传统开腹手术和微创手术对 ICU 患者第一晚睡眠状态的定量影响：前瞻性队列研究。

Quantitative Impact of Traditional Open Surgery and Minimally Invasive Surgery on Patients' First-Night Sleep Status in the Intensive Care Unit: Prospective Cohort Study.

机构信息

Department of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Department of Infection Control, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

出版信息

J Med Internet Res. 2024 Nov 22;26:e56777. doi: 10.2196/56777.

DOI:10.2196/56777

PMID:39576980

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11624462/

Abstract

BACKGROUND

The sleep status of patients in the surgical intensive care unit (ICU) significantly impacts their recoveries. However, the effects of surgical procedures on sleep are rarely studied.

OBJECTIVE

This study aimed to investigate quantitatively the impact of traditional open surgery (TOS) versus minimally invasive surgery (MIS) on patients' first-night sleep status in a surgical ICU.

METHODS

Patients transferred to the ICU after surgery were prospectively screened. The sleep status on the night of surgery was assessed by the patient- and nurse-completed Richards-Campbell Sleep Questionnaire (RCSQ) and Huawei wearable sleep monitoring wristband. Surgical types and sleep parameters were analyzed.

RESULTS

A total of 61 patients were enrolled. Compared to patients in the TOS group, patients in the MIS group had a higher nurse-RCSQ score (mean 60.9, SD 16.9 vs mean 51.2, SD 17.3; P=.03), self-RCSQ score (mean 58.6, SD 16.2 vs mean 49.5, SD 14.8; P=.03), and Huawei sleep score (mean 77.9, SD 4.5 vs mean 68.6, SD 11.1; P<.001). Quantitative sleep analysis of Huawei wearable data showed a longer total sleep period (mean 503.0, SD 91.4 vs mean 437.9, SD 144.0 min; P=.04), longer rapid eye movement sleep period (mean 81.0, 52.1 vs mean 55.8, SD 44.5 min; P=.047), and higher deep sleep continuity score (mean 56.4, SD 7.0 vs mean 47.5, SD 12.1; P=.001) in the MIS group.

CONCLUSIONS

MIS, compared to TOS, contributed to higher sleep quality for patients in the ICU after surgery.

摘要

背景

外科重症监护病房（ICU）患者的睡眠状况对其康复有重要影响。然而，手术对睡眠的影响很少被研究。

目的

本研究旨在定量研究传统开放手术（TOS）与微创外科手术（MIS）对外科 ICU 患者第一晚睡眠状况的影响。

方法

前瞻性筛选手术后转入 ICU 的患者。通过患者和护士完成的 Richards-Campbell 睡眠问卷（RCSQ）和华为可穿戴睡眠监测腕带评估手术当晚的睡眠状况。分析手术类型和睡眠参数。

结果

共纳入 61 例患者。与 TOS 组患者相比，MIS 组患者的护士-RCSQ 评分（均值 60.9，SD 16.9 比均值 51.2，SD 17.3；P=.03）、自我-RCSQ 评分（均值 58.6，SD 16.2 比均值 49.5，SD 14.8；P=.03）和华为睡眠评分（均值 77.9，SD 4.5 比均值 68.6，SD 11.1；P<.001）均更高。华为可穿戴数据的定量睡眠分析显示，MIS 组的总睡眠时间（均值 503.0，SD 91.4 比均值 437.9，SD 144.0 min；P=.04）、快速眼动睡眠期（均值 81.0，52.1 比均值 55.8，SD 44.5 min；P=.047）和深睡眠连续性评分（均值 56.4，SD 7.0 比均值 47.5，SD 12.1；P=.001）更高。