Abstract：
Sleep is critical to a person\'s physiological and psychological functioning. Approximately 30% to 40% of the general population experiences insomnia, and among patients with mental health conditions, the prevalence of insomnia and other sleep disturbances rises to about 70%. Insomnia is associated with many adverse health issues, including lower immunity, weight gain, elevated BP, and increased mortality, and it is often undiagnosed and either untreated or self-treated. Providers can work together with patients to enact measures-such as implementation of enhanced sleep hygiene, engagement in cognitive behavioral therapy, and treatment of any underlying causes-that can markedly improve patient sleep quality. This article provides an overview of evidence-based best practices and whole-person strategies that NPs can adopt to address poor sleep quality in adult patients, and it serves as a primer for primary care NPs on common presentations of several sleep disorders.
摘要：
■睡眠对一个人的生理和心理功能至关重要。大约30％至40％的普通人群经历失眠，在有精神健康状况的患者中，失眠和其他睡眠障碍的患病率上升到大约70%。失眠与许多不良健康问题有关，包括较低的免疫力,体重增加,血压升高,死亡率上升，它往往是未经诊断和未经治疗或自我治疗。提供者可以与患者一起制定措施，例如实施增强的睡眠卫生，参与认知行为疗法，和任何潜在原因的治疗-可以显着改善患者的睡眠质量。本文概述了NPs可以采用的循证最佳实践和全人策略，以解决成年患者睡眠质量差的问题。它可以作为初级保健NPs对几种睡眠障碍常见表现的入门。
