JiYeon Choi1, Judith A Tate2, Michael P Donahoe3, Dianxu Ren4, Leslie A Hoffman5, Eileen R Chasens6. 1. Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, United States. Electronic address: jic11@pitt.edu. 2. The Ohio State University, College of Nursing, Columbus, OH, United States. 3. Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pittsburgh, School of Medicine, Pittsburgh, PA, United States. 4. Department of Health and Community Systems, University of Pittsburgh, School of Nursing, Pittsburgh, PA, United States; Department of Biostatistics, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA, United States. 5. Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, United States; Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA, United States. 6. Department of Health and Community Systems, University of Pittsburgh, School of Nursing, Pittsburgh, PA, United States.
Abstract
OBJECTIVE: To describe changes in sleep quality in family caregivers of ICU survivors from the patients' ICU admission until two months post-ICU discharge. DESIGN: Descriptive repeated measure design. SETTING: Academic hospital medical ICU. MAIN OUTCOME MEASURES: Subjective sleep quality (Pittsburgh Sleep Quality Index [PSQI]) and objective sleep/wake variables (SenseWear Armband™) were measured in family caregivers at patients' ICU admission, within two weeks post-ICU discharge and two months post-ICU discharge. RESULTS: In 28 family caregivers of ICU survivors, most caregivers reported poor sleep quality (i.e. PSQI >5) across the three time points (64.3% during patients' ICU admission, 53.6% at each post-ICU time point). Worse trends in sleep quality and objective sleep/wake pattern were observed in caregivers who were employed, and a non-spouse. There were trends of worsening sleep quality in caregivers of patients unable to return home within two months post-ICU discharge compared to patients able to return home. CONCLUSIONS: Poor sleep quality was highly prevalent and persisted in family caregivers of ICU survivors for two months post-ICU discharge. Our data support the need for a larger longitudinal study to examine risk factors associated with sleep quality in family caregivers of ICU survivors to develop targeted interventions.
OBJECTIVE: To describe changes in sleep quality in family caregivers of ICU survivors from the patients' ICU admission until two months post-ICU discharge. DESIGN: Descriptive repeated measure design. SETTING: Academic hospital medical ICU. MAIN OUTCOME MEASURES: Subjective sleep quality (Pittsburgh Sleep Quality Index [PSQI]) and objective sleep/wake variables (SenseWear Armband™) were measured in family caregivers at patients' ICU admission, within two weeks post-ICU discharge and two months post-ICU discharge. RESULTS: In 28 family caregivers of ICU survivors, most caregivers reported poor sleep quality (i.e. PSQI >5) across the three time points (64.3% during patients' ICU admission, 53.6% at each post-ICU time point). Worse trends in sleep quality and objective sleep/wake pattern were observed in caregivers who were employed, and a non-spouse. There were trends of worsening sleep quality in caregivers of patients unable to return home within two months post-ICU discharge compared to patients able to return home. CONCLUSIONS: Poor sleep quality was highly prevalent and persisted in family caregivers of ICU survivors for two months post-ICU discharge. Our data support the need for a larger longitudinal study to examine risk factors associated with sleep quality in family caregivers of ICU survivors to develop targeted interventions.
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