From the West Australian Sleep Disorders Research Institute, Perth, Australia.
Centre for Sleep Science, University of Western Australia, Perth, Australia.
Anesth Analg. 2021 May 1;132(5):1314-1320. doi: 10.1213/ANE.0000000000005323.
Adequate sleep is essential to health and well-being. Adverse effects of sleep loss are evident acutely and are cumulative in their effect. These include impairment of cognition, psychomotor function, and mood, as well as cardiovascular, metabolic, and immune dysfunction including proinflammatory effects and increased catabolic propensity. Such effects are counterproductive to recovery from illness and operation, yet hospitalization challenges sleep through the anxieties, discomforts, and sleep environmental challenges faced by patients, the inadequate attention given to the needs of patients with preexisting sleep disorders, and the lack of priority these issues receive from hospital staff and their leaders. Mitigation of the adverse effects of noise, light, uncomfortable bedding, intrusive observations, anxiety, and pain together with attention to specific sleep needs and monitoring of sleep quality are steps that would help address the issue and potentially improve patient outcomes.
充足的睡眠对健康和幸福至关重要。睡眠不足的不良影响在急性发作时显而易见，并具有累积效应。这些影响包括认知、心理运动功能和情绪受损，以及心血管、代谢和免疫功能障碍，包括促炎作用和增加的分解代谢倾向。这些影响不利于从疾病和手术中恢复，但住院会通过患者面临的焦虑、不适和睡眠环境挑战、对已有睡眠障碍患者需求的关注不足以及医院工作人员及其领导对这些问题的重视程度不高，对睡眠产生负面影响。减轻噪音、光线、不舒适的被褥、侵入性观察、焦虑和疼痛的不良影响，同时关注特定的睡眠需求并监测睡眠质量，这些都是有助于解决问题并可能改善患者预后的步骤。
