Changes in sleep problems, parents distress and impact of sleep problems from infancy to preschool age for referred and unreferred children

This article compares and describes changes in sleep problems in 3- to 5-year-old Icelandic children referred and unreferred for sleep problems in infancy and explores changes in parents' distress and the impact of children's sleep problems on families over time. The sample consisted of a clinical group (n = 31) that had been referred to a sleep-disorder clinic in infancy, and a comparative group (n = 150) of age-matched unreferred community children. Self-report scales assessed infant/child sleep pattern, the impact of the sleep problem on family life and parents' distress. Results showed that about half the children in the community group have had a sleep problem in infancy. Nightwakings improved in both the referred and unreferred group over time but remained more frequent in the unreferred group. The referred group had significantly more settling problems in infancy than the other group but settling improved markedly over time. Parents of referred children were more fatigued compared with others despite improvement of children's sleep problems over time. Mothers of referred children were however, less likely to perceive the sleep problem as troublesome for family life than the others. It is concluded that parents of referred children are more fatigued than parents of unreferred children and nightwakings are more likely to persist in children who had sleep problems in infancy than in those with no such problems.     

The better sleep better well‐being programme: Educating and training community healthcare nurses in developing interventions for families of infants with moderate sleep problems: a pilot study

The main aim of this pilot study was to evaluate the benefit of the Better Sleep Better Well‐being (BSBW) educational and training intervention programme regarding infants sleep problems for Community Health Care (CHC) nurses, on their perceptions on their family nursing practice skills and on their job demand, control and support. There were 6 CHC nurses who participated in the BSBW programme, and 26 nurses in the comparison group. The programme consisted of 4 sessions (8 hours per session) of lectures on the aetiology of infants sleep problems as well as on evidence‐based and family relational practices and on 20 sessions of clinical cases, scenarios, discussions and reflections. The main finding indicated that the nurses in the intervention group reported significantly higher family nursing practices skills compared to the nurses in the comparison group. The findings are promising, since they offered additional resources to the CHC nurses, in their clinical practices.     

老年病人睡眠状况及护理干预研究进展

综述了老年人睡眠质量及其影响因素、睡眠障碍的危害、老年病人睡眠的护理干预。建议进行前瞻性干预试验,为改善老年人的睡眠质量提供依据。     

老年病人睡眠状况及护理干预研究进展

综述了老年人睡眠质量及其影响因素、睡眠障碍的危害、老年病人睡眠的护理干预。建议进行前瞻性干预试验，为改善老年人的睡眠质量提供依据。     

Improving day and night sleep problems in infants by changing day time sleep rhythm: a single group before and after study

This study explores the duration and timing of day time waking periods required for sleep disturbed infants to improve day and night sleep. Seventy-nine sleep disturbed outpatients with day and night sleep problems were investigated before and two weeks after a brief sleep intervention. Data were collected by interviewing parents on their infants’ day and night sleep patterns. Besides instructing the parents on night sleep regulation, they were advised to regulate day sleep. After the intervention, duration of day and night sleep increased and frequency of night waking decreased. The mean duration of the first waking period in the morning did not change, but the range decreased. The mean duration of the last waking period in the evening increased. The frequency of short and irregular day naps and the need for assistance in falling asleep decreased after the intervention. It is recommended that the last waking before night sleep is lengthened to reduce day and night sleep problems.     

综合睡眠干预在脑卒中睡眠障碍患者中的应用效果

目的探讨睡眠护理干预对脑卒中患者睡眠质量及生活质量的影响。方法选取60例脑卒中合并睡眠障碍的患者为研究对象,进行综合睡眠干预,包括睡眠指导、放松训练、足部穴位按摩等,比较患者干预前后睡眠质量及生活质量的变化。结果干预3个月后,患者在睡眠障碍、入睡时间、睡眠时间、睡眠效率等方面的睡眠质量评分均低于干预前,差异有统计学意义(P0.05),且患者在手功能、行动能力、记忆与思维、交流等方面的生活质量评分高于干预前,差异有统计学意义(P0.05)。结论综合睡眠干预能够改善脑卒中睡眠障碍患者的睡眠质量,提升患者的生活质量。     

72例脑卒中睡眠障碍病人的护理干预效果观察

[目的]观察脑卒中睡眠障碍病人的护理干预效果。[方法]对72例脑卒中睡眠障碍病人进行护理干预,采用匹兹堡睡眠质量指数量表(PSQI)评定护理干预前后睡眠质量。[结果]护理干预后病人PSQI各因子评分和总评分下降(P<0.05)。[结论]护理干预可改善脑卒中病人的睡眠质量。     

