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Factors Related to Sleep Disturbances for Informal Carers of Individuals With PD and Dyadic Relationship: A Rural Perspective.
Journal of Geriatric Psychiatry and Neurology ( IF 2.9 ) Pub Date : 2020-08-13 , DOI: 10.1177/0891988720944250
Rachael Wade 1, 2 , Nancy A Pachana 1 , Nadeeka Dissanayaka 1, 2, 3
Affiliation  

This study examines factors related to sleep disturbances, and the dyadic sleep relationship, in a convenience sample of 29 persons with Parkinson disease (PD) and spouse carer dyads living in regional Queensland. Carers completed questionnaires on sleep, depression, anxiety, carer burden, and well-being. Regarding carers, 66% reported sleep disturbances related to nocturnally care demands. Less than half of informal carers with a disturbed sleep had informed a health professional of this problem. Medication was the most commonly advised sleep intervention (44%). Sleep disturbances in informal carers correlated with increasing carer burden, depression scores, anxiety scores, poor quality of life, negative cognitions related to their sleep disturbance, and poor sleep hygiene. Regarding patient-carer dyads, 59% reported both the individuals having problematic sleep disturbances. Patient sleep disturbance correlated with informal carer increase in depression and anxiety scores, and poor carer burden. Informal carer’s sleep disturbance correlated with patient anxiety scores and severity of complications from PD therapy. Evidence-based sleep interventions addressing such dyads in rural areas warrant future study.



中文翻译:

与 PD 和二元关系个体的非正式照顾者的睡眠障碍相关的因素:农村视角。

本研究在 29 名居住在昆士兰州偏远地区的帕金森病 (PD) 患者和配偶照顾者的便利样本中检查了与睡眠障碍和二元睡眠关系相关的因素。照顾者完成了关于睡眠、抑郁、焦虑、照顾者负担和幸福感的问卷调查。关于护理人员,66% 的人报告称睡眠障碍与夜间护理需求有关。在睡眠受到干扰的非正式护理人员中,只有不到一半将这个问题告知了健康专业人士。药物是最常建议的睡眠干预(44%)。非正式照顾者的睡眠障碍与照顾者负担增加、抑郁评分、焦虑评分、生活质量差、与睡眠障碍相关的负面认知以及睡眠卫生差有关。关于病人-照顾者二人组,59% 的人报告两个人都有睡眠障碍。患者睡眠障碍与非正式护理人员的抑郁和焦虑评分增加以及护理人员负担较差相关。非正式照顾者的睡眠障碍与患者焦虑评分和 PD 治疗并发症的严重程度相关。针对农村地区此类二元组的循证睡眠干预措施值得未来研究。

更新日期:2020-08-14
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