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蛛网膜下腔出血成人患者的睡眠障碍与自我管理:一项定性研究

Sleep Disturbance and Self-management in Adults With Subarachnoid Hemorrhage: A Qualitative Study.

作者信息

Byun Eeeseung, McCurry Susan M, Kim Boeun, Kwon Suyoung, Thompson Hilaire J

机构信息

University of Washington, Seattle, WA, USA.

出版信息

Clin Nurs Res. 2022 May;31(4):632-638. doi: 10.1177/10547738211064036. Epub 2021 Dec 27.

DOI:10.1177/10547738211064036
PMID:34961352
Abstract

Subarachnoid hemorrhage (SAH) survivors often experience sleep disturbances. Little is known about sleep-management practices used to improve their sleep. The purpose of this qualitative study was to explore interest in and engagement with self-management practices to promote sleep health in SAH survivors. We conducted a cross-sectional qualitative study using semi-structured interviews with a convenience sample of 30 SAH survivors recruited from a university hospital. We conducted content analysis of interview transcripts. Three themes and 15 subcategories were identified: (1) sleep disturbances (difficulties falling asleep, wake after sleep onset, daytime sleepiness, too much or insufficient sleep, and poor sleep quality); (2) sleep-management practices (exercise, regular sleep schedule, relaxation, keeping busy and staying active, changing beverage intake, taking supplements, taking medications, recharging energy, and barriers to sleep management); and (3) consulting with healthcare providers (discussing sleep problems with healthcare providers). Self-management strategies focusing on health-promoting behaviors may improve SAH survivors' sleep health.

摘要

蛛网膜下腔出血(SAH)幸存者常常会出现睡眠障碍。对于用于改善他们睡眠的睡眠管理方法,人们了解甚少。这项定性研究的目的是探讨蛛网膜下腔出血幸存者对促进睡眠健康的自我管理方法的兴趣及参与情况。我们进行了一项横断面定性研究,对从一家大学医院招募的30名蛛网膜下腔出血幸存者的便利样本进行了半结构化访谈。我们对访谈记录进行了内容分析。确定了三个主题和15个子类别:(1)睡眠障碍(入睡困难、睡眠中觉醒、日间嗜睡、睡眠过多或不足以及睡眠质量差);(2)睡眠管理方法(锻炼、规律的睡眠时间表、放松、保持忙碌和活跃、改变饮料摄入、服用补充剂、服用药物、恢复精力以及睡眠管理的障碍);(3)咨询医疗保健提供者(与医疗保健提供者讨论睡眠问题)。侧重于促进健康行为的自我管理策略可能会改善蛛网膜下腔出血幸存者的睡眠健康。

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