非药物干预对心脏手术患者睡眠质量的影响:一项前性随机对照研究
Annushha Gayatri1, Nagarjuna Panidapu1, Praveen Kumar Neema1
1Department of Cardiac Anesthesia & Critical Care, Amrita Institute of Medical Sciences, Kochi, India.
Journal of cardiothoracic and vascular anesthesia
|September 14, 2025
概括
手术后的眼罩和耳塞显著改善了心脏手术患者的睡眠质量. 这种非药物干预也减少了白天的嗜睡和阿片类药物消费.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 临界护理医学 临界护理医学
背景情况:
- 术后睡眠障碍在心脏手术患者中很常见.
- 睡眠质量差会对恢复产生负面影响,并增加并发症.
- 寻求非药理干预措施来改善患者的治疗结果.
研究的目的:
- 评估眼罩和耳塞在改善术后睡眠质量的有效性.
- 评估这些干预措施对白天嗜睡和阿片类药物消费的影响.
- 为了确定术后并发症 (如心房动和妄想) 的影响.
主要方法:
- 一项前性,随机的,受控的研究,涉及100名接受心脏手术的成年患者.
- 干预组每晚使用眼罩和耳塞 (下午10点至早上6点).
- 使用理查兹-坎贝尔睡眠问卷评估睡眠质量;白天睡眠和阿片类药物消耗也被测量.
主要成果:
- 干预组报告睡眠质量得分显著提高 (78比62,p<0.05).
- 观察到白天嗜睡 (30%与62%,p<0.05) 和阿片类药物消费 (7.35毫克与12.75毫克,p<0.05) 的显著减少.
- 在手术后心房动,妄或ICU停留时间之间没有显著差异.
结论:
- 眼罩和耳塞是改善心脏手术后睡眠质量的有效非药物工具.
- 这些简单的干预措施可以减少白天的嗜睡和降低阿片类药物需求.
- 进一步的研究可能会探索长期益处和在手术恢复中更广泛的应用.
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