可能的COVID-19后状态与睡眠相关参数之间的关联:非住院患者的纵向研究
Diogo Gonçalves1, Joana Pinto Costa1,2, Susana Silva3
1EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Journal of sleep research
|May 15, 2024
概括
后COVID-19状态显著恶化睡眠质量和数量,导致更多的睡眠障碍. 这强调了医疗保健专业人员需要解决长期COVID患者的睡眠问题.
科学领域:
- 医学研究 医学研究
- 传染性疾病 传染性疾病
- 睡眠医学 睡眠医学
背景情况:
- SARS-CoV-2 感染对睡眠的长期影响尚不清楚.
- 后COVID-19状态影响健康的各个方面.
- 睡眠障碍是从感染中恢复过来的个人中常见的抱怨.
研究的目的:
- 评估可能的COVID-19后状态与睡眠质量和数量的变化之间的关联.
- 为了比较非住院成人的SARS-CoV-2感染前后的睡眠参数.
- 为了确定COVID-19对睡眠健康的影响.
主要方法:
- 一个连续的2445名非住院成年人样本,在2020年被诊断出患有SARS-CoV-2感染,被随访为门诊患者.
- 参与者填写了关于社会人口统计学,临床和感染相关因素的问卷.
- 使用逻辑回归模型评估睡眠参数的变化,将感染前期与感染后期进行比较.
主要成果:
- 与感染前期相比,可能患有COVID-19后疾病的个体报告睡眠时间的减少更大.
- 在那些患有COVID-19后病情的人群中,感知睡眠质量恶化的几率增加了2.60倍.
- 患有COVID-19后病情的个人报告睡眠障碍日数显著增加.
结论:
- 后COVID-19状态与睡眠健康不佳的指标密切相关,包括睡眠时间和质量减少.
- 医疗保健专业人员必须特别注意COVID-19后病情患者的睡眠问题.
- 多学科护理对于减轻长期COVID患者睡眠障碍多方面的影响至关重要.
相关概念视频
01:13Insufficient Sleep and Sleep Deprivation
140
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...
140
01:24Sleep-Wake Cycles
1.3K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.3K
01:15REM Sleep Behavior Disorder
182
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
182
01:27Insomnia
84
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
84
01:21Sleep Apnea
147
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...
147
01:07Narcolepsy
101
Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
101