认知障碍患者睡眠障碍评估工具的应用进展

doi:10.3761/j.issn.0254-1769.2020.12.022

摘要/Abstract

摘要：

睡眠障碍的发生会加重损害认知障碍患者的认知功能,增加精神行为异常,降低生活质量,给照顾者带来较大负担,增加社会经济成本。该文对国内外认知障碍患者睡眠障碍评估工具的内容、特点、应用情况及局限性等进行综述,对评估工具的基本特征、应用情况和发展现状进行对比分析,并提出启示,旨在为制订本土化认知障碍患者的睡眠评估工具提供借鉴,为准确评估、个性化照护认知障碍患者提供参考。

关键词: 认知障碍, 痴呆, 睡眠障碍, 评估工具, 护理, 综述

Abstract:

The occurrence of sleep disorders can aggravate the cognitive function of patients with cognitive impairment,increase mental and behavioral abnormalities,reduce the quality of life,bring greater burden to caregivers,and increase social and economic costs. This article reviews,compares and analyzes the content,characteristics,application,and limitations of sleep impairment assessment tools in patients with cognitive impairment development status of assessment tools at home and abroad,and also proposes future research direction. It aims to provide a reference for the localization of the development of sleep assessment tools for patients with cognitive impairment,and to provide some useful information about the accurate assessment and personalized care of patients with cognitive impairment.

Key words: Cognitive Dysfunction, Dementia, Sleep Disorders, Assessment Tools, Nursing Care, Review

杨璇,乔雨晨,赵洁,常红. 认知障碍患者睡眠障碍评估工具的应用进展[J]. 中华护理杂志, 2020, 55(12): 1884-1889.

YANG Xuan,QIAO Yuchen,ZHAO Jie,CHANG Hong. The application of sleep disorder assessment tools in patients with cognitive impairment：a system review[J]. Chinese Journal of Nursing, 2020, 55(12): 1884-1889.

