在内外科重症监护病房幸存者中，失眠与生活质量受损有关。
Insomnia is associated with quality of life impairment in medical-surgical intensive care unit survivors.
作者信息
Parsons Elizabeth C, Hough Catherine L, Vitiello Michael V, Zatzick Douglas, Davydow Dimitry S
机构信息
VA Puget Sound Health Care System, Seattle, WA, USA; Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA, USA.
Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA, USA.
出版信息
Heart Lung. 2015 Mar-Apr;44(2):89-94. doi: 10.1016/j.hrtlng.2014.11.002. Epub 2015 Jan 13.
OBJECTIVES
To examine the prevalence of insomnia and its relationship to health-related quality of life (HRQOL) post-intensive care unit (ICU).
BACKGROUND
The burden of post-ICU insomnia is unknown.
METHODS
This cross-sectional study examined data from 120 patients with an ICU stay >24 h. Pre-hospital health was assessed in-hospital. Insomnia, HRQOL and post-ICU psychiatric symptoms were assessed at 12 months post-ICU.
RESULTS
Over one-quarter (28%) of subjects met insomnia criteria at 12 months post-ICU. Post-ICU insomnia was independently associated with worse mental HRQOL (P < 0.01), as well as worse scores on the HRQOL sub-domains of bodily pain (P < 0.001), vitality (P < 0.05) and physical function (P < 0.05). However, these associations were no longer significant after adjusting for post-ICU psychiatric symptoms (P = 0.33).
CONCLUSIONS
Insomnia is common among ICU survivors. Post-ICU insomnia is significantly associated with mental HRQOL and could identify ICU survivors who may benefit from further psychiatric evaluation.
目的
研究重症监护病房（ICU）后失眠的患病率及其与健康相关生活质量（HRQOL）的关系。
背景
ICU后失眠的负担尚不清楚。
方法
这项横断面研究检查了120名在ICU住院超过24小时的患者的数据。在医院内评估院前健康状况。在ICU后12个月评估失眠、HRQOL和ICU后精神症状。
结果
超过四分之一（28%）的受试者在ICU后12个月符合失眠标准。ICU后失眠与较差的精神HRQOL独立相关（P < 0.01），以及在身体疼痛（P < 0.001）、活力（P < 0.05）和身体功能（P < 0.05）的HRQOL子领域得分更差。然而，在调整ICU后精神症状后，这些关联不再显著（P = 0.33）。
结论
失眠在ICU幸存者中很常见。ICU后失眠与精神HRQOL显著相关，并且可以识别可能从进一步精神评估中受益的ICU幸存者。
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