在中风幸存者中睡眠质量差的流行:元分析和系统性审查
Yue-Ying Wang1, Jia-Xin Li1, Yu-Fei Liu1
1Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China; Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China.
Sleep medicine reviews
|February 21, 2025
概括
睡眠质量不佳影响全球一半的中风幸存者. 诸如中风位置,类型和国家收入等因素影响其流行率,突显了及时干预的必要性.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 睡眠质量不佳是中风幸存者的常见问题,在研究中报告的患病率各不相同.
- 了解中风后睡眠障碍的全球负担和影响因素对于有效的患者护理至关重要.
研究的目的:
- 确定中风幸存者中睡眠质量差的全球流行情况.
- 为了确定缓解睡眠质量差在这个人群中流行的因素.
主要方法:
- 在主要数据库 (PubMed, Web of Science, Embase, PsycINFO, CNKI, WanFang) 进行了系统的文献搜索.
- 使用随机效应模型计算睡眠质量差的聚合流行率和95%置信区间 (CI).
- 匹兹堡睡眠质量指数 (PSQI) 是所有纳入研究的睡眠质量评估的主要工具.
主要成果:
- 这项元分析包括68项研究,涉及14845名中风幸存者.
- 在中风幸存者中,睡眠质量差的全球患病率为50.26% (95% CI: 46.69%-53.82%).
- 与风险增加相关的因素包括脑梗塞 (中风类型) 和中低收入国家,而左半球中风位置与风险较低有关.
结论:
- 睡眠质量差在全球中风幸存者中非常普遍.
- 脑中风的特征 (位置,类型) 和社会经济因素 (国家收入) 显著适度睡眠质量.
- 建议进行例行查和及时干预,以减轻中风幸存者睡眠质量差的负面影响.
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