Department of Internal Medicine, Division of Pulmonary, Allergy and Critical Care Medicine, Duke University School of Medicine, 1821 Hillandale Road, Suite 25A, Durham, NC 27705, USA.
Department of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, 300 Cedar Street, PO Box 208057, New Haven, CT 06520-8057, USA.
Clin Chest Med. 2022 Jun;43(2):287-303. doi: 10.1016/j.ccm.2022.02.009.
Sleep deficiency is a common problem in the hospital setting. Contributing factors include preexisting medical conditions, illness severity, the hospital environment, and treatment-related effects. Hospitalized patients are particularly vulnerable to the negative health effects of sleep deficiency that impact multiple organ systems. Objective sleep measurement is difficult to achieve in the hospital setting, posing a barrier to linking improvements in hospital outcomes with sleep promotion protocols. Key next steps in hospital sleep promotion include improvement in sleep measurement techniques and harmonization of study protocols and outcomes to strengthen existing evidence and facilitate data interpretation across studies.
睡眠不足是医院环境中的一个常见问题。造成这种情况的因素包括先前存在的医疗条件、疾病严重程度、医院环境以及与治疗相关的影响。住院患者尤其容易受到睡眠不足对多个器官系统产生的负面影响的影响。在医院环境中,客观的睡眠测量是困难的,这成为将改善医院结果与促进睡眠的方案联系起来的障碍。医院中促进睡眠的关键步骤包括改进睡眠测量技术,以及协调研究方案和结果,以加强现有证据并促进跨研究的数据解释。