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A critical review of self-care for sleep disturbances: prevalence, profile, motivation, perceived effectiveness and medical provider communication

机译：对睡眠障碍自我照顾的关键评论：流行，概况，动机，感知效果和医疗提供者沟通

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This study aims to undertake the first critical review of self-care use among adults with sleep disturbances by focusing on the prevalence of self-care—the self-determined and self-administered use of products or practices—by adults with sleep disturbances. A comprehensive search of 2006–2016 international literature in CINAHL, AMED, Medline and EMBASE databases was conducted. The search was confined to empirical research findings regarding sleep disturbances - as indicated by a validated sleep scale/index or clinician diagnosis. Of the 21 articles included in this review, only three reported on sleep disturbances other than insomnia disorder (ID) or insomnia symptoms (IS). Overall, a high prevalence of self-care use is reported among adults with sleep disturbances, particularly for ID and IS. Self-care products and practices are more likely to be used by adults with sleep disturbances, than those without sleep disturbances. Commonly used self-care products and practices include OTC hypnotics, antihistamines, diphenhydramine products, diet, exercise, painkillers, herbal medicines, vitamins, minerals and dietary supplements, yoga, tai chi, Qigong, meditation, exercise and relaxation. Many adults with sleep disturbances–particularly ID or IS–frequently use self-care products and practices. Self-care products are also used concomitantly with conventional prescription medications without disclosure to medical professionals. The current literature is of varied methodological caliber, frequently relies on small sample sizes and low-quality data collection therefore further rigorous health services research is required. There is an especial paucity of data regarding self-care for sleep disturbances such as restless legs syndrome and obstructive sleep apnea. Healthcare providers may find it beneficial to actively ask patients about their use of self-care for sleep disturbances to help avoid harmful drug-drug or drug-herb interactions.
机译：本研究旨在通过重点关注自我保健 - 自我确定的自我管理和自我管理使用产品或实践的流行，对成年人进行睡眠障碍的成人自我保健使用的第一次批判审查。对Cinahl，Med，Medline和Embase数据库进行了全面搜索2006-2016国际文献。该搜索被限制在睡眠障碍的实证研究结果 - 如验证的睡眠规模/指数或临床医生诊断所示。在本次审查中包含的21篇文章中，只有三个关于失眠症（ID）或失眠症症状（是）的睡眠障碍。总体而言，在具有睡眠障碍的成年人中报告了自我护理的高度普及，特别是对于ID，是ID的。具有睡眠障碍的成年人更有可能使用的自我保健产品和实践，而不是那些没有睡眠障碍的人。常用的自我护理产品和实践包括OTC催眠，抗组胺药，二酚胺产品，饮食，运动，止痛药，草药，维生素，矿物和膳食补充剂，瑜伽，太极，气功，冥想，运动和放松。许多具有睡眠障碍的成年人 - 特别是ID或常用的自我保健产品和实践。自我护理产品也伴随着常规的处方药，而无披露医学专业人员。目前的文献是不同的方法，频繁地依赖于小型样本尺寸，因此需要进一步严格的卫生服务研究。有一种关于睡眠障碍的自我护理的数据特别缺乏数据，例如焦躁的腿综合征和阻塞性睡眠呼吸暂停。医疗保健提供者可能会发现它有利于主动提出患者对睡眠障碍的自我照顾，以帮助避免有害的药物或药草相互作用。

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