改善住院患者睡眠和减少昼夜节律紊乱的干预措施的叙述性综述。
A narrative review of interventions for improving sleep and reducing circadian disruption in medical inpatients.
机构信息
Department of Neuroscience, Sleep Research Laboratory, Uppsala University, Uppsala, Sweden.
Department of Neuroscience, Sleep Research Laboratory, Uppsala University, Uppsala, Sweden.
出版信息
Sleep Med. 2019 Jul;59:42-50. doi: 10.1016/j.sleep.2018.08.007. Epub 2018 Aug 24.
Sleep and circadian disruptions are frequently observed in patients across hospital wards. This is alarming, since impaired nocturnal sleep and disruption of a normal circadian rhythm can compromise health and disturb processes involved in recovery from illness (eg, immune functions). With this in mind, the present narrative review discusses how patient characteristics (sleep disorders, anxiety, stress, chronotype, and disease), hospital routines (pain management, timing of medication, nocturnal vital sign monitoring, and physical inactivity), and hospital environment (light and noise) may all contribute to sleep disturbances and circadian misalignment in patients. We also propose hospital-based strategies that may help reduce sleep and circadian disruptions in patients admitted to the hospital.
睡眠和昼夜节律紊乱在医院病房的患者中经常观察到。这令人担忧，因为夜间睡眠受损和正常昼夜节律紊乱会损害健康，并干扰疾病康复过程中涉及的（例如，免疫功能）。有鉴于此，本叙述性评论讨论了患者特征（睡眠障碍、焦虑、压力、昼夜类型和疾病）、医院常规（疼痛管理、药物时间安排、夜间生命体征监测和身体不活动）以及医院环境（光线和噪音）如何可能导致患者的睡眠障碍和昼夜节律失调。我们还提出了基于医院的策略，可能有助于减少住院患者的睡眠和昼夜节律紊乱。
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