Objective: The purpose of this study was to examine perceived sleep-related impairment in caregivers of individuals with traumatic brain injury (TBI). Specifically, we examined the relationship between caregiver-perceived sleep-related impairment and different aspects of health-related quality of life (HRQOL) and explored whether these relationships were moderated by the perceived level of everyday function in the person with TBI. Method: Three hundred forty-one caregivers of individuals with TBI completed surveys to determine whether the association between sleep-related impairment and HRQOL was moderated by caregiver-perceived functional impairment of the person with injury. Participants completed measures from the Patient-Reported Outcomes Measurement Information System and the TBI-CareQOL. These measures were used to examine different aspects of HRQOL: caregiver-specific HRQOL, mental HRQOL, social HRQOL, and fatigue. The Mayo-Portland Adaptability Inventory-4 was used to measure caregiver perceptions of the level of everyday function in the person with injury. Results: Results indicated that caregiver-perceived sleep-related impairment was associated with each of the four HRQOL scores. This relationship was moderated by the caregiver-reported level of everyday function in the person with TBI for both caregiver-specific HRQOL and fatigue but not mental or social HRQOL. For caregiver-specific HRQOL and fatigue, caregiver-perceived sleep-related impairment was associated with worse HRQOL for those caring for individuals with lower perceived levels of everyday function, but not for those caring for individuals with higher levels of everyday function. Conclusions: Interventions to improve caregiver sleep and HRQOL should consider both psychosocial and environmental factors (i.e., factors related to the person with the TBI). (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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睡眠障碍与功能低下的创伤性脑损伤幸存者的护理人员的健康相关生活质量有关。


目的：本研究的目的是检查创伤性脑损伤 (TBI) 患者的护理人员感知到的睡眠相关障碍。具体来说，我们检查了护理人员感知到的睡眠相关障碍与健康相关生活质量 (HRQOL) 不同方面之间的关系，并探讨了这些关系是否受到 TBI 患者感知到的日常功能水平的调节。方法：341 名 TBI 患者的护理人员完成了调查，以确定睡眠相关损伤与 HRQOL 之间的关联是否受到护理人员感知到的受伤人员功能损伤的调节。参与者完成了患者报告结果测量信息系统和 TBI-CareQOL 的测量。这些措施用于检查 HRQOL 的不同方面：护理人员特定的 HRQOL、心理 HRQOL、社会 HRQOL 和疲劳。 Mayo-Portland 适应性量表 4 用于测量护理人员对受伤人员日常功能水平的看法。结果：结果表明，护理人员感知到的睡眠相关障碍与四个 HRQOL 评分中的每一个评分相关。这种关系受到护理人员报告的 TBI 患者日常功能水平的调节，包括护理人员特定的 HRQOL 和疲劳，但不包括心理或社交 HRQOL。对于照顾者特定的 HRQOL 和疲劳，对于那些照顾日常功能水平较低的个人的人来说，照顾者感知到的睡眠相关障碍与较差的 HRQOL 相关，但对于那些照顾日常功能水平较高的个人的人来说则不然。 结论：改善看护者睡眠和 HRQOL 的干预措施应考虑社会心理和环境因素（即与 TBI 患者相关的因素）。 （PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。