• JiYeon Choi, Judith A Tate, Michael P Donahoe, Dianxu Ren, Leslie A Hoffman, and Eileen R Chasens.
• Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, United States. Electronic address: jic11@pitt.edu.
• Intensive Crit Care Nurs. 2016 Dec 1; 37: 11-18.

ObjectiveTo describe changes in sleep quality in family caregivers of ICU survivors from the patients' ICU admission until two months post-ICU discharge.DesignDescriptive repeated measure design.SettingAcademic hospital medical ICU.Main Outcome MeasuresSubjective sleep quality (Pittsburgh Sleep Quality Index [PSQI]) and objective sleep/wake variables (SenseWear Armband™) were measured in family caregivers at patients' ICU admission, within two weeks post-ICU discharge and two months post-ICU discharge.ResultsIn 28 family caregivers of ICU survivors, most caregivers reported poor sleep quality (i.e. PSQI >5) across the three time points (64.3% during patients' ICU admission, 53.6% at each post-ICU time point). Worse trends in sleep quality and objective sleep/wake pattern were observed in caregivers who were employed, and a non-spouse. There were trends of worsening sleep quality in caregivers of patients unable to return home within two months post-ICU discharge compared to patients able to return home.ConclusionsPoor sleep quality was highly prevalent and persisted in family caregivers of ICU survivors for two months post-ICU discharge. Our data support the need for a larger longitudinal study to examine risk factors associated with sleep quality in family caregivers of ICU survivors to develop targeted interventions.Copyright © 2016 Elsevier Ltd. All rights reserved.

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