Johansson Anna, Windahl Maria, Svanborg Eva, Fredrichsen Maria, Swahn Eva, Uhlin Pia Yngman, Edéll-Gustafsson Ulla
Department of Cardiology, Skövde Hospital, Skövde, Sweden.
Scand J Caring Sci. 2007 Dec;21(4):467-75. doi: 10.1111/j.1471-6712.2007.00496.x.
A framework is needed for identifying internal and external factors essential for the nursing management of psychological supportive health care and education for patients' self-care in sleep. In order to generate more knowledge from the patient's perspective, the aim of this study was to describe how patients with coronary artery disease (CAD) perceive that their sleep is influenced by rest, activity and health in outpatient care.
Qualitative interviews were performed with 33 outpatients.
The data were analysed using a phenomenographic method.
Three descriptive categories of the phenomenon were described: my lifestyle is reflected in my sleep behaviour; handling the practices around tiredness and sleep; and feelings of negative and positive efficacy. Feelings of tiredness, fatigue and sleepiness were different pre-sleep stages, but were also related to the patient's adaptation and recovery. Creating one's own personal time and feelings of efficacy gave an inner sense of strength which is indicated as being particularly important in managing stress and the demands of everyday life in a satisfactory manner.
From a contextual, holistic perspective on health, it is important to identify the patient's needs, symptoms and intentional or unintentional self-care management strategies regarding sleep and lifestyle. To promote a positive health outcome it is essential to identify sleeplessness behaviour and perceived self-efficacy for self-care in sleep.
需要一个框架来确定对患者睡眠心理支持性医疗保健及自我护理教育的护理管理至关重要的内部和外部因素。为了从患者角度获取更多知识，本研究旨在描述冠心病（CAD）门诊患者如何看待休息、活动和健康对其睡眠的影响。
对33名门诊患者进行了定性访谈。
采用现象学方法分析数据。
描述了该现象的三个描述性类别：我的生活方式反映在我的睡眠行为中；应对疲劳和睡眠相关的行为；以及正负效能感。疲劳、疲倦和困倦感在睡前阶段有所不同，但也与患者的适应和恢复有关。创造属于自己的个人时间和效能感会带来一种内在的力量感，这在以令人满意的方式应对压力和日常生活需求方面尤为重要。
从健康的情境化、整体视角来看，识别患者在睡眠和生活方式方面的需求、症状以及有意或无意的自我护理管理策略非常重要。为促进积极的健康结果，识别失眠行为和睡眠自我护理的感知自我效能至关重要。
