運用輔助療法於睡眠障礙

Using Alternative Therapies in Treating Sleep Disturbance

睡眠障礙是成人常見的主訴健康問題，而改善睡眠品質是健康照護者所關注的健康議題，當個人的睡眠品質越來越差造成失眠，即會尋求醫療協助，如鎮靜安眠藥物的使用。但安眠藥物有負向副作用，而醫療處置如使用正壓呼吸輔助器，則屬於侵入性的治療，然而非藥物及非醫療處置的改善睡眠介入措施，可視為睡眠障礙之輔助療法，並常為社區護理人員所建議使用。睡眠障礙輔助療法包含：運動、認知行為治療、複方策略、音樂療法及穴位按壓等。其中，中強度的走路運動，是最常被運用之睡眠輔助介入措施，較易在社區中推廣於有睡眠障礙之患者。建議未來研究者設計促進睡眠的介入措施，以適合能自行居家安全操作或練習為宜，並落實真正利益社區睡眠障礙患者之研究意涵。

Sleep disturbance is a common health problem among adults, and enhancing sleep quality is an issue of significant importance to healthcare providers. As sleep quality worsens into insomnia, individuals may seek assistance from medication. However, sedative hypnotic drugs pose potentially adverse effects. Also, most medical treatments (e.g., positive pressure assistant ventilators) represent invasive interventions that must be prescribed by physicians. Non-pharmacological alternative therapies are commonly recommended and adopted by community nurses. Alternative therapies for sleep disturbance included exercise, cognitive behavior therapy, multiple strategies, music, and acupressure. In general, moderately intensive walking exercise is the intervention most recommended by professionals to help patients deal with sleep disturbance. Therefore, it is suggested that future researchers devise sleep quality promotion strategies that are suitable for home practice in order to apply the findings and spirit of research already done in this area.