腹膜透析病人睡眠管理措施系统评价

    Systematic review of sleep management measures for peritoneal dialysis patients

    • 摘要:
      目的 总结并系统评价腹膜透析病人睡眠管理相关措施,为病人改善睡眠提供循证依据。
      方法 系统检索国内外数据及相关网站中关于腹膜透析病人睡眠管理的相关文献,文献来源包括临床决策、指南、专家共识等,检索时限设定为建库至2024年8月。
      结果 研究共纳入15篇文献,包括临床决策2篇,指南4篇,专家共识2篇,系统评价6篇,证据总结1篇。从睡眠评估、认知行为疗法、睡眠卫生教育、中医护理、运动指导、营养管理、宣教培训和随访监测8个类别整理归纳了34条措施。
      结论 通过睡眠评估、认知行为疗法、运动指导等多方面护理,有助于系统化、个性化地改善腹膜透析病人睡眠质量。

       

      Abstract:
      Objective To summarize and systematically evaluate the relevant measures for sleep management in peritoneal dialysis patients, and provide the evidence-based basis for patients to improve their sleep.
      Methods The relevant literature on sleep management of peritoneal dialysis patients was systematically retrieved from domestic and foreign data and related websites.The sources of literature included the clinical decisions, guidelines, expert consensus.The retrieval time limit was set from the establishment of the database to August 2024.
      Results A total of 15 literatures were included in the study, including 2 literatures for clinical decision-making, 4 literatures for guidelines, 2 literatures for expert consensus, 6 literatures for systematic reviews and 1 literatures for evidence summary.A total of 34 measures were sorted out and summarized from eight categories: sleep assessment, cognitive behavioral therapy, sleep hygiene education, traditional Chinese medicine nursing, exercise guidance, nutrition management, publicity and training and follow-up monitoring.
      Conclusions Through comprehensive nursing interventions such as sleep assessment, cogitive behavioral theropy, and exercise guidance, it is beneficial to systematically and individually improve the sleep quality of patients undergoing peritoneal dialysis.

       

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