ArticleIntestinal Failure (New York, N.Y.)
The negative impact on sleep for caregivers of children with intestinal failure on long-term parenteral nutrition.
Article in Intestinal Failure (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Objectives: Survival rates for children with intestinal failure (IF) have improved with care provided in the home by family caregivers. Our objective was to compare total nocturnal sleep time (TST-N) in caregivers of children with IF on home PN to caregivers of children with a chronic medical condition. Methods: A comparative cross-sectional study of sleep was completed. All participants completed actigraphy and subjective measures of sleep (Pittsburgh Sleep Quality Index [PSQI], Multidimensional Assessment of Fatigue (MAF), Epworth Sleepiness Scale (ESS)). Univariate analysis was completed with an alpha value of < 0.05 considered significant. Results: Thirty-eight caregivers of children with IF and 29 caregivers of children without a chronic medical condition participated. Caregivers of children with IF achieved less sleep than caregivers of children without a chronic medical condition (7.0 vs 7.7 h, p < 0.01) resulting in 45 min less sleep per night. Caregivers of children with IF also demonstrated a shorter period of uninterrupted sleep (2.9 vs 4.2 h, p < 0.01), increased wake after sleep onset (49 vs 29 min, p < 0.01), increased night awakenings (8.9 vs 6.0, p < 0.01) and increased PSQI scores (7.7 vs 4.3, p < 0.01) compared to caregivers of healthy children. Conclusion: Caregivers of children with IF demonstrated decreased nighttime sleep amounts and sleep quality compared to caregivers of children without a chronic medical condition. This sleep debt may have significant consequences for the long-term health and wellbeing of caregivers and highlights the importance of further research to determine what supports are required to decrease the long-term impact for IF caregivers.
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