冠心病住院患者睡眠障碍与照护者负担的相关性研究

The Correlation between Sleep Disorders in Hospitalized Patients with Coronary Heart Disease and Caregiver Burden

摘要: 冠心病住院患者普遍存在睡眠障碍，从而影响患者身心健康，降低生活质量，而照护者在高强度心脏照护环境中长期承担着繁重的照护任务，易出现心理耗竭、角色冲突与经济压力，其身心健康受到严重侵蚀，进而二者之间易形成恶性循环。本文系统梳理了近年来冠心病住院患者睡眠障碍的发生现状、影响因素，及其与照护者负担的相关性研究进展，围绕冠心病住院患者睡眠障碍的病理生理机制、评估工具，以及照护者负担的维度、影响因素，两者相关性的研究证据及干预策略等内容进行综述，旨在为制定针对性干预措施、改善患者预后及减轻照护者负担提供理论依据。

Abstract: Prevalence of sleep disorders is high among hospitalized patients with Coronary Heart Disease (CHD), which adversely affects their physical and mental health and reduces their quality of life. Meanwhile, caregivers undertaking long-term, heavy caregiving tasks in high-intensity cardiac care settings are prone to psychological burnout, role conflict, and financial stress, leading to severe impairment of their own physical and mental health. Consequently, a vicious cycle is likely to develop between patients and caregivers. This article systematically reviews recent research on the current status and influencing factors of sleep disorders in hospitalized CHD patients, as well as the association between sleep disorders and caregiver burden. It summarizes the pathophysiological mechanisms and assessment tools for sleep disorders in hospitalized CHD patients, and examines the dimensions and influencing factors of caregiver burden. Furthermore, the review presents research evidence and intervention strategies exploring the relationship between the two. The aim is to provide a theoretical basis for developing targeted interventions, improving patient prognosis, and alleviating caregiver burden.