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Gestörter Schlaf bei Pflegenden in der häuslichen Pflege

Sleep disturbances of caregivers of informal care

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Zusammenfassung

Die Mehrzahl pflegender Angehöriger berichtet über schlechte Schlafqualität und gestörten Schlaf. Das Spektrum der Schlafstörungen ist breit und assoziiert mit der konkreten klinischen Situation des zu Pflegenden. Pflegende, die Demenzkranke betreuen, sind häufiger und stärker betroffen.

Die berichteten Schlafstörungen sind auch assoziiert mit dem Verantwortungsbewusstsein der Pflegenden, ihrer Stellung in der Familie, verrichteter Erwerbstätigkeit und dem eigenen Gesundheitszustand.

Die therapeutischen Ansätze sind individuell und umfassen eine Behandlung des zu Pflegenden, wenn dessen Erkrankung den Schlaf der Pflegeperson stört.

Stehen Sorgen, Schuldgefühle, Überlastung und Grübeln bei der Pflegeperson im Vordergrund, sollte nach Möglichkeiten der Entlastung und Unterstützung in der Familie oder durch professionelle Pflege gesucht werden. Liegen psychische Erkrankungen vor, ist eine spezifische Therapie im Sinne einer Psychotherapie und/oder Pharmakotherapie indiziert. Auch die Teilnahme an Selbsthilfegruppen kann helfen.

Die Lösungsansätze sind immer individuell. Es ist wichtig, bei pflegenden Angehörigen nach Schlafstörungen zu fahnden, die individuelle Situation umfassend zu analysieren, modifizierbare Faktoren hauszuarbeiten und entsprechend zu behandeln.

Abstract

The majority of caregivers report poor sleep quality and disturbed sleep. The range of sleep disorders is broad and associated with the specific clinical situation of the person being cared for. Of note, caregivers who care for people with dementia seem to be affected more often and more severely.

The reported sleep disorders are also associated with the caregiver’s sense of responsibility, their position in the family, their employment, and their own health status.

The therapeutic approaches must be individualized and include treatment of the person being cared for if their illness disrupts the caregiver’s sleep.

If worries, feelings of guilt, overload, and brooding are at the forefront of the caregiver’s mind, options for relief and support should be sought from the family or from professionals. If mental illnesses are present, specific therapy in the sense of psychotherapy and/or pharmacotherapy is indicated. Participating in self-help groups can also help.

The solution approaches are always individual. It is important to look for sleep disorders, analyze the individual situation, work on modifiable factors, and treat them accordingly.

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Authors and Affiliations

  1. Klinik für Orthopädie und Unfallchirurgie/Altersmedizin, Heinrich-Heine-Universität Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Deutschland

    Carla Stenmanns & Helmut Frohnhofen

  2. Herrmann-Buhl-Institut für Hypoxie- und Schlafmedizinforschung, Ghersburgstraße 4a, 83043, Bad Aibling, Deutschland

    Nikolaus Netzer

  3. Klinik für Psychiatrie, Bezirksklinikum Regensburg, Regensburg, Deutschland

    Roland Popp

  4. Fakultät für Gesundheit, Department Humanmedizin, Universität Witten/Herdecke, Witten, Deutschland

    Helmut Frohnhofen

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  1. Carla Stenmanns
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  2. Nikolaus Netzer
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Correspondence to Helmut Frohnhofen.

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Interessenkonflikt

H. Frohnhofen weist auf folgende Beziehungen hin: Vortragshonorare: Idorsia, BMS, Bayer, Pfizer, Heel, Henning, Beraterhonorare: idorsia, Heel. C. Stenmanns, N. Netzer und R. Popp geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Stenmanns, C., Netzer, N., Popp, R. et al. Gestörter Schlaf bei Pflegenden in der häuslichen Pflege. Somnologie (2024). https://doi.org/10.1007/s11818-024-00457-4

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