Abstract 17165: Factors Associated With Heart failure Family Caregiver Sleep Quality
Introduction: Caring for persons with heart failure (HF) is demanding and stressful, and may affect sleep quality of family caregivers (FCGs). Although FGCs report sleep disturbances, little is known about factors associated with sleep quality of FCGs of persons with HF. The purpose of this study was to examine the sleep quality of FCGs of persons with HF and associated sociodemographic, clinical and FCG stress factors.
Methods: Baseline data from a family caregiver intervention study were used. Participants were FCGs of persons with HF (N=127, mean age 55.3 ± 1.5years, 92% women, 58% African American).Variables measured were self-reported overall sleep quality (PSQI), sociodemographics (age, gender, race, relationship with care recipient), co morbidity (Charlson Comorbidity Index), caregiver stress (Perceived Stress Scale), physical and mental strain (Caregiver Strain Index), life changes resulting from caregiving (Bakas Caregiving Outcome Scale) and caregiving difficulty (Oberst_difficulty & time). Analysis included descriptive statistics and regression.
Results: FCGs (67%) report poor sleep quality (PSQI score >5). Overall health was rated as fair (15%), good (68%) and excellent (17%). Predictors of poor sleep quality in a bivariate analysis were perceived stress (r= 0.42, p<0.01), mental strain (r=0.28, p<0.05), life changes (r= -0.46, p<0.01), caregiving difficulty (r=0.23, p<0.05) and time (r= 0.20, p<0.05). Socidemographics and co morbidity were not significantly associated with sleep quality. In a multivariate regression analysis that considered perceived stress, mental and physical strain, life changes, and caregiving difficulty as predictors of sleep quality using variable selection method, perceived stress (p<0.02 ), life changes (p<0.01), physical strain (p=0.22) were retained in the final model and explained 24% of the variation in caregiver sleep quality (adj. R2 = 0.24).
Conclusions: Poor sleep quality is prevalent in FCGs of HF persons. Sleep quality was associated with FCG perceived stress but not with sociodemographic or clinical factors. Understanding these factors may inform further studies and may benefit targeted interventions geared towards improving sleep quality and overall caregiving experience.
Author Disclosures: U. Otuguor: None. M.K. Higgins: None. S.B. Dunbar: None.
- © 2016 by American Heart Association, Inc.