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睡眠功能障碍与患者报告结果测量信息系统得分之间的关联在旋转手套撕裂的患者中

Richard M Danilkowicz¹, Eoghan T Hurley¹, Zoe W Hinton¹

¹Duke University Hospital, Division of Orthopedic Surgery, Department of Sports Medicine, 311 Trent Drive, Durham, NC 27710, USA.

Journal of ISAKOS : joint disorders & orthopaedic sports medicine

|December 17, 2023

概括

睡眠功能障碍在旋转手套撕裂患者中很常见,并且与更糟糕的结果有关. 解决睡眠问题可能会改善这些人的整体健康和功能.

科学领域:

整形外科整形外科整形外科
睡眠医学睡眠医学
康复康复康复康复

背景情况:

旋转手套撕裂 (RCT) 显著影响患者的功能和生活质量.
睡眠障碍经常被报告,但在RCT的背景下未得到充分研究.
患者报告结果测量信息系统 (PROMIS) 提供了验证的工具来评估各种健康领域.

研究的目的:

确定旋转手套撕裂 (RCT) 患者睡眠功能障碍的患病率.
在RCT患者中调查睡眠功能障碍与其他PROMIS测量结果之间的关联.

主要方法:

在481名通过ICD-10代码识别的RCT患者进行了回顾性队列研究.
在多次访问中收集了PROMIS睡眠得分和其他PROMIS结果措施.
用通用线性混合效应模型来分析睡眠得分与其他PROMIS领域之间的关联.

主要成果:

超过41%的RCT患者在初次诊断时表现出睡眠障碍.
睡眠功能障碍与焦虑,抑郁,疲劳,疼痛强度和疼痛干扰等高分数相关.
睡眠障碍与身体功能,社会参与和上肢功能得分较低相关.

结论:

睡眠功能障碍在被诊断为旋转手套撕裂的患者中非常普遍.
在RCT患者的睡眠质量不佳与增加的心理痛苦,疼痛和功能限制有显著联系.
这些发现强调了评估和管理睡眠障碍在RCT患者综合护理中的重要性.

关键词:

临床结果临床结果功能功能功能功能一个承诺,一个承诺.患者报告的结果旋转的撕裂旋转撕裂睡眠障碍睡眠障碍是一种睡眠障碍.

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