Evaluation of sleep quality improvement using breathing technique for primary caregivers of older adults with dementia who are undergoing home care

• Published in: 日本看護研究学会雑誌 Vol. 46; no. 1; pp. 1_43 - 1_53
• Main Authors: Kondo Yuka, Kamiyama Manami, Tsukagoshi Noriko, Hori Misako
• Format: Journal Article
• Language: Japanese
• Published: 一般社団法人 日本看護研究学会 20.04.2023; Japan Society of Nursing Research
• Subjects: breathing; older adults with dementia; primary caregivers; relaxation; リラクセーション; 主介護者; 呼吸法; 認知症高齢者
• ISSN: 2188-3599; 2189-6100
• DOI: 10.15065/jjsnr.20220713191

Objective: This study aimed to evaluate sleep quality improvement using a breathing technique, in primary caregivers of older adults with dementia who are undergoing home care, through subjective indicators. Methods: The primary caregivers were intervened with three days of breathing technique and three days of the control period. The evaluation items were the Pittsburg Sleep Quality Index Japanese version (PSQI), the OSA Sleep Inventory MA version (OSA), and interviews. Analysis was performed using the Friedman test, the Mann-Whitney test, and the content analysis method. Results: Six subjects were analyzed. The median total PSQI score of the primary caregivers was 7. There was a significant difference in the score between days 1–3 of sleep onset and sleep maintenance between the day when the breathing technique was implemented and the control day (p‹.001). Furthermore, as a result of content analysis of the effect of the breathing technique on sleep, five categories were extracted: “improves sleep quality,” “feeling of relaxation,” “feeling that the breathing technique affects sleep,” “recognize the importance of resting myself,” and “there was no change felt in my sleep.” Conclusions: It was suggested that implementing the breathing technique might promote sleep onset and sleep maintenance of primary caregivers. 目的：在宅療養中の認知症高齢者の主介護者に対する呼吸法による睡眠の質改善の評価を主観的指標より明らかにする。方法：呼吸法を３日間，対照日を３日間介入した。評価項目は，ピッツバーグ睡眠質問票日本語版（PSQI），OSA睡眠調査票MA版（OSA），インタビューであった。フリードマン検定とマン・ホイットニー検定，また内容分析を行った。結果：分析対象者は６名であり，主介護者のPSQI総合得点の中央値は７点であった。OSAの入眠と睡眠維持は，１日目と３日目の得点差において，呼吸法実施日と対照日で有意差がみられた （p＜.001）。内容分析の結果，５カテゴリ【睡眠の質が改善する】【リラックスの感覚がある】【呼吸法は睡眠への効果があると感じる】【自分自身を休めることの重要性を認識する】【睡眠の変化を感じない】が抽出された。結論：呼吸法は，主介護者の入眠と睡眠の維持をもたらす可能性があることが示唆された。