摘要:

The stages of rapid eye movement and non-rapid eye movement sleep are common topics in most nursing texts. It is impractical, however, to verify the stages of sleep in hospitalized patients. The article presents a nursing model of sleep phases that uses observed behavior to identify which phase of sleep the adult patient is experiencing. The model is based on the findings from a qualitative study of 16 women hospitalized with myocardial infarction. Subsequent analysis of the data led to the development of Dreher's model of sleep phases. The retiring phase begins with declining arousal and preparations for sleep and continues until the onset of sleep. The resting phase begins with the onset of sleep and continues until the onset of final awakening. The rising phase commences with the onset of awakening and continues until complete arousal. This model is presented as an emerging nursing model in which the behavior of sleep in hospitalized adults can be described. It is hoped that the model can be used to help nurses conceptualize sleep pattern disturbances so that appropriate nursing interventions can be implemented.

ISSN:0887-9311    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Descriptions of dreams of women during pregnancy have appeared in the literature for more than a century. Daydreams and sleep dreams are differentiated. A review of the literature published during the last four decades uncovered a limited number of empirical articles. The general consensus is that the sleep dreams of pregnant women are indicative of their concerns regarding safety for self and for the expected child. The most recent information focuses on the use of groups to help pregnant women explore the content of their dreams.

ISSN:0887-9311    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The article examines relationships between pregnancy and maternal sleep. Specifically, sleep as a restorative process is considered with regard for the metabolic and arousal demands of childbearing. The analysis draws attention to the limited number of studies in the area and the need for greater research interest in pregnancy sleep phenomena. The available evidence indicates that maternal slow-wave and rapid eye movement which are key to anabolic activity and neural-cerebral recharge, are protected throughout pregnancy until perhaps the last 3 to 4 weeks before delivery. The sleep disturbances about which term gravidas complain appear to be based on increased periods of wakefulness after sleep onset.

ISSN:0887-9311    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The article describes newborn sleep patterns and includes a discussion of factors influencing neonatal sleep. An important nursing role is to teach parents about infant sleep and to reinforce American Academy of Pediatrics' recommendations on sleep position. Central nurseries, feeding schedules, and constant lighting affect newborn sleep behavior. Nurses can change policies and create an environment in the hospital that enhances parent-infant synchrony. Nurses also have a role both prenatally and in follow-up settings to educate parents about newborn sleep.

ISSN:0887-9311    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Little is known about sleep problems in persons with human immunodeficiency virus (HIV) infection. The article reports a study that assessed quantitative and qualitative aspects of sleep in a group of men and women with HIV infection and examined sleep parameters in regard to the degree of immune function. The convenience sample of 50 persons was drawn from an HIV clinic in a large midwestern metropolitan area. Subjects identified a variety of problems with their sleep that were not significantly related to their immune status. The findings of this study indicate that nurses should perform a sleep history and assessment on all persons with HIV infection to identify those in need of intervention.

ISSN:0887-9311    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Narcolepsy is a neurologic condition that is chronic and lifelong. The study reported describes the experience of living with the most prevalent symptoms of narcolepsy and the management strategies employed for those symptoms by persons with narcolepsy. Descriptions of living with excessive daytime sleepiness, sleep attacks, and cataplexy are given. Nonpharmacologic strategies for symptom management were described by 63.2% of the study participants for cataplexy, 54.5% for sleep attacks, and 35.5% for excessive daytime sleepiness. Specific management and coping strategies are provided.

ISSN:0887-9311    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Rest has been examined only sporadically in the nursing literature, primarily as a physiologic need closely related to sleep. The article describes the concept of rest from a variety of perspectives and lays the foundation for further analysis. Themes of physical, mental, and spiritual components of rest emerge as the concept is explored. Further analysis of the concept of rest in both health and illness is recommended. Exploration of the individual patient's perception of rest and restful activities seems to be a key to promoting and prescribing rest as a nursing intervention.

ISSN:0887-9311    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Despite centuries of published theory and research, general agreement on the nature and function of dreaming continues to elude the scientific community. As theory and evidence accumulate and collide, the recounting and analysis of dreams continue as powerful clinical tools for healing self and patients. The article reviews major theories of dreaming, including a description of the basic structure of dreams and mental processes in dream formation; explores the usefulness of dreams in promoting health and dealing with illness through the analyses of three dreams; and identifies basic principles of dream exploration for use in clinical nursing practice.

ISSN:0887-9311    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Nurses who work with seriously ill and dying patients are engaged in helping them live fully until they die. Most theories of death and dying deal with conscious activities only. Yet many people find relief from the fear and loneliness of life-threatening illness if given the opportunity to express their totality, meaning their unconscious as well as conscious processes. Working with the mind may not be enough. Attending to the unconscious through dream work can allow inner healing to occur, which can support the person as he or she moves into the unknown. The article describes the AIDS Dreamwork Project, the goals of which are to understand patients better and to help them better understand themselves, to help them live and die more consciously, and to discern patterns in their dreams that may be unique to people with acquired immunodeficiency syndrome. Six themes have been identified in the dreams collected so far: wake-up dreams; reassurance dreams; dreams of opposition, separation, or coming together; transition dreams; transformation dreams; and spiritual or archetypal dreams.

ISSN:0887-9311    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0887-9311    

出版商:OVID    

年代:1996

数据来源: OVID