患者在住院期间和之后报告的睡眠和身体功能
Christine M Willinger1, Kimberly J Waddell2, Vineet Arora3
1Department of Medicine, University of California, Los Angeles, California, USA.
Sleep health
|December 27, 2023
概括
住院治疗显著恶化了患者的睡眠质量,这种睡眠质量在出院后仍然存在,并预示着运动能力下降. 住院后睡眠不足会阻碍功能恢复.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 康复医学 康复医学 康复医学
背景情况:
- 睡眠不足与社区发病率和死亡率有关.
- 在住院期间和住院后睡眠不足的影响尚未得到充分了解.
研究的目的:
- 描述住院期间和住院后患者报告的睡眠和身体功能趋势.
- 评价睡眠作为一个预测出院后功能.
主要方法:
- 对232名成年人试验数据的二次分析,在出院后3个月进行了跟踪.
- 患者报告的睡眠 (匹兹堡睡眠质量指数) 和身体功能 (Katz ADL,Lawton IADL,Nagi运动量表) 在住院期间和出院后的1,5,9和13周被评估.
主要成果:
- 在住院期间,睡眠质量明显下降,并在出院后3个月内保持不良 (p < .001).
- 在住院后,日常生活的流动性和工具活动也显著下降 (p < .001).
- 匹兹堡睡眠质量指数得分每增加1个点,就预测运动障碍的几率增加1.48倍 (95% CI 1.27-1.71,p < .001).
结论:
- 患者报告说,睡眠在住院期间恶化,并在出院后3个月内没有显著改善.
- 睡眠不足是出院后功能障碍的重要预测因素.
- 在住院期间产生的睡眠功能障碍可能会阻碍功能恢复.
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