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优化住院患者睡眠障碍管理:医疗服务提供者的实用方法

Optimizing Sleep Disorder Management in Hospitalized Patients: Practical Approach for Healthcare Providers.

作者信息

Roostaei Ghazal, Khoshnam Rad Niloofar, Rahimi Besharat, Asgari Alireza, Mosalanejad Shima, Kazemizadeh Hossein, Edalatifard Maryam, Abtahi Hamidreza

机构信息

Thoracic Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Departrment of Internal Medicine, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

出版信息

Brain Behav. 2025 Feb;15(2):e70282. doi: 10.1002/brb3.70282.

Abstract

PURPOSE

To provide a comprehensive review of sleep disturbances in hospitalized patients, focusing on a case-based approach to illustrate the multifaceted nature of this clinical challenge.

METHOD

An extensive review of related literature was conducted to determine the common causes of sleep disturbances in hospitalized patients, such as environmental, medical, psychological, and physiological factors. The case of Mrs. Z was used to illustrate how these factors interact in a clinical setting.

FINDINGS

The study revealed a high prevalence of sleep disturbances in hospitalized patients, which can lead to significant adverse outcomes. A multidisciplinary approach involving physicians, nurses, pharmacists, and other healthcare professionals is essential to effectively manage sleep disorders due to the interplay of various factors. Nonpharmacological interventions are fundamental to a comprehensive sleep management plan. Pharmacotherapy may sometimes be necessary to improve sleep quality and duration.

CONCLUSION

Health professionals can significantly enhance the sleep quality of hospitalized piatients by understanding the value of sleep and providing evidence-based strategies for improvement. In return, this improves patient outcomes, reduces healthcare costs, and advances general patient satisfaction.

摘要

目的

全面综述住院患者的睡眠障碍,重点采用基于病例的方法来说明这一临床挑战的多面性。

方法

对相关文献进行广泛综述,以确定住院患者睡眠障碍的常见原因,如环境、医疗、心理和生理因素。以Z女士的病例来说明这些因素在临床环境中是如何相互作用的。

结果

研究表明,住院患者睡眠障碍的患病率很高,这可能导致严重的不良后果。由于各种因素相互作用,多学科方法,包括医生、护士、药剂师和其他医疗保健专业人员,对于有效管理睡眠障碍至关重要。非药物干预是全面睡眠管理计划的基础。药物治疗有时可能是改善睡眠质量和时长所必需的。

结论

卫生专业人员通过了解睡眠的价值并提供基于证据的改善策略,可以显著提高住院患者的睡眠质量。反过来,这可以改善患者预后,降低医疗成本,并提高患者总体满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7818/11807848/3eb7b2180d5b/BRB3-15-e70282-g001.jpg

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