Kemple Mary, O'Toole Sinead, O'Toole Conor
School of Nursing, Midwifery and Health Systems, UCD Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.
Slievemore General Practice, Slivemore Cliniccal, Stillorgan, Co. Dublin, Ireland.
J Clin Nurs. 2016 Nov;25(21-22):3363-3372. doi: 10.1111/jocn.13462. Epub 2016 Aug 15.
To explore sleep quality in patients with chronic illness in primary care.
Many people suffer from chronic illness with the numbers increasing. One common issue arises from problems that people have with their quality of sleep: a largely under-researched topic. This study exploring poor quality sleep allowed patients to describe their daily struggles with poor sleep in their own lives. This allowed the development of a deeper understanding of what it means to sleep poorly and find out how participants cope with not sleeping well.
A qualitative approach enabling a deep exploration of patient's experiences of sleep quality was used. Interviews were conducted with a purposive sample of nine participants from a primary care clinic. Analysis utilised an interpretative approach.
Data analysed produced four recurrent themes that were grouped into two categories. First, themes that identified the recognition by participants that 'something was wrong' were abrupt beginning and impact on their life. Second, themes that identified that the participants considered there was 'nothing wrong' were I am fine and I just carry on.
Data revealed that poor quality sleep can have a profound effect on quality of life. Participants lived without good quality sleep for years. They had come to accept two seemingly irreconcilable ideas that not being able to sleep is an enduring problem with a distinct starting point, and paradoxically, this is not a problem that deserves much professional attention.
Important original data were generated on the impact of poor quality sleep indicating that chronically disturbed sleep can increase the disease burden on patients with chronic illness. The results of this study suggest healthcare professionals need to understand how sleep quality issues impact on patient's experience of chronic illness. Data from this study will help nurses and other health professionals to deepen their understanding of the profound impact of poor quality sleep on patients with chronic illness. A programme of education highlighting the important role of sleep quality in chronic illness is suggested by the issues raised in this study. Nurses are ideally placed to assess sleep quality in patients and tailor intervention to positively affect the quality of life for this group.
探讨基层医疗中慢性病患者的睡眠质量。
许多人患有慢性病，且人数不断增加。人们睡眠质量方面的问题是一个普遍存在的问题：这是一个研究较少的领域。这项关于睡眠质量差的研究让患者描述他们在日常生活中与睡眠不佳作斗争的经历。这有助于更深入地理解睡眠质量差意味着什么，并了解参与者如何应对睡眠不好的情况。
采用定性研究方法，深入探究患者的睡眠质量体验。对一家基层医疗诊所的9名有目的抽样的参与者进行了访谈。分析采用解释性方法。
分析的数据产生了四个反复出现的主题，分为两类。第一，确定参与者认识到“有问题”的主题是突然开始以及对他们生活的影响。第二，确定参与者认为“没有问题”的主题是“我很好，我只是继续”。
数据显示，睡眠质量差会对生活质量产生深远影响。参与者多年来一直睡眠质量不佳。他们逐渐接受了两个看似矛盾的观点，即无法入睡是一个有明确起点的持久问题，而矛盾的是，这并不是一个值得专业人士过多关注的问题。
生成了关于睡眠质量差的影响的重要原始数据，表明长期睡眠紊乱会增加慢性病患者的疾病负担。本研究结果表明，医疗保健专业人员需要了解睡眠质量问题如何影响慢性病患者的体验。本研究的数据将有助于护士和其他卫生专业人员加深对睡眠质量差对慢性病患者的深远影响的理解。本研究提出的问题建议开展一项强调睡眠质量在慢性病中的重要作用的教育计划。护士最适合评估患者的睡眠质量，并制定干预措施以积极影响该群体的生活质量。
