Winders Samantha, Yoo Linda, Heitkemper Margaret, Kamp Kendra
Department of Biobehavioral Nursing and Health Informatics, University of Washington School of Nursing, Seattle, WA, USA.
Crohns Colitis 360. 2024 Dec 7;6(4):otae075. doi: 10.1093/crocol/otae075. eCollection 2024 Oct.
This study aimed to describe the patient-reported factors that impact sleep among individuals with inflammatory bowel disease (IBD), aligning with the Social Ecological Model of Sleep. This addresses the gap in IBD sleep research, which predominantly focuses on individual-level factors and their impact on sleep.
Adults (ages 18-65) with IBD were recruited online through ResearchMatch in June 2023. Participants filled out survey questions on their demographic characteristics, health history, sleep, and IBD-related symptoms. Content analysis was conducted on 2 open-ended questions about factors that impacted their sleep.
This analysis included 163 adults with IBD ( = 39 years of age, 76.7% White, 91.4% non-Hispanic or Latino, 66.9% female, and 83.4% active IBD) who answered open-ended questions with comments about their sleep. Most participants indicated an individual-level factor impacted their sleep quality (85.3%, = 139), categorized into 5 subthemes: Mental health, health, behavior and choices, physiology, and attitudes. Additionally, participants (43.6%, = 71) mentioned social-level factors divided into 7 subthemes: Family, work, home, neighborhood, social network, and school. A smaller group of participants (17.2%, = 28) mentioned societal-level factors designated into 4 subthemes: Natural environment and geography, technology, 24/7 society, and economics.
This study highlights the need for tailored sleep interventions for those with IBD that consider not only disease activity but also mental health, family, work, and the natural environment. IBD clinics should prioritize sleep health using an interdisciplinary approach to holistically address the unique needs of those with IBD.
本研究旨在描述炎症性肠病（IBD）患者报告的影响睡眠的因素，这与睡眠的社会生态模型相一致。这填补了IBD睡眠研究的空白，该研究主要关注个体层面的因素及其对睡眠的影响。
2023年6月，通过ResearchMatch在线招募了患有IBD的成年人（年龄18 - 65岁）。参与者填写了关于他们的人口统计学特征、健康史、睡眠和IBD相关症状的调查问卷。对两个关于影响他们睡眠的因素的开放式问题进行了内容分析。
该分析纳入了163名患有IBD的成年人（平均年龄 = 39岁，76.7%为白人，91.4%为非西班牙裔或拉丁裔，66.9%为女性，83.4%为活动性IBD），他们对关于睡眠的开放式问题进行了评论。大多数参与者表示个体层面的因素影响了他们的睡眠质量（85.3%，n = 139），分为5个子主题：心理健康、健康状况、行为与选择、生理因素和态度。此外，参与者（43.6%，n = 71）提到了社会层面的因素，分为7个子主题：家庭、工作、家庭环境、邻里关系、社交网络和学校。一小部分参与者（17.2%，n = 28）提到了社会层面的因素，分为4个子主题：自然环境与地理、技术、全天候社会和经济因素。
本研究强调，对于IBD患者，需要制定针对性的睡眠干预措施，不仅要考虑疾病活动，还要考虑心理健康、家庭、工作和自然环境。IBD诊所应采用跨学科方法优先考虑睡眠健康，以全面满足IBD患者的独特需求。
