患者报告的结果措施来确定慢性病成年人的睡眠问题:系统性审查
Wan-Shan Chiang1, Louise Purtell1,2, Katina Corones-Watkins1
1School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
Journal of renal care
|October 4, 2025
概括
患有慢性病 (CKD) 的成年人经历睡眠问题. 这次审查确定了患者报告的评估CKD睡眠质量的结果措施,强调需要更广泛的验证.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 睡眠医学 睡眠医学
- 心理测量 心理测量 心理测量
背景情况:
- 慢性病 (CKD) 显著影响患者的福祉,睡眠障碍是常见和有害的问题.
- 患者报告的结果测量 (PROM) 对于评估患有CKD的个体的睡眠质量和症状严重程度至关重要.
- 选择合适的PROM需要了解它们的特征和心理特征.
研究的目的:
- 系统地审查和确定患者报告的最佳结果措施,以评估慢性病成年人的睡眠质量和/或问题.
- 评估可用于CKD人群的睡眠评估仪器的特征和心理特征.
主要方法:
- 进行了对文献的系统审查,搜索主要的数据库 (CINAHL,MEDLINE,Embase,Cochrane图书馆,PsycINFO,JBI).
- 包括在2010年1月至2023年12月期间发表的研究.
- 鉴定的工具的方法质量是根据Cosmin-COMIT指南进行评估的.
主要成果:
- 确定了19种用于慢性病患者的睡眠评估仪器.
- 匹兹堡睡眠质量指数 (PSQI) 是最常用的 (73.8%),但主要在移植接受者中得到验证.
- 其他工具,如雅典失眠量表,爱普沃思睡眠量表,STOP-BANG和柏林问卷,提供更狭窄的评估,或者在CKD中对广泛的睡眠评估不那么实用.
结论:
- 在非移植性慢性病患者群体中,有必要使用严格的心理测试来验证现有的睡眠仪器.
- 临床医生和研究人员应该考虑使用多种仪器来全面评估慢性病患者的一般睡眠质量和特定睡眠障碍症状.
- 需要进一步的研究来完善和验证用于更广泛的CKD人群中准确评估睡眠的工具.
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