经过验证的可穿戴设备显示,手术后睡眠模式发生了急性变化,与患者报告的结果一致,并在肩部手术后逐渐减少设备合规性
Pranav V Gadangi1,2, Bradley S Lambert3, Haley Goble3
1Texas A&M Health Science Center, College Station, Texas, U.S.A.
Arthroscopy, sports medicine, and rehabilitation
|August 28, 2023
概括
经过验证的可穿戴设备 (VWDs) 在肩部手术后显示睡眠模式的变化. 一些睡眠指标与患者报告的更好的结果相关,但设备合规性是一个挑战.
科学领域:
- 整形外科手术 整形外科手术
- 睡眠医学 睡眠医学
- 生物医学工程 生物医学工程
背景情况:
- 肩部手术后的术后恢复,包括旋转手套修复 (RCR) 和肩部全关节整形手术 (TSA),通常伴随着睡眠障碍.
- 患者报告的结果 (PROs) 对于评估康复至关重要,但客观睡眠数据较少被整合.
研究的目的:
- 评估一个验证的可穿戴设备 (VWD) 的实用性,用于监测手术前和手术后的睡眠模式.
- 为了比较VWD衍生的睡眠数据与RCR和TSA后患者报告的结果 (PROs).
主要方法:
- 接受RCR或TSA的成年患者在手术前34天到术后6周的时间内与VWD进行监测.
- 睡眠指标和验证的PROs (PROMIS,ASES,VAS,DASH) 在2周的间隔内收集.
- 统计分析包括千平方,ANOVA和相关性分析,以评估设备的合规性,睡眠变化以及睡眠与PROs之间的关系.
主要成果:
- 在RCR (84%至46%) 和TSA (81%至52%) 两组中,器件合规性在术后6周显著下降.
- 深度睡眠在RCR患者的2-6周和TSA患者的0-2周减少.
- 在TSA患者中,快速眼动 (REM) 睡眠在2-4周后增加,REM睡眠 (RCR) 和总睡眠 (TSA) 与更好的PROs正相关.
结论:
- 经过验证的可穿戴设备 (VWD) 可以监测肩部手术后的睡眠变化,为恢复提供洞察力.
- 睡眠指标,如REM和总睡眠,可能与患者报告的改善结果相关.
- 患者人口统计和设备可用性是VWD数据收集中最佳合规性的障碍.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Cardiomyopathy VII: Pre and Post Operative Nursing Management
16
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
16
Holter Monitor: 24-Hour Monitoring
52
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
52
Sleep Apnea
184
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
184


