[Structured case conference for sleep disturbances in nursing home residents with cognitive impairment].

IF 0.8 4区医学 Q4 NURSING

Pflege Pub Date : 2025-04-01 Epub Date: 2024-01-18 DOI:10.1024/1012-5302/a000972

Thomas Klatt, Ivonne Bauer, Daniel Behrendt, Almuth Berg

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引用次数: 0

Abstract

Structured case conference for sleep disturbances in nursing home residents with cognitive impairment Abstract: Background: Nursing home residents living with cognitive impairment often suffer from sleep disturbances. Pharmacological interventions are not recommended to be the first-choice therapy. In general, a wide variance of non-pharmacological interventions is available, but no clearly suitable intervention can currently be specified. Aim: The case report presents the procedure of a structured analysis to support the selection of non-pharmacological interventions to promote sleep. Methods: A structured case conference was held using a developed case management template to draw up an individual intervention plan. Results: Based on the description of the situation and the determination of causes, different interventions from six main topics were planned: "offering appropriate activations during daytime", "creating bedtime routines", "checking the sleep environment", "observation of potential physical and psychological causes", "reflection on night care routines", and "use of drug therapies only in exceptional cases". Conclusions: For a successful management of sleep disturbances in nursing home residents living with cognitive impairment, it is essential that the specific sleep-related symptoms and causes are assessed systematically and interprofessionally to be able to work towards an improvement with appropriate measures. In order to obtain adequate solutions, evidence-based expertise should be taken into consideration.

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[针对有认知障碍的养老院住户睡眠障碍的结构化个案会议]。

针对认知障碍疗养院居民睡眠障碍的结构化个案会议摘要：背景：患有认知障碍的疗养院住户经常受到睡眠障碍的困扰。不建议将药物干预作为首选疗法。一般来说，有多种非药物干预方法可供选择，但目前尚无明确的合适干预方法。目的：本病例报告介绍了结构化分析的程序，以支持选择非药物干预措施来促进睡眠。方法：使用已开发的病例管理模板召开结构化病例会议，制定个人干预计划。结果：根据对情况的描述和原因的判断，计划从六个主要方面采取不同的干预措施："白天提供适当的活动"、"制定睡前常规"、"检查睡眠环境"、"观察潜在的生理和心理原因"、"反思夜间护理常规 "以及 "仅在特殊情况下使用药物疗法"。结论要成功解决认知障碍疗养院住客的睡眠障碍问题，就必须系统地、跨专业地评估与睡眠相关的具体症状和原因，以便采取适当的措施来改善睡眠。为了获得适当的解决方案，应考虑以证据为基础的专业知识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pflege NURSING-

CiteScore

1.40

自引率

20.00%

发文量

审稿时长

>12 weeks

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