医学
睡眠(系统调用)
重症监护室
单位(环理论)
睡眠障碍
扰动(地质)
心脏外科
急诊医学
重症监护医学
失眠症
外科
心理学
精神科
古生物学
数学教育
操作系统
生物
计算机科学
作者
Hiromi Arita,Yukari Takeno,Etsuko Fujimoto
出处
期刊:Journal of nursing & care
[OMICS Publishing Group]
日期:2014-01-01
卷期号:03 (01)
被引量:1
标识
DOI:10.4172/2167-1168.1000137
摘要
Background: Sleep patterns of patients who admitted the intensive care unit (ICU) after surgery have shown fragment and disturbed sleep during early postoperative days. However, there is less information about sleep status in patients after transferred to a surgical ward from the ICU. The aim of this study was to evaluate the sleep patterns in elderly patients after cardiac surgery including stay in both the ICU and surgical ward. Methods: Twelve patients aged ≥ 65 years were examined for 3 days before and 6 days after surgery. We used to examine sleep quality an actigraph and the Oguri-Shirakawa-Azumi sleep inventory (version for patients of middle age and older) for sleep. Results: Total sleep time was significantly decreased postoperative day 3 (median, 368.5 min) and 4 (median, 433.5 min) than before surgery (median 526.0 min) (p<0.05). Nocturnal sleep time showed significant decreases from preoperative values until postoperative day 1-4 (p<0.05). Duration of longest sleep was significantly decreased postoperative day 1-3 than before surgery (p<0.05). Sleep scale (sleep length and maintenance of sleep) scores indicated a decline in sleep quality on POD3 compared with preoperative values (p<0.05). The sleep disturbances did not reach preoperative levels until at least POD4. Conclusions: The sleep disturbances persisted not only throughout patients’ ICU stay but also after they had been discharged from the ICU. Therefore, close collaboration between surgical ward and ICU nurses are the key to provide more appropriate and early interventions.
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