期刊
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE
卷 24, 期 1, 页码 S72-S85出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1016/j.jana.2012.10.006
关键词
HIV; insomnia; obstructive sleep apnea syndrome; sleep
类别
资金
- National Institutes of Health (NIH), Center for Research on the Management of Sleep Disturbance [NR 011400]
- NATIONAL INSTITUTE OF NURSING RESEARCH [P30NR011400] Funding Source: NIH RePORTER
Up to 70% of persons living with HIV (PLWH) experience sleep disturbances. Insomnia and obstructive sleep apnea syndrome (OSAS) are common disorders seen in the primary care of PLWH. This paper reviews the current evidence and practice recommendations for treating these conditions. Insomnia is evaluated by clinical interview, questionnaires, and sleep diaries. The recommended first-line treatment is cognitive-behavioral therapy for insomnia (CBT-I) delivered by a trained therapist. Certain sedative medications may be useful, but over-the-counter treatments (particularly those containing antihistamines) are not recommended. OSAS is diagnosed by overnight sleep study but can be screened for in primary care. The STOP-BANG is a useful eight-item screening tool. The gold standard of treatment for OSAS is the use of a continuous positive airway pressure device. Treatment of insomnia and OSAS is important for improving quality of life and preventing associated health problems (especially cardiovascular disease in OSAS) in PLWH. Copyright (C) 2013 Association of Nurses in AIDS Care
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