脊髓损伤中的失眠:观察性研究的元分析
Asha Morrison1, Diana S Dorstyn1
1School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, 5000, Australia.
Sleep medicine reviews
|November 7, 2025
概括
在脊髓损伤或疾病 (SCI/D) 后,睡眠问题很常见. 超过60%的患有SCI/D的成年人经历了失眠症状,突出了护理中常规睡眠评估的必要性.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 康复科学 康复科学 康复科学
背景情况:
- 在脊髓损伤或疾病 (SCI/D) 患者中,睡眠障碍很普遍.
- 由于评估方法和诊断标准的多样化,SCI/D后失眠的确切患病率和严重程度尚不清楚.
- 了解SCI/D患者的失眠对于有效的患者管理和研究至关重要.
研究的目的:
- 系统地审查和综合现有关于SCI/D成人失眠症状严重性的证据.
- 估计SCI/D人口中失眠症状和失眠障碍的流行率.
- 确定在SCI/D护理和研究中需要标准化睡眠评估的需要.
主要方法:
- 以PRISMA为指导的观察性研究的系统审查和元分析.
- 在CINAHL,Embase,MEDLINE和PsycINFO数据库中进行了搜索.
- 包括19项涉及11,879名患有SCI/D的成年人的研究,并使用随机效应模型进行分析.
主要成果:
- 百分之六十一的SCI/D的成年人报告失眠的症状.
- 15%的SCI/D患者符合失眠障碍的诊断标准.
- 在流行率估计中发现了显著的异质性,受研究特征的影响.
结论:
- 失眠是大多数SCI/D患者的重要问题.
- 睡眠问题的常规查应纳入SCI/D患者的持续护理.
- 失眠应该被视为SCI/D研究中的潜在混因素,需要积极收集睡眠数据.
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