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27 gru 2023 · The diagnosis of insomnia requires three main components: persistent sleep difficulty, adequate sleep opportunity, and associated daytime dysfunction. The clinical features, diagnosis, and differential diagnosis of insomnia are reviewed here.
9 wrz 2019 · A detailed account of time to bed, time to sleep, frequency of night awakenings, time to return to sleep, time waking in the morning, and time out of bed should be obtained. What the patient does when not falling asleep is also important.
Medical grade actigraphic devices may be used to evaluate “free living” bedtimes and sleep times, and their variability, at a rather low cost for longer periods of time, and so have particular application where a circadian rhythm sleep–wake disorder is suspected (Smith et al., 2018).
Benzodiazepines, benzodiazepine receptor agonists and some antidepressants are effective in the short-term treatment of insomnia (≤4 weeks; weak recommendation, moderate-quality evidence).
Spending too much time awake in bed make sleep more fragmented or restless and perpetuates insomnia. The main goal of sleep restriction is to produce a mild state of sleep deprivation. This facilitates sleepiness in the evening, improves the continuity of sleep and predisposes you to a deeper sleep.
In combination with sleep diaries, standardised measurements of sleep-related fatigue and occupational performance can provide a useful guide to both treatment and treatment outcomes. In acute care settings, however, nurse observations of patient sleep durations have proved consistently unreliable. 15.
Simple forms of sleep diaries may only include information on how much time a person spends in bed, approximate durations of sleeping and waking time, and estimation of sleep efficiency. While starting therapy, sleep diaries are typically filled two weeks prior and continued during treatment and follow up period.