参考文献 42

[1]	贾建平. 神经病学[M]. 8版. 北京: 人民卫生出版社, 2015: 65.
	Jia JP. Neurology[M]. 8th ed. Beijing: People’s Medical Publish-ing House, 2015: 65.
[2]	熊吉东. 睡眠障碍[M]. 北京: 北京人民卫生出版社, 2009.
	Xiong JD. Sleep disorder[M]. Beijing: People’s Medical Publishing House, 2009.
[3]	马冬飞, 孙皎, 赵英男, 等. 痴呆患者精神行为症状相关护理模式的研究进展[J]. 中华护理杂志, 2019,54(7):1017-1022.
	Ma DF, Sun J, Zhao YN, et al. Research progress of nursing models related to mental behavior symptoms of dementia patients[J]. Chin J Nurs, 2019,54(7):1017-1022.
[4]	中华医学会神经病学分会睡眠障碍学组, 中国医师协会神经内科分会睡眠障碍专业委员会, 中国睡眠研究会睡眠障碍专业委员会. 认知功能损害患者睡眠障碍评估和管理的专家共识[J]. 中华医学杂志, 2018,90(3):2619-2627.
	Sleep Disorders Group of Chinese Society of Neurology, Professional Committee of Sleep Disorders, Society of Neurology, Chinese Medical Doctor Association, Professional Committee of Sleep Disorders,Chinese Sleep Society. Expert consensus on the assessment and management of sleep disorders in patients with cognitive impairment[J]. Natl Med J China, 2018,90(3):2619-2627.
[5]	Guarnieri B, Musicco M, Caffarra P, et al. Recommendations of the Sleep Study Group of the Italian Dementia Research Association(SINDem) on clinical assessment and management of sleep disorders in individuals with mild cognitive impairment and dementia:a clinical review[J]. Neurol Sci, 2014,35(9):1329-1348 URL PMID
[6]	李树亚, 李峥. 轻度认知障碍老年人精神行为症状及影响因素的调查研究[J]. 中华护理杂志, 2018,53(10):1192-1198.
	Li SY, Li Z. Incidence and its influencing factors of psychological and behavioral symptoms among older adults with mild cognitive impairment[J]. Chin J Nurs, 2018,53(10):1192-1198.
[7]	Livingston G, Sommerlad A, Orgeta V, et al. Dementia prevention,intervention,and care[J]. Lancet, 2017,390(10113):2673-2734. URL PMID
[8]	Ju YE, Lucey BP, Holtzman DM. Sleep and Alzheimer disease pathology--a bidirectional relationship[J]. Nat Rev Neurol, 2014,10(2):115-119.
[9]	Westwood AJ, Beiser A, Jain N, et al. Prolonged sleep duration as a marker of early neurodegeneration predicting incident dementia[J]. Neurology, 2017,88(12):1172-1179.
[10]	戴悦, 张宝泉, 李映兰, 等. 中国老年人睡眠质量与抑郁、焦虑相关性的Meta分析[J]. 中华护理杂志, 2016,51(4):488-493.
	Dai Y, Zhang BQ, Li YL, et al. Correlation between sleep quality and depression and anxiety of Chinese aged:a Meta-analysis[J]. Chin J Nurs, 2016,51(4):488-493.
[11]	尹又, 赵忠新. 应重视认知功能损害患者的睡眠障碍评估和管理[J]. 中华医学杂志, 2018,98(33):2617-2618.
	Yin Y, Zhao ZX. Attention should be paid to the assessment and management of sleep disorders in patients with cognitive impairment[J]. Natl Med J China, 2018,98(33):2617-2618.
[12]	Zhang X, Song Z, Ye J, et al. Polysomnographic and neuropsychological characteristics of rapid eye movement sleep behavior disorder patients[J]. Brain Behav, 2019,9(3):e01220. URL PMID
[13]	Smith MT, McCrae CS, Cheung J, et al. Use of actigraphy for the evaluation of sleep disorders and circadian rhythm sleep-wake disorders:an American academy of sleep medicine clinical practice guideline[J]. J Clin Sleep Med, 2018,14(7):1231-1237. DOI URL PMID
[14]	Cabanel N, Speier C, Müller MJ, et al. Actigraphic,but not sub-jective,sleep measures are associated with cognitive impairment in memory clinic patients[J]. Psychogeriatrics, 2019,20(2), 133-139. DOI URL PMID
[15]	Knuff A, Leung RH, Seitz DP, et al. Use of actigraphy to mea-sure symptoms of agitation in dementia[J]. Am J Geriatric Psychiatry, 2019,27(8):865-869.
[16]	Tractenberg RE, Singer CM, Cummings JL, et al. The sleep di-sorders inventory:an instrument for studies of sleep disturbance in persons with Alzheimer’s disease[J]. J Sleep Res, 2003,12(4):331-337. DOI URL PMID
[17]	Cummings JL, Mega M, Gray K, et al. The neuropsychiatric inventory:comprehensive assessment of psychopathology in dementia[J]. Neurology, 1994,44(2):2308-2314
[18]	Livingston G, Barber JA, Kinnunen KM, et al. Dreams-start (dementia related manual for sleep;strategies for relatives) for people with dementia and sleep disturbances:a single-blind feasibility and acceptability randomized controlled trial[J]. Int Psychogeriatr, 2019,31(2), 251-265. DOI URL PMID
[19]	Reuther S, Dichter MN, Bartholomeyczik S, et al. Construct validity and internal consistency of the neuropsychiatric inventory-nursing home(NPI-NH) in German nursing homes[J]. Intpsychog, 2016,28(6):1017-1027.
