Sleep quality after autologous breast reconstruction.

Area of Science:

• Plastic Surgery
• Sleep Medicine
• Patient Recovery

Background:

• Sleep disruption is prevalent in hospital settings and can impede recovery.
• Postoperative sleep quality significantly impacts patient well-being and quality of life.
• Autologous breast reconstruction patients frequently experience sleep disturbances.

Purpose of the Study:

• To investigate sleep quality in patients undergoing autologous breast reconstruction.
• To identify factors influencing postoperative sleep quality in this patient group.

Main Methods:

• A single-center observational cohort study design was employed.
• Participants completed sleep diaries, including the Pittsburgh Sleep Quality Index (PSQI) and EQ-5D-5L questionnaires.
• Data were collected pre-surgery, during hospitalization, and at two weeks and three months post-surgery, alongside pain and anesthesia duration.

Main Results:

• Pre-surgery, 58% of patients reported poor sleep quality (median PSQI: 5.0).
• During hospitalization, poor sleep quality increased to 83% (median PSQI: 6.0).
• Postoperative pain scores correlated with poorer sleep quality (higher PSQI scores), while anesthesia duration and quality of life did not show a correlation.

Conclusions:

• A high prevalence of poor sleep quality exists among patients after autologous breast reconstruction.
• Postoperative pain is a significant factor associated with diminished sleep quality.
• Interventions targeting postoperative pain management may enhance sleep and recovery for these patients.