Creat Nurs. 2022 Apr 1;28(2):133-137. doi: 10.1891/CN-2021-0053.
Sleep problems are prevalent among youth with mental health disorders. Consistent with national statistics, sleep problems were present in approximately 80% of the patients attending a children's hospital psychiatric partial hospitalization program in the Midwestern United States. The aim of this quality improvement (QI) project was to decrease sleep problems in youth with mental health disorders. The Pittsburgh Sleep Quality Index (PSQI) was administered to patients ages 12-18 with mental health disorders to screen for sleep problems. Patients identified by the PSQI as having a sleep problem, and their parents, were given verbal and written education on sleep hygiene practices and stimulus control. Each patient participated in a cognitive behavioral therapy group that included relaxation therapy. Evidence-based interventions used to improve sleep were reinforced daily by providers. Self-reported sleep quality, as measured by the PSQI, was improved in 95% of the patients participating in this QI project. Adequately screening for and treating sleep problems in youth with mental health disorders can lead to improved outcomes.
睡眠问题在患有心理健康障碍的青少年中很普遍。与全国统计数据一致，在美国中西部的一家儿童医院精神病部分住院计划中，约有 80%的患者存在睡眠问题。本质量改进 (QI) 项目的目的是减少患有心理健康障碍的青少年的睡眠问题。匹兹堡睡眠质量指数 (PSQI) 用于筛查 12-18 岁患有心理健康障碍的患者的睡眠问题。通过 PSQI 确定存在睡眠问题的患者及其父母接受了关于睡眠卫生实践和刺激控制的口头和书面教育。每位患者都参加了认知行为治疗小组，其中包括放松疗法。用于改善睡眠的循证干预措施由提供者每天进行强化。参与这项 QI 项目的 95%的患者的自我报告睡眠质量（通过 PSQI 测量）得到了改善。对患有心理健康障碍的青少年进行充分的睡眠问题筛查和治疗可以改善预后。
