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重症病后的睡眠轨迹:一项为期24个月的随访研究
Mario Henríquez-Beltrán1,2,3, Iván D Benítez1,2, Rafaela Vaca1,2
1Translational Research in Respiratory Medicine, Hospital Universitari Arnau de Vilanova-Santa Maria, Biomedical Research Institute of Lleida (IRBLleida), Rovira Roure, 80, 25198, Lleida, Spain.
许多重症幸存者在长达两年的睡眠质量不佳中扎. 一些患者实现了显著的睡眠改善,而另一些患者则没有,这突显了睡眠和ICU后心理健康之间的联系.
科学领域:
- 关键护理医学 关键护理医学
- 睡眠科学 睡眠科学
- 后重症监护综合征 后重症监护综合征
背景情况:
- 经过严重疾病的幸存者往往会经历持续的身体和心理健康挑战.
- 睡眠质量不佳在重症幸存者中很常见,甚至在出院12个月后也是如此.
- 超过12个月的长期睡眠轨迹尚未得到充分研究.
研究的目的:
- 为了研究危急疾病后24个月的睡眠质量的长期轨迹.
- 根据睡眠质量随时间的变化来确定不同的患者群体.
- 探索睡眠质量,心理健康和生活质量之间的关系.
主要方法:
- 对SARS-CoV-2幸存者的前性观察研究.
- 使用匹兹堡睡眠质量指数 (PSQI) 评估睡眠质量.
- 心理健康 (HADS) 和生活质量 (SF-12) 也在短期,12个月和退院后24个月进行评估.
主要成果:
- 包括196名患者,平均年龄为62岁.
- 总体平均PSQI得分从短期到24个月改善了-0.91分.
- 确定了三个睡眠轨迹组:健康,临床重要改善最小 (MCII) 和非MCII.
结论:
- 很大一部分重症幸存者需要长达24个月才能恢复睡眠质量.
- 一些幸存者在24个月内无法实现临床显著的睡眠改善.
- 睡眠轨迹与心理健康状况密切相关,强调集中护理后综合症综合护理.
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