Evidence-based recommendations for the assessment and management of sleep disorders in older persons.
Evidence-based recommendations for the assessment and management of sleep disorders in older persons.
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DOI：
10.1111/j.1532-5415.2009.02220.x
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发表时间：
2009-05
影响因子：
6.3
通讯作者：
Zee PC
中科院分区：
文献类型：
--
作者：
Bloom HG;Ahmed I;Alessi CA;Ancoli-Israel S;Buysse DJ;Kryger MH;Phillips BA;Thorpy MJ;Vitiello MV;Zee PC
睡眠相关疾病在老年人中最为普遍。医学和心理社会共病的高患病率和频繁使用多种药物，而不是衰老本身，是主要原因。一个主要的问题，往往低估和未解决的临床医生，是睡眠障碍和严重的医疗问题之间的强双向关系，在老年人。高血压、抑郁症、心血管疾病和脑血管疾病是睡眠障碍患者更容易发生的疾病。相反，患有这些疾病的人患睡眠障碍的风险更高。本文的目的是帮助指导临床医生对老年人睡眠问题的一般理解，检查老年人发生的特定睡眠障碍，并为老年人睡眠障碍的评估和治疗提出基于证据和专家的建议。没有这样的建议可用于帮助临床医生在他们的日常病人护理实践。文章开头的四个部分的标题是，背景和意义，睡眠的一般回顾，建议的发展，以及在门诊环境中检测睡眠障碍的一般方法。随后是特定睡眠障碍的概述：失眠，睡眠呼吸暂停，不宁腿综合征，昼夜节律睡眠障碍，睡眠异常，睡眠过度和长期护理环境中的睡眠障碍。由一组睡眠和临床专家制定的基于证据和专家的建议，在每种睡眠障碍之后呈现。
Sleep‐related disorders are most prevalent in the older adult population. A high prevalence of medical and psychosocial comorbidities and the frequent use of multiple medications, rather than aging per se, are major reasons for this. A major concern, often underappreciated and underaddressed by clinicians, is the strong bidirectional relationship between sleep disorders and serious medical problems in older adults. Hypertension, depression, cardiovascular disease, and cerebrovascular disease are examples of diseases that are more likely to develop in individuals with sleep disorders. Conversely, individuals with any of these diseases are at a higher risk of developing sleep disorders. The goals of this article are to help guide clinicians in their general understanding of sleep problems in older persons, examine specific sleep disorders that occur in older persons, and suggest evidence‐ and expert‐based recommendations for the assessment and treatment of sleep disorders in older persons. No such recommendations are available to help clinicians in their daily patient care practices. The four sections in the beginning of the article are titled, Background and Significance, General Review of Sleep, Recommendations Development, and General Approach to Detecting Sleep Disorders in an Ambulatory Setting. These are followed by overviews of specific sleep disorders: Insomnia, Sleep Apnea, Restless Legs Syndrome, Circadian Rhythm Sleep Disorders, Parasomnias, Hypersomnias, and Sleep Disorders in Long‐Term Care Settings. Evidence‐ and expert‐based recommendations, developed by a group of sleep and clinical experts, are presented after each sleep disorder.
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DOI：
10.1007/bf00999989
发表时间：
1991-12-01
期刊：
BIOFEEDBACK AND SELF-REGULATION
影响因子：
--
作者：
ANCOLIISRAEL, S;KRIPKE, DF
通讯作者：
KRIPKE, DF
DOI：
10.1111/j.1532-5415.2005.53392.x
发表时间：
2005-07-01
影响因子：
6.3
作者：
Ancoli-Israel, S;Cooke, JR
通讯作者：
Cooke, JR
影响因子：
--
作者：
Allen, RP;Walters, AS;Ferini-Strambi, L
通讯作者：
Ferini-Strambi, L
DOI：
10.1111/j.1532-5415.1999.tb03833.x
发表时间：
1999-07-01
影响因子：
6.3
作者：
Alessi, CA;Yoon, EJ;Cruise, PA
通讯作者：
Cruise, PA
影响因子：
5.6
作者：
ANCOLIISRAEL, S;KRIPKE, DF;KAPLAN, O
通讯作者：
KAPLAN, O