军方睡眠障碍和慢性疼痛:一个全面的审查
Eline Rozária Ferreira Barbosa1,2, Desiree Rodrigues da Veiga1,3, Mayra Gabriela Ayala1,4
1PPCR Program, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Journal of sleep research
|July 14, 2025
概括
慢性疼痛和睡眠障碍显著影响军事人员,影响心理健康和生活质量. 非药物干预措施对管理这些相互关联的疾病充满希望.
科学领域:
- 军人卫生保健 军人卫生保健
- 睡眠医学 睡眠医学
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛和睡眠障碍在军事人员中很普遍.
- 这些情况往往并存,并对心理健康和功能产生负面影响.
研究的目的:
- 探索慢性疼痛和军人睡眠障碍之间的双向关系.
- 确定研究缺口和这些并发病的潜在诊断/治疗工具.
主要方法:
- 在多个数据库 (ScienceDirect,PubMed,Scopus等) 中进行系统搜索. 在2024年4月之前.
- 包括观察和干预研究;不包括急性疼痛和睡眠呼吸暂停等特定疾病.
- 分析了16篇涉及15060名军事人员的文章,用既有工具评估偏见.
主要成果:
- 证实了睡眠质量差和军人慢性疼痛之间存在强烈的关联.
- 非药物治疗 (行为,心身,昼夜) 改善了疼痛,睡眠和心理健康结果.
- 在诊断工具和治疗指南中发现异质性.
结论:
- 非药物和整合性干预可以改善军事人口中睡眠障碍,慢性疼痛和并发症的结果.
- 需要进一步的研究来规范诊断和治疗方法.
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