Myoji Yuriko, Fujita Kimie, Mawatari Masaaki, Tabuchi Yasuko
Division of Nursing, Saga University, Saga, Japan.
Clinical Nursing, Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Int J Nurs Pract. 2015 Dec;21(6):764-70. doi: 10.1111/ijn.12345. Epub 2014 Apr 30.
We evaluated nocturnal sleep-wake rhythms and subjective sleep quality on the first postoperative night compared with the preoperative night in 34 patients who had total hip arthroplasty (mean age: 61.9 years; 82.4% female) under spinal anaesthesia. We also examined secondary factors related to sleep disturbances after surgery. Patients wore an accelerometer (actigraph) during the preoperative period and the first postoperative night to track sleep-wake rhythms. Secondary end-points were postsurgical pain and low back pain. Sleep parameters were measured objectively by actigraphy, and subjective sleep quality was measured by the Oguri-Shirakawa-Azumi Sleep Inventory, Middle-Aged and Aged Version and found to worsen significantly after surgery. Actigram data showed a reduction in actual sleep time from 353.7 ± 121.2 min preoperatively to 263.8 ± 104.4 min postoperatively. The data indicate that normalized continuous sleep time is important for patient healing and well-being and that postoperative sleep disturbance is related to low back pain more than to postsurgical pain.
我们评估了34例在脊髓麻醉下接受全髋关节置换术（平均年龄：61.9岁；82.4%为女性）的患者术后第一晚与术前一晚的夜间睡眠-觉醒节律和主观睡眠质量。我们还研究了与术后睡眠障碍相关的次要因素。患者在术前和术后第一晚佩戴加速度计（活动记录仪）以追踪睡眠-觉醒节律。次要终点为术后疼痛和腰痛。通过活动记录仪客观测量睡眠参数，通过小栗-白河-安积睡眠量表（中老年版）主观测量睡眠质量，发现术后睡眠质量显著恶化。活动记录仪数据显示实际睡眠时间从术前的353.7±121.2分钟减少至术后的263.8±104.4分钟。数据表明，正常化的连续睡眠时间对患者的愈合和健康很重要，并且术后睡眠障碍与腰痛的关系大于与术后疼痛的关系。
