在胸部手术后改善睡眠质量的基于证据的干预措施:临床研究的回顾性分析
Jierong Lin1, Bitao Wang1, Wanxian Zeng1
1Department of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, China; College of Pharmacy, Fujian Medical University, Fuzhou, China.
Sleep medicine
|June 30, 2024
概括
一些干预措施,包括本森的放松技术和针,显著改善心脏手术患者的睡眠质量. 这些发现提供了基于证据的策略,用于管理手术后睡眠障碍,并提高患者的康复.
科学领域:
- 心血管外科心血管外科
- 睡眠医学 睡眠医学
- 基于证据的实践.
背景情况:
- 超过80%的成人心脏手术患者在术后经历睡眠障碍.
- 缺乏对改善胸部手术后睡眠质量的干预措施的系统描述.
研究的目的:
- 调查和排名证据干预改善心脏手术后的睡眠质量.
- 提供对干预疗效的全面比较.
主要方法:
- 在PubMed,Web of Science,Cochrane,Embase和CINAHL数据库中系统搜索随机临床试验.
- 传统的元分析和Frequentist网络元分析,以评估干预措施的有效性和排名.
- 两个研究人员独立提取数据并进行质量评估.
主要成果:
- 包括37篇文章 (n=3569) 包含46个干预措施.
- 班森的放松技术和针治疗显示了改善睡眠质量的最高概率.
- 眼罩和按摩可以减少睡眠延迟,而教育,音乐,按摩,眼罩和握手可以减轻疼痛.
结论:
- 班森的放松技术,渐进性肌肉放松,教育,芳香疗法,针,按摩和眼睛口罩显著改善了术后睡眠质量.
- 这些发现可以优化治疗胸部手术后睡眠障碍的策略.
- 基于证据的方法对于改善术后患者的睡眠质量至关重要.
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