肺癌手术后患者报告的睡眠障碍的纵向模式
1School of Public Health, Research Center for Medicine and Social Development, Chongqing Medical University, No. 1, Yixueyuan Road, Yuzhong District, Chongqing, 400016, China.
Sleep & breathing = Schlaf & Atmung
|July 11, 2023
概括
肺癌手术后睡眠障碍影响功能恢复,在中度和高睡眠障碍组观察到更慢的行走能力恢复. 针对睡眠和疼痛的干预措施可能会改善结果.
科学领域:
- 在瘤学瘤学.
- 术后恢复 术后恢复
- 睡眠医学 睡眠医学
背景情况:
- 在接受肺癌手术的患者中,睡眠障碍很常见.
- 手术后的睡眠质量可以影响患者的康复和功能结果.
- 了解睡眠轨迹对于开发有针对性的干预措施至关重要.
研究的目的:
- 为了识别肺癌患者手术后睡眠障碍的截然不同的纵向轨迹.
- 分析早期术后住院期间疼痛和睡眠障碍之间的关系.
- 确定医院内睡眠障碍对出院后功能恢复的影响.
主要方法:
- 分析了421名肺癌手术患者 (CN-PRO-Lung 1) 的队列.
- 基于小组的双轨道建模确定了7个术后天的睡眠和疼痛轨迹.
- 考克斯回归比较了不同睡眠轨迹组的行走能力恢复.
主要成果:
- 确定了三个睡眠障碍轨迹:低 (31%),中等 (52%) 和高 (17%).
- 更高水平的睡眠障碍与退院后慢慢恢复行走能力有关.
- 疼痛和睡眠障碍显示出很高的一致性,受外科手术方法和胸管数量的影响.
结论:
- 肺癌患者在手术后的第一周表现出明显的睡眠障碍.
- 睡眠障碍和疼痛的轨迹都与之密切相关.
- 结合睡眠和疼痛的干预措施,考虑到手术因素,可以提高恢复.
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