住院老年人的睡眠
Sleep in Hospitalized Older Adults.
作者信息
Stewart Nancy H, Arora Vineet M
机构信息
Creighton University Medical Center, 7500 Mercy Road, Omaha, NE 68124, USA.
Department of Medicine, University of Chicago, 5841 South Maryland Avenue, MC 2007 AMB W216, Chicago, IL 60637, USA.
出版信息
Sleep Med Clin. 2018 Mar;13(1):127-135. doi: 10.1016/j.jsmc.2017.09.012. Epub 2017 Nov 10.
Abstract
Hospitalization is a period of acute sleep deprivation for older adults owing to environmental, medical, and patient factors. Although hospitalized patients are in need of adequate rest and recovery during acute illness, older patients face unique risks owing to acute sleep loss during hospitalization. Sleep loss in the hospital is associated with worse health outcomes, including cardiometabolic derangements and an increased risk of delirium. Because older patients are at risk of polypharmacy and medication side effects, a variety of nonpharmacologic interventions are recommended first to improve sleep loss for hospitalized older adults.
摘要
由于环境、医疗和患者自身因素，住院对老年人来说是一段急性睡眠剥夺期。虽然住院患者在急性疾病期间需要充足的休息和恢复，但老年患者因住院期间急性睡眠缺失而面临独特的风险。医院内的睡眠缺失与更差的健康结果相关，包括心脏代谢紊乱和谵妄风险增加。由于老年患者有多重用药及药物副作用的风险，因此首先推荐采用多种非药物干预措施来改善住院老年患者的睡眠缺失情况。
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