心脏手术后的非药理学睡眠干预:随机对照试验的系统审查和元分析
Sueyeon Lee1, Pei Chen2, Chang Park2
1Marcella Niehoff School of Nursing, Loyola University Chicago, Maywood, Illinois, USA.
Journal of clinical nursing
|December 5, 2024
概括
非药物干预,特别是以人力资源为基础的策略,可显著改善术后心脏病患者的睡眠质量. 这些发现强调了将这些方法整合到患者护理计划中的临床重要性,以改善康复.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 基于证据的实践.
背景情况:
- 在术后心脏病患者中,睡眠障碍很普遍.
- 在这个人群中,非药物干预睡眠的有效性需要全面的审查.
研究的目的:
- 系统地审查和综合有关改善术后心脏病患者睡眠结果的非药物干预措施的证据.
- 通过元分析来评估各种非药理学策略的有效性.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA协议.
- 在2023年5月搜索了多个数据库 (CINAHL,PubMed,PsycINFO,Embase,科学网,科克兰图书馆).
- 包括随机对照试验,重点关注睡眠结果的术后心脏病患者的非药物干预.
主要成果:
- 包括37项研究,冠状动脉旁路移植手术是最常见的.
- 基于人力资源的策略被确定为最有效的干预类型.
- 对27项研究的分析显示,效果大小中大 (0.76对于常规尺度,-1.04对于反向得分尺度).
结论:
- 非药物干预,特别是基于人力资源的策略,在改善心脏病患者的睡眠质量方面表现出显著的有效性.
- 中大效果大小证实了这些干预措施的临床相关性.
- 建议将这些策略整合到根据个体患者需求量身定制的护理计划中,并建议未来研究长期影响和客观措施.
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