在接受心脏手术的患者中,与睡眠质量相关的因素:一项纵向研究
Ting-Hui Yang1, Hsuan-Hua Lin1, Hung-Lung Hsu2,3,4
1Department of Nursing, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Nursing in critical care
|February 27, 2024
概括
心脏手术患者的睡眠质量差很普遍,在手术后三个月内改善. 影响睡眠的关键因素包括症状困扰和药物,强调了针对性干预的必要性.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 术后护理 术后护理
背景情况:
- 睡眠质量差是接受心脏手术的患者的一个重要问题.
- 在这个人群中,多种因素导致睡眠障碍.
研究的目的:
- 为了研究台湾心脏手术患者在3个月内睡眠质量的变化.
- 确定与心脏手术后睡眠质量轨迹相关的因素.
主要方法:
- 一项纵向研究,涉及95名患者在台湾北部.
- 使用匹兹堡睡眠质量指数和爱普沃思睡眠度量表在多个时间点评估睡眠质量:手术前,出院,手术后1个月和3个月.
主要成果:
- 在手术前 (76.8%) 和出院 (81.6%) 报告的睡眠质量差的高患病率.
- 在手术后1个月和3个月观察到睡眠质量的显著改善.
- 睡眠质量差的预测因素包括症状困扰,睡眠药物,职业,左心室喷射率,ACE-I药物和水平. 在手术后3个月,白天的嗜睡明显减少.
结论:
- 心脏手术患者的睡眠质量差是常见的,即使在出院后也会持续下去.
- 症状困扰,心脏功能,药物和心理社会因素与睡眠质量有关.
- 建议专注于症状管理,药物坚持和睡眠卫生的干预措施来改善术后睡眠质量.
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