Simón Miguel A, Bueno Ana M, Blanco Vanessa, Otero Patricia, Vázquez Fernando L
Health Psychology Research Unit, Department of Psychology, University of A Coruña, 15071 A Coruña, Spain.
Department of Evolutionary and Educational Psychology, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain.
J Clin Med. 2022 Jan 29;11(3):719. doi: 10.3390/jcm11030719.
This study aimed to determine the prevalence and associated factors of poor sleep quality in non-professional caregivers. With this purpose, cross-sectional data were collected from 201 dependent people's family caregivers using the Pittsburgh Sleep Quality Index (PSQI), the Caregiver Burden Inventory (CBI), the General Health Questionnaire (GHQ-12), and an ad hoc questionnaire to obtain sociodemographic data. A total of 153 family caregivers were categorized as poor sleepers (PSQI > 5), resulting in a prevalence of poor sleep quality of 76.1% (95% CI = 70.5-82.5). Poor sleepers were more likely to care for persons with mental disorders ( = 7.31; < 0.01) and scored significantly higher on perceived burden ( = -4.44; < 0.001), psychological distress ( = -6.24; < 0.001), and in all the PSQI subscales ( < 0.001), compared with good sleepers (PSQI ≤ 5). By contrast, no differences were found between poor and good sleepers in age, gender, years providing care, and daily hours of care. Multiple linear regression analysis showed that the factors of caregiver burden ( = 0.15; < 0.05) and psychological distress ( = 0.53; < 0.001) were significantly associated with sleep quality in dependent people's family caregivers. Cognitive-behavioral strategies to improve sleep quality in the primary health care of family caregivers are suggested.
本研究旨在确定非专业照料者睡眠质量差的患病率及相关因素。为此，使用匹兹堡睡眠质量指数（PSQI）、照料者负担量表（CBI）、一般健康问卷（GHQ - 12）以及一份特设问卷收集了201名受赡养者家庭照料者的横断面数据，以获取社会人口学数据。共有153名家庭照料者被归类为睡眠质量差者（PSQI＞5），睡眠质量差的患病率为76.1%（95%置信区间 = 70.5 - 82.5）。与睡眠质量好的照料者（PSQI≤5）相比，睡眠质量差的照料者更有可能照料患有精神障碍的人（ = 7.31； ＜0.01），且在感知负担（ = -4.44； ＜0.001）、心理困扰（ = -6.24； ＜0.001）以及所有PSQI子量表上得分显著更高（ ＜0.001）。相比之下，睡眠质量差和睡眠质量好的照料者在年龄、性别、照料年限和每日照料时长方面未发现差异。多元线性回归分析表明，照料者负担因素（ = 0.15； ＜0.05）和心理困扰因素（ = 0.53； ＜0.001）与受赡养者家庭照料者的睡眠质量显著相关。本研究建议在家庭照料者的初级卫生保健中采用认知行为策略来改善睡眠质量。