护理干预对高血压病病人睡眠质量和遵医行为的影响

[目的]探讨护理干预对高血压病病人睡眠质量和遵医行为的影响。[方法]将125例高血压病病人分为实验组和对照组,对照组给予常规药物治疗和护理指导,实验组此基础上给予睡眠干预和遵医行为干预。1年后对两组病人的睡眠质量和遵医行为进行评价分析。[结果]实验组病人的睡眠质量和遵医行为明显优于对照组,差异均有统计学意义（P〈0.01）。[结论]对高血压病病人实施护理干预,有利于提高病人的睡眠质量和遵医行为。     

神经内科住院病人睡眠障碍的原因分析及护理干预

[目的]了解神经内科住院病人睡眠障碍的原因,探讨相应的护理干预措施.[方法]回顾性分析160例存在睡眠障碍神经内科住院病人的临床资料.[结果]神经内科住院病人睡眠障碍相关原因包括疾病、环境、心理、社会、不良生活方式等;本组病人经护理干预后睡眠质量得到一定改善.[结论]加强睡眠行为护理干预可有效改善神经内科住院睡眠障碍病人的睡眠质量.     

Changes in infant sleep problems after a family-centered intervention

PURPOSE: To describe a family-centered intervention for sleep disturbed infants and its effect on the infants' sleep pattern. METHODS: The sample consisted of 33 infants (6-23 month of age) hospitalized because of sleep problems in The City Hospital in Reykjavik, Iceland, and 33 mothers and 30 fathers. Infants' sleep patterns were assessed by a 1-week diary and by interviews with parents before hospital admission, 1 week and 2 months after discharge. The intervention was based on correction of day-sleep rhythm, support of self-comforting capabilities of the infant, and education of parents in regard to the infants' characteristics and developmental status. Changes in day naps and infant irritability over daytime also improved significantly. FINDINGS: Night sleep improved significantly 1 week after discharge and even more so 2 months later. CONCLUSIONS: Offering a family-centered intervention improves infants' sleep patterns up to 2 months after discharge.     

运动-心理-睡眠护理干预结合正念音乐干预对胶质瘤患者疲乏程度、睡眠质量、疾病自我感受负担的影响

目的 探讨运动-心理-睡眠护理干预结合正念音乐干预在胶质瘤患者中的应用效果。方法 选择2019年1月至2021年2月收治的82例胶质瘤患者为研究对象,按照随机数字表法将其分为对照组与观察组,各41例。对照组接受常规护理,观察组在对照组基础上实施运动-心理-睡眠护理干预结合正念音乐干预。比较两组的干预效果。结果 干预后,观察组的躯体疲乏、认知疲乏、情感疲乏评分均低于对照组,差异具有统计学意义（P<0.05）。干预后,观察组的PSQI评分低于对照组,GSES评分高于对照组,差异具有统计学意义（P<0.05）。干预后,观察组的身体负担、情感负担、经济负担评分均低于对照组,差异具有统计学意义（P<0.05）。结论 运动-心理-睡眠护理干预结合正念音乐干预可减轻胶质瘤患者的疲乏程度与疾病自我感受负担,也能提高睡眠质量及自我效能感,值得推广。     

全面护理模式对心血管介入术后患者心理状态及睡眠质量的影响

目的研究全面护理模式对心血管介入术后患者心理状态及睡眠质量的影响。方法选取于我院行心血管介入手术的102例患者作为研究对象,采取随机数字法将其分为观察组(51例,常规护理+全面护理模式)和对照组(51例,常规护理模式)。比较两组的睡眠质量、心理状态、生存质量及并发症发生情况。结果护理1个月后,观察组的PSQI评分明显低于护理前及对照组(P<0.05)。护理2周后,观察组的SCL-90各心理状况因子评分均明显低于护理前及对照组(P<0.05)。护理2个月后,观察组WHO-QOL中的生理功能、心理状态、环境、社会关系、独立性及总体评分均明显高于对照组(P<0.05)。观察组患者术后各项并发症发生率均显著低于对照组(P<0.05)。结论全面护理模式有助于改善心血管介入术后患者的心理状况和睡眠质量,降低并发症发生率,提高患者生存质量。     

护理干预对心内科住院患者睡眠质量的临床效果观察

目的 探讨护理干预对心内科住院患者睡眠质量的临床效果.方法 收集心内科住院高血压患者90例,随机分为治疗组和对照组各45例,采用国际通用的匹兹堡睡眠质量指数及调查表进行评分及调查.结果 护理干预后,治疗组在主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、睡眠药物运用、日间功能障碍各项均优于对照组(P＜0.05);治疗组的收缩压与舒张压均优于对照组(P＜0.05).结论 医护人员对高血压患者进行常规药物治疗时,应注重改善患者睡眠质量,积极干预影响睡眠的危险因素.     

