改善成年患者的睡眠质量:干预措施和见解
1Jacqueline S. Heffner is a double board-certified family NP at St. Luke's Primary Care and Dental, a Federally Qualified Health Center in Tamaqua, Pa. She is a member of the St. Luke's University Health Network institutional review board, a clinical nursing instructor for Lehigh Carbon Community College, and a member of the Schuylkill County Human Trafficking Response Team. Dr. Heffner has delivered conference presentations on preoperative physical examinations in primary care and recently presented her COPD action planning project at the 2024 AANP National Conference.
The Nurse practitioner
|June 25, 2024
概括
失眠影响30%-40%的成年人,在精神健康患者中增加到70%. 基于证据的策略,包括睡眠卫生和认知行为疗法,可以显著改善睡眠质量.
科学领域:
- 睡眠医学 睡眠医学
- 初级保健护理护理 基本护理护理
背景情况:
- 睡眠对生理和心理健康至关重要.
- 失眠的患病率很高 (30-40%的一般人群,70%的精神健康患者).
- 未经治疗的失眠与肥胖,高血压和死亡率等不良健康结果有关.
研究的目的:
- 为初级保健护士提供基于证据的策略,以解决成人睡眠质量差的问题.
- 作为NPs常见睡眠障碍表现的入门书.
- 突出整个人对改善患者睡眠的方法.
主要方法:
- 对睡眠障碍管理的基于证据的最佳实践的概述.
- 讨论加强睡眠卫生协议的讨论.
- 强调对失眠的认知行为疗法 (CBT).
主要成果:
- 提供者和患者之间的协作措施可以显著改善睡眠质量.
- 解决失眠的根本原因对于有效治疗至关重要.
- 国家医生可以采用实际策略来管理成人睡眠障碍.
结论:
- 有效管理失眠需要一个多方面的方法.
- 在初级保健机构中,NP在识别和治疗睡眠障碍方面发挥着关键作用.
- 改善睡眠质量对整体健康和福祉有显著的积极影响.
相关概念视频
01:19Management 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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01:13Insufficient Sleep and Sleep Deprivation
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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.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
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01:27Insomnia
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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.
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01:17Sedatives and Hypnotics Drugs: Miscellaneous Agents
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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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01:18Nightmares and Night Terrors
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Nightmares...
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01:22Stages of Sleep
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Sleep progresses through distinct stages, each characterized by specific brain wave patterns and physiological responses ranging from wakefulness to stages of non-rapid eye movement, known as non-REM, to rapid eye movement, referred to as REM. Understanding these stages helps in recognizing how sleep supports various bodily and cognitive functions.
Before sleep begins, in wakefulness, the brain exhibits primarily beta waves, which are high in frequency and low in amplitude, indicating alertness...
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184