心脏手术后睡眠和身体活动之间的时间动态:一个交叉滞后的面板模型
Sueyeon Lee1, Chang Gi Park2, Karen Saban1
1Marcella Niehoff School of Nursing, Loyola University Chicago, Maywood, IL, USA.
Western journal of nursing research
|May 30, 2025
概括
改善心脏手术患者的睡眠效率预测第二天体力活动增加. 然而,身体活动并不能预测随后的睡眠,强调睡眠作为增强恢复的目标.
科学领域:
- 心脏病学 心脏病学
- 睡眠科学 睡眠科学
- 运动生理学 运动生理学
背景情况:
- 心脏病患者经常经历睡眠障碍和减少体力活动 (PA) 手术后.
- 睡眠和PA之间的相互关系已经确立,但心脏手术后的时间动态尚不清楚.
研究的目的:
- 为了研究心脏手术患者的睡眠和PA之间的时间双向关系.
- 使用交叉滞后面板模型 (CLPM) 来分析这些动态.
主要方法:
- 对33名成人心脏外科手术患者进行的纵向研究的二次分析.
- 采集了7天的睡眠和PA数据,使用手腕穿戴的ActiGraphs.
- 采用CLPM来评估睡眠和PA变量之间的时间关联.
主要成果:
- 参与者平均总睡眠时间 (6.4小时) 低于推,但超过了适度至强度PA的指南.
- CLPM表明单向因果关系:改善睡眠效率预测了第二天更大的能量消耗和更少的久坐时间.
- 没有发现PA与随后的睡眠有显著的预测关系.
结论:
- 心脏手术后改善睡眠质量可能会对身体活动水平产生积极影响.
- 针对睡眠和PA的综合策略对于心脏康复计划至关重要.
- 需要对更大的样本和不同的时间点进行进一步的研究,才能充分阐明这些复杂的相互作用.
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