睡眠连续性和患者报告的睡眠质量在有意识的重症患者中与重灌风险高的睡眠连续性之间的相关性:试点研究
Eloïse Van Camp1,2, Christophe Rault3,4, Quentin Heraud4
1INSERM U-1084, Experimental and Clinical Neurosciences Laboratory, Neurobiology and Neuroplasticity and Neuro-development Group, Poitiers, France. INSERM, CIC 1402, Equipe IS-Alive; Université de Poitiers, Faculté de Médecine et de Pharmacie, Poitiers, France.
Critical care explorations
|December 6, 2023
概括
在ICU患者的睡眠质量不佳是很常见的. 简单的睡眠数值评分表 (睡眠-NRS) 与客观睡眠连续性有效相关,与理查兹-坎贝尔睡眠问卷 (RCSQ) 不同.
科学领域:
- 关键护理医学 关键护理医学
- 睡眠科学 睡眠科学
- 患者报告的结果
背景情况:
- 重症监护室 (ICU) 患者的睡眠质量不佳,其特点是碎片化和唤醒.
- 睡眠障碍与不良结果有关,包括长时间的机械通风断奶.
- 像多睡眠学这样的客观睡眠测量工具并非普遍可用,需要更简单的评估方法.
研究的目的:
- 调查ICU患者客观睡眠连续性和患者报告的睡眠质量之间的关系.
- 评估睡眠数值评分尺度 (睡眠-NRS) 的实用性,作为评估睡眠质量的理查兹-坎贝尔睡眠问卷 (RCSQ) 的更简单替代方案.
主要方法:
- 一个单一中心的回顾性研究是在医疗ICU中进行的.
- 分析了52名被抽管的ICU患者的多睡眠图像数据,这些患者有重新输管的高风险.
- 使用自动化EEG评分算法测量睡眠连续性;通过RCSQ和睡眠-NRS评估患者报告的睡眠质量.
主要成果:
- 对于45名患者,可以计算睡眠连续性.
- 在睡眠连续性和睡眠-NRS得分之间发现了显著的相关性 (p = 0.0037).
- 没有观察到睡眠连续性和RCSQ得分之间的显著相关性 (p = 0.6732).
结论:
- 睡眠连续性与患者报告的睡眠质量相关,通过睡眠-NRS测量.
- 睡眠-NRS是一种简单且易于管理的工具,用于评估ICU患者的睡眠质量.
- 睡眠连续性和睡眠NRS都显示出作为评估ICU环境中睡眠的有价值工具的希望.
相关概念视频
Endotracheal Tube Extubation
736
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
736
Substance Use Disorders Affecting Sleep
170
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
170
Insufficient Sleep and Sleep Deprivation
147
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
147
Management of Insomnia
257
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
257
Endotracheal Intubation II: Nursing Management
701
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
701
Sleep Apnea
159
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...
159


