Simo Sheran M, Siela Debra
Coordinator of Palliative Care, Bridgeport Hospital, Bridgeport, Connecticut, USA.
Faculty Project Advisor, Ball State University, Muncie, Indiana, USA.
Int J Palliat Nurs. 2018 May;24(5):246-255. doi: 10.12968/ijpn.2018.24.5.246.
Pain in sickle cell disease (SCD) is often joined by other affective disorders such as depression and/or sleep impairment that can impact pain levels and quality of life (QoL).
To develop a guideline to improve the process of assessment and treatment of depression and sleep impairment in patients admitted with SCD.
An interdisciplinary team used the Stetler model to create the Guideline for the Evaluation and Treatment of Depression and Sleep Impairment in Sickle Cell Disease. Patients were assessed, offered treatments and reassessed during the project period.
Both depression and QoL scores showed significant improvement by the end of the project. Significant correlations were found between pain, depression and sleep; depression, pain, sleep and QoL; sleep, pain and depression; and QoL and depression.
Interdisciplinary teams are effective in creating a guideline to assess and treat depression and sleep impairment and their effects on pain and QoL in patients with SCD.
镰状细胞病（SCD）患者的疼痛常伴有其他情感障碍，如抑郁和/或睡眠障碍，这些会影响疼痛程度和生活质量（QoL）。
制定一项指南，以改善SCD住院患者抑郁和睡眠障碍的评估与治疗流程。
一个跨学科团队采用斯特特勒模型制定了《镰状细胞病抑郁和睡眠障碍评估与治疗指南》。在项目期间对患者进行评估、提供治疗并再次评估。
到项目结束时，抑郁和生活质量评分均有显著改善。在疼痛、抑郁和睡眠之间；抑郁、疼痛、睡眠和生活质量之间；睡眠、疼痛和抑郁之间；以及生活质量和抑郁之间发现了显著相关性。
跨学科团队在制定评估和治疗抑郁及睡眠障碍及其对SCD患者疼痛和生活质量影响的指南方面是有效的。
