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Related Concept Videos

Management of Insomnia01:19

Management of Insomnia

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The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
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Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

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Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
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Insomnia01:27

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Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
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Substance Use Disorders Affecting Sleep01:24

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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

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Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
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Insufficient Sleep and Sleep Deprivation01:13

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Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
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Interventions for sleep problems during pregnancy: A systematic review.

Valeria Bacaro1, Fee Benz2, Andrea Pappaccogli1

  • 1Department of Human Sciences, University of Rome "G. Marconi"- Telematic, Rome, IT.

Sleep Medicine Reviews
|December 5, 2019
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Poor sleep quality in pregnancy is common but undertreated. This review found preliminary support for various interventions, highlighting the urgent need for high-quality trials and integrated care.

Keywords:
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Area of Science:

  • Obstetrics and Gynecology
  • Sleep Medicine
  • Psychiatry

Background:

  • Sleep disturbances are frequent in pregnant individuals, potentially leading to adverse pregnancy and postpartum outcomes.
  • These sleep issues are frequently underdiagnosed and inadequately treated in clinical practice.

Purpose of the Study:

  • To systematically review the effectiveness of interventions for improving sleep quality and insomnia in pregnant women.
  • To identify gaps in the current evidence base and guide future research.

Main Methods:

  • Systematic search of PubMed, PsycINFO, and Medline databases up to May 3, 2019.
  • Inclusion of 16 studies involving 1252 pregnant women, evaluating interventions like cognitive behavioral therapy, pharmacotherapy, acupuncture, mindfulness, yoga, relaxation, and herbal medication.
  • Analysis focused on pre- and post-treatment sleep outcomes, with a critical look at study designs, including 6 randomized controlled trials.

Main Results:

  • Preliminary evidence suggests potential benefits for all evaluated interventions in ameliorating poor sleep during pregnancy.
  • The overall evidence base is limited, with only a few randomized controlled trials and longitudinal outcome assessments available.
  • Interventions studied included cognitive behavioral interventions for insomnia, pharmacotherapy, acupuncture, mindfulness, yoga, relaxation techniques, and herbal medications.

Conclusions:

  • While preliminary support exists for various interventions, current evidence is insufficient to guide clinical practice definitively.
  • There is a critical need for high-quality randomized controlled trials to establish effective insomnia interventions during pregnancy.
  • Effective sleep intervention programs should be integrated into standard obstetric and gynecological care.