种策略的可行性和证据水平。