[20]	Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research[J]. Psychiatry Res, 1989,28(2):193-213. DOI URL PMID
[21]	Tsai PS, Wang SY, Wang MY, et al. Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index(CPSQI) in primary insomnia and control subjects[J]. Qual Life Res, 2005,14(8):1943-1952. URL PMID
[22]	Suvanchot KS, Pensuksan WC. Factors affecting sleep among Thai people with dementia attending an outpatient psychiatric department[J]. Dementia, 2020,19(2):135-147. DOI URL PMID
[23]	Suh SW, Han JW, Lee JR, et al. Sleep and cognitive decline:a prospective nondemented elderly cohort study[J]. Ann Neurol, 2018,83(3):472-482. URL PMID
[24]	Curcio G, Tempesta D, Scarlata S, et al. Validity of the Italian version of the Pittsburgh Sleep Quality Index(PSQI)[J]. Neurol Sci, 2013,34(4):511-519. DOI URL PMID
[25]	Zhou G, Liu S, Yu X, et al. High prevalence of sleep disorders and behavioral and psychological symptoms of dementia in late-onset Alzheimer disease:a study in Eastern China[J]. Medicine, 2019,98(50):e18405. DOI URL PMID
[26]	Most EIS, Aboudan S, Scheltens P, et al. Discrepancy between subjective and objective sleep disturbances in early-and moderate-stage Alzheimer disease[J]. Am J Geriat Psychiat, 2012,20(6):460-467.
[27]	Johns MW. Reliability and factor analysis of the Epworth Sleepiness Scale[J]. Sleep, 1992,15(4):376-381. DOI URL PMID
[28]	彭莉莉, 李进让, 孙建军, 等. Epworth嗜睡量表简体中文版信度和效度评价[J]. 中华耳鼻咽喉头颈外科杂志, 2011,46(1):44-49.
	Peng LL, Li JR, Sun JJ et al. Reliability and validity of the simplified Chinese version of Epworth sleepiness scale[J]. Chin J Otorh Head Neck Surg, 2011,46(1):44-49.
[29]	Fong SY, Ho CK, Wing YK. Comparing MSLT and ESS in the measurement of excessive daytime sleepiness in obstructive sleep apnoea syndrome[J]. J Psychosom Res, 2005,58(1):55-60. DOI URL PMID
[30]	Netzer NC, Stoohs RA, Netzer CM, et al. Using the Berlin Ques-tionnaire to identify patients at risk for the sleep apnea syndrome[J]. Ann Intern Med, 1999,131(7):485-491. URL PMID
[31]	Sharma SK, Vasudev C, Sinha S, et al. Validation of the modified Berlin Questionnaire to identify patients at risk for the obstructive sleep apnoea syndrome[J]. Indian J Med Res, 2006,124(3):281-90. URL PMID
[32]	赖文娟. 老年人阻塞性睡眠呼吸暂停综合征相关量表的研制及测试[D]. 广州:南方医科大学, 2008.
	Lai WJ. Development and testing research on obstructive sleep apnea syndrome[D]. Guangzhou:Southern Medical University, 2008.
[33]	Jorge C, Benítez I, Torres G, et al. The STOP-Bang and Berlin Questionnaires to identify obstructive sleep apnoea in Alzhei-mer’s disease patients[J]. Sleep Med, 2019,10(57):15-20.
[34]	Stiasny KK, Mayer G, Schäfer S, et al. The REM sleep behavior disorder screening questionnaire—a new diagnostic instrument[J]. Mov Disord, 2007,22(16):2386-2393. DOI URL PMID
[35]	Wang Y, Wang ZW, Yang YC, et al. Validation of the rapid eye movement sleep behavior disorder screening questionnaire in China[J]. J Cli Neurosci, 2015,22(9):1420-1424.
[36]	Han JW, Kim TH, Kwak KP, et al. Overview of the Korean lon-gitudinal study on cognitive aging and dementia[J]. Psychiatry Investig, 2018,15(8):767-774. URL PMID
[37]	Kim HJ, Im HK, Kim J, et al. Brain atrophy of secondary REM-sleep behavior disorder in neurodegenerative disease[J]. J Alzheimer’s Dis, 2016,52(3):1101-1109.
[38]	International Restless Legs Syndrome Study Group. Validation of the international restless legs syndrome study group rating scale for restless legs syndrome[J]. Sleep Med, 2003,4(2):121-132. URL PMID
[39]	Chen YL, Lin SW, Chuang LP, et al. Validation assessment of the Chinese version of the International Restless Legs Scale[J]. Chest Med, 2013,28(2):65-72.
[40]	Horne JA, Östberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms[J]. Int J Chronobiol, 1976,4(2):97-110. URL PMID
[41]	张斌, 郝彦利, 荣润国. 清晨型与夜晚型评定量表的信度与效度[J]. 中国行为医学科学, 2006,15(9):856-858.
	Zhang B, Hao YL, Rong RG. The reliability and validity of Chinese version morningness/eveningness questionnaire[J]. Chin J Behavioral Med Sci, 2006,15(9):856-858.
[42]	Manni R, Cremascoli R, Perretti C, et al. Evening melatonin tim-ing secretion in real life conditions in patients with Alzhei-mer disease of mild to moderate severity[J]. Sleep Med, 2019(63):122-126.