中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (10): 871-875.doi: 10.3969/j.issn.1671-4091.2025.10.017

• 护理研究 • 上一篇    下一篇

维持性血液透析患者睡眠障碍非药物干预的最佳证据总结

肖 娇   刘恬甜  张 琴   袁 也   祝红怡   刘 芳   李露宁   刘 燕   杨 林   

  1. 610000 成都，1四川大学华西第二医院儿童重症医学科护理单元
    610000 成都，2出生缺陷与相关妇儿疾病教育部重点实验室
  • 收稿日期:2025-02-06 修回日期:2025-04-27 出版日期:2025-10-12 发布日期:2025-10-12
  • 通讯作者: 杨林 E-mail:yarlee29@126.com

Summary of the best evidence for non-pharmacological interventions for sleep disorders in maintenance hemodialysis patients

XIAO Jiao, LIU Tian-tian, ZHANG Qin, YUAN Ye, ZHU Hong-yi, LIU Fang, LI Lu-ning, LIU Yan, YANG Lin   

  1. Department of Pediatric Critical Care Medicine Nurising, West China Second University Hospital, Sichuan University,  2Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu 610000, China
  • Received:2025-02-06 Revised:2025-04-27 Online:2025-10-12 Published:2025-10-12
  • Contact: 610000 成都，1四川大学华西第二医院儿童重症医学科护理单元； 610000 成都，2出生缺陷与相关妇儿疾病教育部重点实验室 E-mail:yarlee29@126.com

摘要： 目的 总结维持性血液透析患者睡眠障碍非药物干预的相关证据，为改善血液透析患者睡眠质量提供实践指导。 方法 系统检索、评价国内外数据库及相关指南网站中血液透析患者睡眠障碍非药物干预的相关证据。 结果 共纳入17篇文献，包括临床决策4篇、指南2篇、系统评价10篇、最佳证据总结1篇。从维持性血液透析患者睡眠障碍的筛查与评估、非药物干预2个领域共提取出14条最佳证据，证据涵盖了睡眠障碍筛查与评估工具的使用、睡眠障碍各种非药物疗法的应用细节。 结论  本研究系统总结了维持性血液透析患者睡眠障碍评估与非药物干预的最佳证据，对临床医护人员基于循证开展血液透析患者睡眠障碍管理具有指导意义。

关键词: 维持性血液透析, 睡眠障碍, 非药物干预

Abstract: Objective  To summarize relevant evidence on non-pharmacological interventions for sleep disorders in maintenance hemodialysis patients, and to provide practical guidance for improving their sleep quality.  Methods  A systematic search and evaluation were conducted on domestic and international databases and relevant guideline websites to identify evidence related to non-pharmacological interventions for sleep disorders in hemodialysis patients.  Results  A total of 17 articles were included, comprising 4 clinical decision-making papers, 2 guidelines, 10 systematic reviews, and one best evidence summary. From the two domains, screening and assessment of sleep disorders and non-pharmacological interventions in maintenance hemodialysis patients, 14 best evidence items were extracted. The evidence covers the use of sleep disorder screening and assessment tools, as well as the application details of various non-pharmaceutical therapies for sleep disorders.  Conclusion  This study systematically summarizes the best available evidence for the assessment and non-pharmacological intervention of sleep disorders in maintenance hemodialysis patients. It provides guidance for clinical healthcare professionals to implement evidence-based management of sleep disorders in this population.

Key words: Maintenance hemodialysis, Sleep disorder, Non-pharmacological intervention

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