University of Washington, Seattle, Washington, USA.
J Adv Nurs. 2023 May;79(5):1650-1663. doi: 10.1111/jan.15576. Epub 2023 Feb 9.
To examine the individual-level factors and social determinants of health (SDOH) linked to sleep health among individuals with inflammatory bowel disease (IBD).
Systematic review without meta-analysis.
Four databases (PubMed, Web of Science, CINAHL and PsycINFO) were searched in February 2022.
Databases were searched with keywords related to IBD and sleep. The review was conducted per the PRISMA protocol. The checklist for analytical cross-sectional studies published by the Joanna Briggs Institute was used for quality appraisal. Factors were organized by individual, social and societal levels according to the social-ecological model of sleep health.
In the review, 45 studies were identified and synthesized. All studies examined individual-level factors with sleep, with age being the most common factor studied. Only nine studies considered a social determinant of health which included marital status, number of children, education level, annual income, employment status, work tenure, type of employment, area of residence, minority status/ethnicity and COVID-19. However, the source of information for the social determinant of health was not clearly defined for more than half of these studies.
Although IBD sleep research has explored individual-level factors (i.e. age) that impact sleep health, there is a lack of information on the SDOH that can contribute to sleep health.
This review provides insight into the different factors that have been examined in IBD sleep research. By determining the SDOH that impact sleep, nursing research can inform sustainable and tailored interventions that focus on changing behaviour and improving sleep of individuals of varying backgrounds and life experiences. There is a continued need for nurses in practice and research to explore the SDOH that influence health outcomes and the daily lives of those with IBD.
探讨与炎症性肠病（IBD）患者睡眠健康相关的个体因素和健康的社会决定因素（SDOH）。
系统评价，无荟萃分析。
2022 年 2 月，4 个数据库（PubMed、Web of Science、CINAHL 和 PsycINFO）进行了检索。
检索数据库时使用了与 IBD 和睡眠相关的关键词。该综述按照 PRISMA 方案进行。使用 Joanna Briggs 研究所发布的分析性横断面研究清单对质量进行评估。根据睡眠健康的社会生态模型，将因素按个体、社会和社会层面进行组织。
在综述中，确定并综合了 45 项研究。所有研究均探讨了与睡眠相关的个体因素，其中年龄是最常见的研究因素。只有 9 项研究考虑了一个健康的社会决定因素，包括婚姻状况、子女数量、教育程度、年收入、就业状况、工作年限、就业类型、居住地区、少数民族地位/种族和 COVID-19。然而，这些研究中超过一半的社会决定因素的信息来源没有明确界定。
尽管 IBD 睡眠研究已经探讨了影响睡眠健康的个体因素（即年龄），但缺乏关于影响睡眠健康的 SDOH 的信息。
本综述提供了对 IBD 睡眠研究中检查过的不同因素的深入了解。通过确定影响睡眠的 SDOH，护理研究可以为可持续和量身定制的干预措施提供信息，这些干预措施侧重于改变行为和改善不同背景和生活经历的个体的睡眠。护理人员在实践和研究中需要继续探索影响 IBD 患者健康结果和日常生活的 SDOH。
