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痴呆症患者非正式照护者睡眠剥夺对照护者及受照护者产生的负面后果:一项范围综述

Negative Consequences of Sleep Deprivation Experienced by Informal Caregivers of People With Dementia on Caregivers and Care Recipients: A Scoping Review.

作者信息

Mao Jieyu, Yamakawa Miyae, Hu Xujing, Chikama Hitomi, Swa Toshiyuki, Takeya Yasushi

机构信息

Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.

The Japan Centre for Evidence Based Practice: A JBI Centre of Excellence, Osaka, Japan.

出版信息

Int J Nurs Pract. 2025 Apr;31(2):e70010. doi: 10.1111/ijn.70010.

Abstract

AIMS

This study aimed to summarise the results of research concerning the impact of sleep deprivation among informal caregivers of People with Dementia (PwD) and their care recipients.

METHODS

This was a scoping review and followed the PRISMA Scoping Review guideline. Seven electronic databases were searched, and all studies that provided information regarding any outcomes related to sleep deprivation among informal caregivers of PwD published before July 2022 were included.

RESULTS

Sixty studies were identified. Mental and physical effects caused by caregivers' sleep deprivation have been observed. Biomarkers of stress, cognitive functions, immune system functions, and mental status, including burden, depression, and distress, were most frequently mentioned in caregivers with regards to sleep deprivation. As for PwD, mental health indicators like depression and behavioural change were related to sleep deprivation of caregivers. The relationship between caregivers and PwD, as well as the family's financial situation change were also identified.

CONCLUSION

Sleep deprivation in caregivers of PwD harms both parties, underscoring the need for adequate caregiver rest and interventions targeting sleep issues. Future research should explore more care factors and standardise sleep deprivation metrics, improving support for caregivers and patient care.

摘要

目的

本研究旨在总结有关痴呆症患者(PwD)非正式照料者睡眠剥夺的影响及其照料对象的研究结果。

方法

这是一项范围综述,遵循PRISMA范围综述指南。检索了七个电子数据库,纳入了所有在2022年7月之前发表的、提供有关PwD非正式照料者睡眠剥夺相关任何结果信息的研究。

结果

共识别出60项研究。已观察到照料者睡眠剥夺所导致的身心影响。在照料者中,睡眠剥夺方面最常被提及的应激、认知功能、免疫系统功能和精神状态的生物标志物,包括负担、抑郁和痛苦。至于PwD,抑郁和行为改变等心理健康指标与照料者的睡眠剥夺有关。还确定了照料者与PwD之间的关系以及家庭财务状况的变化。

结论

PwD照料者的睡眠剥夺对双方都有危害,这凸显了照料者获得充足休息以及针对睡眠问题进行干预的必要性。未来研究应探索更多照料因素并规范睡眠剥夺指标,加强对照料者的支持及患者护理。

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