Abstract：
UNASSIGNED: The aim of this study was to conduct a scoping review to determine the nature, variety, and volume of empirical evidence on nonpharmacological interventions for sleep disturbances with potential implications for fatigue in adults sustaining a traumatic brain injury (TBI).
UNASSIGNED: A systematic literature search was conducted across four databases to identify primary studies testing a single non-pharmacological intervention or a combination of non-pharmacological interventions for sleep disturbances and fatigue in community-dwelling adults with TBI.
UNASSIGNED: Sixteen studies were reviewed addressing six non-pharmacological interventions for sleep disruptions and fatigue after TBI including light therapy, cognitive-behavioral therapy, warm footbath application, shiatsu, and sleep hygiene protocol. Non-pharmacological interventions involving light or cognitive-behavioral therapy were reported in 75% of the studies. Actigraphy-based estimation of total sleep time and subjective level of fatigue were frequent outcomes.
UNASSIGNED: While this scoping review has utility in describing existing non-pharmacological approaches to manage sleep and fatigue after TBI, the findings suggest that interventions are often developed without considering TBI individuals\' source of motivation and the need for support in self-administration. Future studies may achieve greater sustainability by considering the evolving needs of TBI patients and their families and the drivers and barriers that might influence non-pharmacological intervention use at home.
UNASSIGNED: A systematic literature search was conducted across four databases to identify primary studies testing a single non-pharmacological intervention or a combination of non-pharmacological interventions for sleep disturbances and fatigue in community-dwelling adults with TBI.
UNASSIGNED: Sixteen studies were reviewed addressing six non-pharmacological interventions for sleep disruptions and fatigue after TBI including light therapy, cognitive-behavioral therapy, warm footbath application, shiatsu, and sleep hygiene protocol. Non-pharmacological interventions involving light or cognitive-behavioral therapy were reported in 75% of the studies. Actigraphy-based estimation of total sleep time and subjective level of fatigue were frequent outcomes.
UNASSIGNED: While this scoping review has utility in describing existing non-pharmacological approaches to manage sleep and fatigue after TBI, the findings suggest that interventions are often developed without considering TBI individuals\' source of motivation and the need for support in self-administration. Future studies may achieve greater sustainability by considering the evolving needs of TBI patients and their families and the drivers and barriers that might influence non-pharmacological intervention use at home.
摘要：
■这项研究的目的是进行范围审查，以确定性质，品种，以及大量非药物干预睡眠障碍的经验证据，这些干预可能对患有创伤性脑损伤（TBI）的成年人的疲劳产生影响。
■在四个数据库中进行了系统的文献检索，以确定针对社区居住的成人TBI的睡眠障碍和疲劳的单一非药物干预或非药物干预组合的主要研究。
■回顾了16项研究，涉及六项非药物干预治疗TBI后睡眠中断和疲劳，包括光疗。认知行为疗法,温暖的足浴应用，指压,和睡眠卫生协议。75%的研究报告了涉及光或认知行为治疗的非药物干预。基于活动力描记法的总睡眠时间估计和主观疲劳水平是常见的结果。
■虽然本范围审查有助于描述现有的非药物方法来管理TBI后的睡眠和疲劳，研究结果表明,在制定干预措施时,往往不考虑TBI个体的动机来源和自我管理支持的需要.未来的研究可以通过考虑TBI患者及其家人不断变化的需求以及可能影响家庭非药物干预使用的驱动因素和障碍来实现更大的可持续性。
■在四个数据库中进行了系统的文献检索，以确定针对社区居住的成人TBI的睡眠障碍和疲劳的单一非药物干预或非药物干预组合的主要研究。
■回顾了16项研究，涉及六项非药物干预治疗TBI后睡眠中断和疲劳，包括光疗。认知行为疗法,温暖的足浴应用，指压,和睡眠卫生协议。75%的研究报告了涉及光或认知行为治疗的非药物干预。基于活动力描记法的总睡眠时间估计和主观疲劳水平是常见的结果。
■虽然本范围审查有助于描述现有的非药物方法来管理TBI后的睡眠和疲劳，研究结果表明,在制定干预措施时,往往不考虑TBI个体的动机来源和自我管理支持的需要.未来的研究可以通过考虑TBI患者及其家人不断变化的需求以及可能影响家庭非药物干预使用的驱动因素和障碍来实现更大的可持续性。
