慢性阻塞性肺部疾病患者睡眠品質不良之臨床處置

Clinical Management of Poor Sleep Quality in Patients With Chronic Obstruction Pulmonary Disease

睡眠困擾是慢性阻塞性肺部疾病患者常見之臨床問題，不論其導因是夜眠間呼吸生理功能變異、症狀干擾或是因藥物治療所帶來的副作用等，其對於患者之身心皆造成不良之影響。臨床醫護人員需藉由敏銳的觀察及適當評估工具以協助患者確立問題，透過藥物及非藥物介入以協助其維持良好睡眠品質，此為照護之重點。故本文藉由文獻查證與臨床案例分析方式，討論慢性阻塞性肺部疾病對睡眠品質之影響及其處置，期能提供臨床護理人員於護理類似個案之參考，進而提高臨床照護品質。

Sleep disturbance is the most common clinical problem for patients with chronic obstruction pulmonary disease (COPD). Potentially the result of changes in patient breathing patterns, symptoms of the disease, or pharmacological side effects, sleep disturbance can negatively affect COPD patients both physiologically and psychologically. It is therefore important for the medical community to acknowledge the problem through clear observation and suitable application of assessment tools in order to recommend therapies able to promote sleep quality. The article reviews the literature and analyzes clinical cases to discuss the effects of chronic obstruction pulmonary disease on sleep and potential management strategies. I hope this article will be a useful resource for the medical community to improve clinical nursing quality.