Pignatiello Grant A, Martin Richard, Kraus Noa, Gutierrez Armando, Cusick Rebecca, Hickman Ronald L
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
West J Nurs Res. 2022 Sep;44(9):886-898. doi: 10.1177/01939459211019033. Epub 2021 Jun 4.
We conducted a systematic review on the state of the science related to sleep interventions for informal caregivers of persons with Alzheimer's disease or related dementia (ADRD). This review included English-written, peer-reviewed articles that studied the effect of an intervention on sleep health outcomes for informal caregivers of persons with ADRD. Our search yielded 15 articles that met our a priori inclusion criteria. We categorized interventions into four categories: environmental, physical, cognitive, and collaborative. Intervention effects were heterogeneous, with most yielding nonsignificant sleep health effects. There is a need for theoretically sound and robust sleep health interventions for informal caregiver samples. Future research in this area could benefit from the use of more controlled, pragmatic, and adaptive research designs, and the use of objective measures that conceptually represent the multiple domains of sleep health to enhance intervention quality.
我们对与阿尔茨海默病或相关痴呆症（ADRD）患者的非正式照料者睡眠干预相关的科学现状进行了系统综述。该综述纳入了英文撰写、经过同行评审的文章，这些文章研究了干预措施对ADRD患者非正式照料者睡眠健康结果的影响。我们的检索产生了15篇符合我们预先设定纳入标准的文章。我们将干预措施分为四类：环境、身体、认知和协作。干预效果存在异质性，大多数产生的睡眠健康效果不显著。对于非正式照料者样本，需要理论上合理且有力的睡眠健康干预措施。该领域未来的研究可以受益于使用更具控制性、实用性和适应性的研究设计，以及使用从概念上代表睡眠健康多个领域的客观测量方法，以提高干预质量。