睡眠干预对提高睡眠——觉醒节律紊乱老年患者睡眠质量的影响

目的探讨睡眠干预对提高睡眠—觉醒节律紊乱老年患者睡眠质量的影响。方法对39例睡眠—觉醒节律紊乱老年患者实施睡眠干预。干预前后采用阿森斯(athens,AIS)失眠量表、爱泼沃斯思睡量表(epworth sleepiness scale,ESS)对患者睡眠—觉醒节律紊乱程度进行测评。结果干预后3个月,患者睡眠—觉醒紊乱程度较干预前改善,干预前后比较,Z=13.560,P<0.05,差异具有统计学意义。结论对睡眠—觉醒节律紊乱老年患者实施日间及夜间睡眠干预,可使其逐步建立正常睡眠—觉醒节律,从而提高患者睡眠质量,促进疾病的康复。     

颈段食管癌患者围术期常见心理问题及护理干预

目的总结颈段食管癌患者围术期常见心理问题,提供有效护理干预。方法收集分析胸外科17例颈段食管癌患者围术期情绪反应、心理问题,总结常见问题及原因,提出针对性的护理干预方法和措施。结果本组患者及家属能坦然面对术后发生失语、吞咽障碍及呼吸通道改变的现实,并建立配合治疗、重返社会的信心。结论有效护理干预能增强患者配合治疗的信心和勇气,使患者顺利重返社会。     

运动-心理-睡眠护理干预结合尊严护理对癌症晚期患者尊严水平、睡眠质量及心理状态的影响

目的 探讨运动-心理-睡眠护理干预结合尊严护理对癌症晚期患者尊严水平、睡眠质量及心理状态的影响.方法 将我院接收的82例癌症晚期患者按护理方案分为对照组和观察组,各41例.对照组实施常规护理,观察组在对照组基础上实施运动-心理-睡眠护理干预结合尊严护理.比较两组的尊严水平、睡眠质量及心理状态.结果 干预后,观察组的依赖...     

Practical non-pharmacological intervention approaches for sleep problems among older adults

Poor sleep is common among older adults, often caused by multiple underlying factors such as chronic stress. Poor sleep is subsequently associated with negative health outcomes including higher morbidity and mortality. Our primary purpose is to explore practical non-pharmacological intervention approaches integrating stress management to improve sleep quality among older adults. In doing so, we highlight approaches that appear to hold promise in real-world settings with older individuals. We conducted a tailored literature review specifically on approaches to improve sleep quality among older adults, with emphasis on those integrating stress management. Online search engines were reviewed to identify research in these areas. Various non-pharmacological intervention approaches, such as mindfulness and cognitive behavioral therapy, have shown promise in improving sleep quality and health outcomes within this population. Those integrating chronic stress management appear to be particularly successful. Thus further development of multidimensional sleep interventions integrating stress management with seniors is warranted.     

阻塞性睡眠呼吸暂停低通气综合征患者应用生活方式干预护理的临床观察

目的探讨分析阻塞性睡眠呼吸暂停低通气综合征患者应用生活方式干预护理的临床疗效。方法选取本院就诊相关患者160例,按照随机数表法分为实验组和对照组各80例,2组患者均行UPPP,实验组患者在此基础上接受生活方式干预护理;对照组患者不进行生活方式干预护理,生活如常。对2组患者随访多年,干预后1年时进行症状评估,多导睡眠监测,体质量指数评估。比较干预前后2组患者的肺活量、AHI、LSAT、体质量指数和最长呼吸暂停时间。结果干预前2组患者体质量、体质量指数、肺活量、AHI、LSAT、最长呼吸暂停时间比较差异无统计学意义(P0.05);干预后实验组患者的体质量、体质量指数下降(P0.05),肺活量升高(P0.05)。干预前后对照组患者的体质量、体质量指数、肺活量、AHI、LSAT、最长呼吸暂停时间差异均无统计学意义(P0.05),干预后实验组患者的体质量、体质量指数低于同期对照组(P0.05),肺活量高于对照组(P0.05)。干预后实验组患者的AHI、最长呼吸暂停时间下降(P0.05),LSAT升高(P0.05),且均优于对照组(P0.05)。结论生活方式干预能够有效改善患者症状,降低体质量、体质量指数,增大患者肺活量,降低AHI、提高LSAT、减少最长呼吸暂停时间水平,对术后远期疗效有重要作用。