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Developing a Nursing Care for Sleep Disorders with Changing the Surroundings

通过改变环境开展睡眠障碍护理

基本信息

批准号：
11470521
负责人：
AOYAMA Hifumi
金额：
$ 4.42万
依托单位：
Osaka Prefecture College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-11470521/
关键词：
sleep disorder nursing care Changing the Surroundings wrist actigraph sleeping drugs 睡眠調査脳波睡眠機序

项目摘要

This study aims to develop the nursing care for sleep disorders with changing surroundings.1) To make clear 226 patients sleep condition, questionnaire surveys were conducted. The results of the analysis are as follows. To change the time of gets up and bed time improved patient's sleep condition. Having a sleep drugs were not contribute to improve the sleep disorders.2) Sleep is very important life activity. We investigated a relationship between a feeling of subjective sleep and physiological sleep in healthy 13 young women; 19-21 years of age. The feeling of subjective sleep was described on Questionnaire and the physiological sleep was determined by electroencephalogram (EEG) in the experimental room. The EEG activity was recorded from the central leads with reference to the ear lobes. The spectral activity was integrated into six EEG bands; delta(2-4 Hz), theta (4-8 Hz), alpha 1(8-10Hz),alPha 2(10-13 Hz), beta 1(13-20 Hz), beta 2(20-30 Hz). The EEG of the women acquired good sleep showed that power spectra of the delta and theta bands were increased in 10 minutes after the onset of sleep. On the other hand, The EEG of the Women acquired bad sleep showed that power spectra of the delta and theta bands were not increased during hypnagogic period. The feeling of the subjective sleep was well agreement with the increase of the delta and theta bands. This study suggests that the feeling of sleep is dependent on arrival time of the stage 1 and 2 after onset of the sleep. Furthermore, we also examined a modify and adaptation of sleep/wake rhythm in daily life of healthy 5 students and travel abroad using wrist actigraph. It appears that wrist actigraph is more useful tool than EEG for the study of the sleep/wake rhythm in the nursing research.

1)为了解226例睡眠障碍患者的睡眠状况，进行问卷调查。分析结果如下。改变起床和就寝时间可改善患者的睡眠状况。服用安眠药对改善睡眠障碍没有帮助。2)睡眠是非常重要的生活活动。我们调查了13名年龄在19-21岁的健康年轻女性的主观睡眠感觉和生理睡眠之间的关系。以问卷形式描述主观睡眠感受，并在实验室通过脑电测定生理睡眠。记录中心导联至耳垂的脑电活动。频谱活动被整合到6个脑电频段：德尔塔(2-4赫兹)、西塔(4-8赫兹)、阿尔法1(8-10赫兹)、阿尔法2(10-13赫兹)、β1(13-20赫兹)、贝塔2(20-30赫兹)。获得良好睡眠的女性的脑电显示，睡眠开始后10分钟内，Delta和theta频段的功率谱增加。另一方面，后天睡眠不良的女性的脑电结果显示，入睡期间，Delta波和theta波的功率谱并没有增加。主观睡眠的感觉与Delta波和theta波的增加有很好的一致性。这项研究表明，睡眠的感觉取决于睡眠开始后阶段1和阶段2的到达时间。此外，我们还使用腕动仪检测了5名健康学生和出国旅游的学生在日常生活中睡眠/唤醒节律的调整和适应情况。在护理研究中，腕动描记比脑电更有利于睡眠/觉醒节律的研究。