高齢者を介護する家族の介護負担感と睡眠の研究に...
TRANSCRIPT
Vol.4 No.1 2013
32
Evidence Level
or or or
29
高齢者を介護する家族の介護負担感と睡眠の研究に関するシステマティックレビュー
The systematic review of the research of family caregiverburden and sleep
1) 2)
Na Kang1) Hitomi Matsuda2)
1)
2)
1
1.
1983 2013 1970 2013
1945 2013 CiNii
2. or
or or
1. PubMed 1950 2013 CINAHL 1982 2013 web of science 1975 2013
2. care caregiver family caregiver
“burden of care” sleep elderly
“burden” or “caregiver burden” or
1
Vol.4 No.1 2013
33
Ⅰ はじめに
1980Zarit
1 Zarit
19877
2 1990
1990
3
4
Pittsburgh Sleep Quality Index 1989
Buyees18
5
1998
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Zarit
Ⅱ 方法1
1983 2013 19702013 1945 2013 CiNii
or or or
PubMed 19502013 CINAHL 1982 2013
web of science 1975 2013Cochrane Library PubMed
CDSRcare caregiver family
caregiver burden or caregiver burden or burden of care sleep elderly
2
Evidence Level 4
2
/RCT
a b
2
33
//
1198322013
11970
22013
11945
22013 CCiNii
PPubMed 11950 22013
CCINAHL 11982 22013
Web of science
(1975 2013)
and or or
[care] and [burden] or [Caregiverburden] or [burden of care]
439 333 40 1223 727 395 951
and or or
[Caregiver] and [burden] or [Caregiverburden]or [burden of care]
218 214 13 325 440 324 1121
or and or or
[Family caregiver] and [burden] or[Caregiver burden] or [burden of care]
48 180 1 75 27 60 212
and [care] and [sleep]
31 44 � 2 426 318 484
[sleep] 2 11 � 1 3 2 2
[elderly] � � � � � � � and
[caregiver] and [sleep] 13 23 0 15 12 11 134
[sleep] 1 9 0 � 3 2 6 [elderly] � � � � � � �
or and [Family caregiver] and[sleep]
6 6 � 7 1 � 33
[sleep] � 1 � � 1 � 1 [elderly] � � � � � � �
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Iracema Leroi 2010
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Ⅳ 考察
Zarit
Happe S
Hsi-Ling Peng
28
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3
Vol.4 No.1 2013
41
Ⅴ 結論
謝辞
A23249092
参考文献1 ZaritSH,Reever KE,Bach Peterson J
Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist, 20, 649-655, 1980
2 9 188
199 19873
3 16 70-78 19904
171 46-54 2010
5 Buysse DJ ,Reyno lds CF 3 rd ,Monk TH,Berman SR,Kupfer DJ The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 28, 193-213, 1989
6
13 6 755-763 19987 Minds
200715 2007
8 AndreasA. Argyriou, PanagiotisKaranasios,KonstantinosAssimakopoulos, GregorisIconomou,Alexandra Makridou, FoteiniGiannakopoulou, et al. Assessing the Quality of Sleep in Greek Primary Caregivers of Patients With Secondary Progressive MultipleSclerosis:A Cross-Sectional Study Journal of Pain and Symptom Management 42 4 541-547 2011
9
37 2 27-332011
10
4810 783-790 2006
11 3 Actigraph
17 4 175-184 201212 Rittman, M, et al. Subjective Sleep,Burden,
D e p r e s s i o n , a n d G e n e r a l H e a l t h AmongCaregiversof Veterans Poststroke. J O U R N A L O F N E U R O S C I E N C E NURSING, 41 1 , 39-52, 2009
13
33 3 256-2652010
14
20 3 40-49 200015 Beaudreau SA, Spira AP, Gray HL, Depp
CA, Long J, Rothkopf M, et al.: The relationship between objectively measured
Vol.4 No.1 2013
42
sleep disturbance and dementia family caregiver distress and burden. J Geriatr Psychiatry Neurol, 21, 159-165, 2008
16 Kochar J, Fredman L, Stone KL, Cauley JA: Sleep Problems in Elderly Women Caregivers Depend on the Level of Depressive Symptoms: Results of the Caregiver–Study of Osteoporotic Fractures. The American Geriatrics Society, 55, 2003–2009, 2007
17 Happe S,Berger K: The association between caregiver burden and sleep disturbances in partners of patients with Parkinson's disease Age Ageing, 31, 349-354 2002
18 65
10 1 11-18 200819
8 15 39-52 200820
219 1 13-22 1999
21
26 1 119-1252002
22 Adam P. Spira, Leah Friedman,Sherry A. Beaudreau,SoniaAncoli-Israel,Beatriz Hernandez, JavaidSheikh,et al.: Sleep and physical functioning in family caregivers of older adults with memory impairment. International Psychogeriatrics, 22 2 , 306–311, 2010
23 ChiaraCupidi, Sabrina Realmuto,Gianluca Lo Coco, Antonio Cinturino, Simona Talamanca, ValentinaArnao, et al.: Sleep quality in caregivers of patients with Alzheimer s disease and Parkinson s
disease and its relationship to quality of life. International Psychogeriatrics, 24(11), 1827–1835, 2012
24 AnandDhruva, Kathryn Lee, Steven M. Paul, Ms.Claudia West, Laura Dunn, Marylin Dodd, et al.: Sleep-Wake Circadian Activity Rhythms and Fatigue in Family Caregivers of Oncology Patients. Cancer Nurs: 35(1), 70–81, 2012
25 Leah Friedman,Adam P. Spira, Beatriz Hernandez, Christina Mather, Javaid Sheikh,Sonia Ancoli-Israel, et al.: Brief morning light treatment for sleep/wake disturbances in older memory-impaired individuals and their caregivers. Sleep Medicine, 13, 546–549, 2012
26 Iracema Leroi, Peter Baker, Pam Kehoe, Emily Daniel ,E Jane Byrne: A pi lot randomized controlled trial of sleep therapy in Parkinson s disease: effect on patients and caregivers. Int J Geriatr Psychiatry, 25, 1073–1079, 2010
27 Susan M. McCurry, Rebecca G. Logsdon, Michael V. Vitiello, Linda Teri: Successful Behavioral Treatment for Reported Sleep Problems in Elderly Caregivers of Dementia Patients: A Controlled Study. Journal of Gerontology: PSYCHOLOGICAL SCIENCES, 53B(2 , 122-129, 1998
28 Hsi-Ling Peng, Yu-Ping Chang: Sleep Disturbance in Family Caregivers of Individuals With Dementia: A Review of the Literature. Perspectives in Psychiatric Care, 49, 135–146, 2013
29
3 33 264-270 200830
4 59-64 201131
Vol.4 No.1 2013
43
11 2 36-44 200632
62 62-71 2004
33
29 1107-115 2005
34
17 1 75-81 199735
47 2108-112 2004
305-8575 1-1-1
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