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睡眠质量对机械通风断奶的影响:一个范围审查
Hana Locihová1, Darja Jarošová2, Karolína Šrámková3
1Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Faculty of Medicine, University of Ostrava, Ostrava -Vítkovice, Czech Republic; Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava - Vítkovice, Czech Republic.
概括
机械呼吸的患者经历了难以断奶的困难,往往会扰乱睡眠模式和降低黑激素. 这表明睡眠质量差和机械通风未成功断奶之间存在联系.
科学领域:
- 关键护理医学 关键护理医学
- 睡眠医学 睡眠医学
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 机械通风患者经常经历睡眠障碍.
- 睡眠质量和昼夜节律对于患者的康复至关重要.
研究的目的:
- 调查机械通风成功/不成功断奶与患者睡眠质量/心律之间的关系.
- 为了确定影响断奶结果的潜在睡眠相关因素.
主要方法:
- 2020年1月至2022年10月期间发表的原始研究的范围审查.
- 在四个主要数据库中进行了搜索:CINAHL,MEDLINE,ProQuest和ScienceDirect.
主要成果:
- 六项研究表明,患有断奶困难的患者表现出不典型的睡眠,减少REM睡眠和降低黑激素代谢物分泌量.
- 肌肉衰弱,与长时间的断奶相关,在异常睡眠模式的患者中更为普遍.
结论:
- 异常睡眠,减少黑激素 (6-硫-毒素黑激素) 排泄和未成功的断奶之间存在相关性.
- 睡眠障碍和断奶结果之间的确切因果关系需要进一步调查.
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