患有炎症性肠病的成年人睡眠不足和疲劳:系统性审查
Samantha Conley1, Youri Hwang2, Stacy Al-Saleh3
1Mayo Clinic, Rochester, MN, USA.
Western journal of nursing research
|January 30, 2025
概括
睡眠不足与炎症性肠病 (IBD) 中的疲劳有关. 改善睡眠质量可能有助于减少IBD患者的疲劳.
科学领域:
- 胃肠病学 胃肠病学
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 疲劳是炎症性肠病 (IBD) 的普遍和衰弱的症状.
- 目前对IBD疲劳的干预措施有限.
- 了解导致疲劳的因素对于开发有效治疗方法至关重要.
研究的目的:
- 系统地审查IBD成年人睡眠不足和疲劳之间的关系.
- 确定与IBD患者疲劳相关的人口和临床因素.
- 为未来针对IBD疲劳的干预措施的发展提供信息.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 在多个数据库 (MEDLINE,EMBASE,PsycINFO,CINAHL,CENTRAL) 中进行了搜索.
- 包括的研究涉及被诊断患有IBD的成年人,并通过验证的问卷或客观方法测量疲劳和睡眠.
主要成果:
- 包括22项研究,共有16,927名参与者.
- 超过一半的参与者 (56.1%) 报告疲劳,66.3%的人睡眠不足.
- 睡眠质量差和失眠与疲劳密切相关,临床疾病活动,焦虑,抑郁,女性性别和年轻年龄也是如此.
结论:
- 睡眠质量和失眠是显著的,可改变的因素,有助于IBD疲劳.
- 需要进一步的研究,以调查睡眠干预措施在这个人群中管理疲劳的有效性.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
310
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
310
Inflammatory Bowel Disease II: Crohn's Disease
176
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
176
Chronic Bowel Disorders: Introduction
385
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
385
Inflammatory Bowel Disease I: Ulcerative Colitis
131
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
131
Inflammatory Bowel Disease IV: Pharmacological Management
106
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
106
Insufficient Sleep and Sleep Deprivation
130
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...
130


