在重症监护病房评估睡眠质量:比较actigraphy和理查兹坎贝尔睡眠问卷-摩洛哥背景下的试点研究
Abdelmajid Lkoul1, Keltouma Oumbarek1, Youssef Bouchriti2
1Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat 10010, Morocco.
Clocks & sleep
|September 22, 2025
概括
评估重症监护室 (ICU) 患者的睡眠质量是一项挑战. 理查兹-坎贝尔睡眠问卷 (RCSQ) 在评估ICU患者睡眠方面比动图 (ACT) 更可靠.
科学领域:
- 关键护理医学 关键护理医学
- 睡眠科学 睡眠科学
- 患者监测 患者监测
背景情况:
- 睡眠障碍在重症监护室 (ICU) 患者中很常见,可能会阻碍康复.
- 尽管有各种干预措施,但在ICU环境中准确评估睡眠质量是复杂的.
- 评估重症患者的睡眠需要可靠和有效的测量工具.
研究的目的:
- 评估ICU患者的睡眠质量和数量,使用动图 (ACT) 和理查兹-坎贝尔睡眠问卷 (RCSQ).
- 为了比较ACT和RCSQ在评估ICU患者睡眠中的诊断性能.
- 为了确定主观 (RCSQ) 与客观 (ACT) 睡眠指标在这个人群中的可靠性.
主要方法:
- 一项前性观察性研究,涉及228名ICU患者.
- 使用理查兹-坎贝尔睡眠问卷 (RCSQ) 和动图 (ACT) 进行睡眠评估.
- 接收器运行特征 (ROC) 曲线分析以评估诊断性能 (AUC,灵敏度,特异性) 和优化切断点的Youden指数.
主要成果:
- RCSQ表示睡眠质量不佳 (平均得分为38.16±17.09),睡眠延迟时间长,经常醒来.
- ACT显示,睡眠总持续时间显著减少 (约为2小时). 3小时18分钟) 和大量的唤醒 (24.85).
- RCSQ显示出优异的区分能力 (AUC = 1.00),而ACT显示出可变的性能 (总睡眠时间的AUC = 0.91,睡眠延迟 = 0.50).
结论:
- 理查兹-坎贝尔睡眠问卷 (RCSQ) 是比动图 (ACT) 更可靠的工具,用于评估ICU患者的睡眠质量.
- ACT提供的结果不太一致,特别是在睡眠延迟和夜间中断方面.
- 需要进一步的研究来完善重症患者的客观睡眠评估工具.
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