在心脏植入式电子设备患者中,自我报告的睡眠质量和循环休息活动模式
Ayami Ogishi1, Chieko Tan2, Nao Saito3
1Department of Nursing, Kobe University Graduate School of Health Sciences Kobe Japan.
Circulation reports
|September 11, 2025
概括
患有心脏植入式电子设备 (CIED) 的患者睡眠质量不佳,经常表现出改变的昼夜休息活动模式. 改善日常活动和调整活动高峰时间可能会改善这些患者的睡眠.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 时间生物学 时间生物学
背景情况:
- 睡眠质量不佳是心脏植入式电子设备 (CIED) 患者的一个重大问题.
- 了解睡眠和昼夜节律之间的联系对于管理患者健康至关重要.
研究的目的:
- 调查日本CIED患者睡眠质量和昼夜休息活动模式之间的关系.
- 在这个人群中确定与睡眠不足相关的特定昼夜参数.
主要方法:
- 54名CIED患者使用匹兹堡睡眠质量指数评估了睡眠质量.
- 使用腕带追踪3天的活动水平,分析昼夜参数 (尺度,振幅,缩).
- 统计分析包括曼-惠特尼U测试和后勤回归.
主要成果:
- 睡眠质量不佳的患者显示平均活动 (mesor) 显著降低,活动范围 (幅度) 减少,以及较晚的峰值活动时间 (acrophase).
- 青期时间与自我报告的睡眠质量独立相关.
- 两组之间没有发现睡眠指标的其他显著差异.
结论:
- 循环休息活动模式,特别是形时间,与CIED患者的睡眠质量有关.
- 针对增加日常活动和早期缩的干预措施可能会改善睡眠质量.
- 进一步的研究应该探索CIED患者的慢性治疗策略.
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