预计接受心脏手术的患者的睡眠模式变化
Syed Shabbir Ahmed1, Mohammad Hamid1, Muhammad S Yousuf1
1Anaesthesiology, Aga Khan University Hospital, Karachi, PAK.
Cureus
|December 11, 2023
概括
心脏手术患者在手术前睡眠质量略有下降,睡眠时间显著增加. 年龄,性别和手术类型并没有影响这些睡眠变化.
科学领域:
- 麻醉学 麻醉学
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
背景情况:
- 术后睡眠不足是手术患者的重要压力因素,可能会加剧不适和疼痛.
- 心脏手术患者的手术前睡眠模式没有得到充分的记录.
- 匹兹堡睡眠质量指数 (PSQI) 是评估睡眠质量的有效工具.
研究的目的:
- 为了评估心脏手术患者睡眠模式的变化.
- 将手术前的睡眠模式与手术前的起始睡眠习惯进行比较.
- 为了确定影响这个患者群体睡眠质量的因素.
主要方法:
- 对83名选择性心脏手术患者 (25-65岁) 进行了前性调查.
- 翻译成乌尔都语的匹兹堡睡眠质量指数 (PSQI) 问卷评估了手术前和确定日期后的睡眠质量.
- 记录了人口统计和手术细节 (例如,CABG,门更换).
主要成果:
- 整体平均PSQI得分在决定进行手术后 (5.27) 与基线 (4.84) 相比略高,但没有统计学意义 (p=0.411).
- 睡眠延迟 (入睡的时间) 从基线 (26.1分钟) 到决策后 (36.1分钟) 显著增加.
- 在整体睡眠质量,持续时间,效率或干扰方面没有发现显著差异. 年龄,性别和手术类型并没有影响睡眠质量.
结论:
- 心脏手术患者在手术前表现出睡眠质量降低的趋势,睡眠延迟显著延长.
- 虽然在统计学上并不显著,但观察到的变化表明,在心脏手术前的时期,可能会出现睡眠障碍.
- 没有发现睡眠质量与患者人口统计学或外科手术类型之间的关联.
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