00198 Sleep Pattern Disorder

Domain 4: activity/rest
Class 1: sleep/rest
Diagnostic Code: 00198
Nanda label: sleep pattern disorder
Diagnostic focus: sleep pattern
Approved 1980 • Revised 1998, 2006 • Level of evidence 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « sleep pattern disorder ” is defined as: wake up due to external factors for a limited time.

Definite characteristics

  • Difficulty in daily functioning
  • Difficulty reconciling sleep
  • Difficulty to maintain the state of sleep
  • Express dissatisfaction with sleep
  • Express tiredness
  • Non-repairing sleep-vigilia
  • Wake up unintentionally

Related factors

  • Interruptions caused by the sleep couple
  • Insufficient intimacy

Associated problems

  • Immobilization

Suggestions of use

  • Sleep pattern disorder is used when sleeping is temporarily interrupted, as usually happens during hospitalization.
  • It is a general diagnosis. The etiological factors are necessary to achieve sufficient specificity that determines nursing interventions (for example, sleep pattern disorder related to frequent infant awakening for night). When sleep alteration is prolonged or if the symptoms are serious enough to interfere with the patient’s lifestyle, insomnia or sleep deprivation should be diagnosed.

Suggested alternative diagnostics

  • Fatigue
  • Insomnia
  • Dream, deprivation of

NOC Results

  • Dream: natural periodic suspension of consciousness during which the body recovers.

Evaluation objectives and criteria

  • Show sleep, as manifested by the following indicators (specify from 1 to 5: severely, substantially, moderately, slightly or not compromised):
    • He feels rejuvenated after sleeping
    • Sleep pattern and quality
    • Sleep routine
    • Observed sleep hours
    • I wake up at adequate moments
  • Other examples

    The patient may:

    • Identify measures that improve rest or sleep
    • Demonstrate physical and psychological well -being
    • Report that sleeps well at night

    NIC Interventions

    • Energy management: Regulation of energy use to treat or prevent fatigue and optimize functions
    • Medication management: facilitation of safe and effective use of drugs with and without recipe
    • Management of the environment: manipulation of the patient’s environment to obtain therapeutic benefit, sensory attraction and psychological well -being
    • Sleep improvement: facilitation of regular sleep-vigilia cycles
    • Relaxation therapy: use of techniques to favor and achieve relaxation in order to reduce undesirable signs and symptoms such as pain, muscle tension or anxiety

    Nursing Activities

    • Nursing activities for sleep pattern disorder focus on the teaching and support of sleep hygiene, as well as the modification of external factors that interrupt sleep.


    • Assess the presence of sleep and insomnia deprivation symptoms, such as acute confusion, agitation, anxiety, perceptual disorders, slow reactions and irritability
    • Identify environmental factors (noise, lights) that can interrupt sleep
    • (NIC) Improvement of sleep:
      • Determine the effects of patient medications in the PA-
      • Determine the sleep pattern/patient activity
      • Monitor/record the patient’s sleep pattern, as well as the number of sleep hours
      • Patient education
    • (NIC) Improvement of sleep:
      • Instruct the patient and their loved ones about other factors (physiological, psychological, lifestyle, frequent changes in the work shift, rapid changes in time areas, excessively prolonged work schedules and other environmental factors) that contribute to altering the employer of sleep
      • Teach the patient to perform autogenous muscle relaxation or other non -pharmacological techniques, to induce sleep
      • Explain the importance of adequate dream during pregnancy, diseases, psychosocial stress, etc.
      • Instruct the patient to avoid ingesting food and drinks at bedtime, since they can interfere with sleep (such as caffeine)

    Collaboration activities

    • Consult the doctor about the need to review the medication regime, in case it interferes with the dream
    • Consult the doctor about the use of sleeping medications that do not suppress sleep with rapid ocular movements (mor) sleep trone
    • Channel to the patient, as required, to treat serious sleep deprivation symptoms (for example, acute confusion, agitation or anxiety)


    • Treat the symptoms of sleep pattern disorder as required (for example, drowsiness, restlessness, inability to concentrate); These symptoms vary in each patient
    • Avoid strong noise and the use of high lights during night sleep; provide a quiet environment and reduce interruptions
    • Find a compatible roommate for the patient, if possible
    • Help the patient identify possible underlying causes of their insomnia, such as fear, unsolved problems and conflicts
    • Reassure the patient telling him that irritability and alterations in mood are a common consequence of sleep interruption
    • (NIC) Improvement of sleep:
      • Facilitate the maintenance of the usual sleep routine of the patient, the signs or rituals prior to bed (for example, for the children a favorite blanket or toy, rocking them, sucking or a story; for adults a book to read ), as required
      • Help the patient eliminate stressful situations before sleeping time
      • Start or apply comfort measures, change of position and affectionate physical contact
      • Allow naps during the day, if indicated, to meet sleep requirements
      • Control environmental stimuli to maintain normal day and night cycles