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

IF 5.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Medical Internet Research Pub Date : 2024-11-22 DOI:10.2196/56777
Chen Shang, Ya Yang, Chengcheng He, Junqi Feng, Yan Li, Meimei Tian, Zhanqi Zhao, Yuan Gao, Zhe Li
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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.

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传统开放手术和微创手术对重症监护病房患者首夜睡眠状况的定量影响:前瞻性队列研究。
背景:外科重症监护室(ICU)患者的睡眠状况对其康复有重大影响。然而,有关外科手术对睡眠影响的研究却很少:本研究旨在定量研究传统开放手术(TOS)与微创手术(MIS)对外科重症监护病房患者第一晚睡眠状况的影响:方法:对手术后转入重症监护室的患者进行前瞻性筛查。方法:对手术后转入重症监护室的患者进行前瞻性筛选,通过由患者和护士填写的理查兹-坎贝尔睡眠问卷(RCSQ)和华为可穿戴睡眠监测腕带评估手术当晚的睡眠状况。对手术类型和睡眠参数进行了分析:共有 61 名患者入组。与TOS组患者相比,MIS组患者的护士RCSQ评分(平均60.9,SD16.9 vs 平均51.2,SD17.3;P=.03)、自我RCSQ评分(平均58.6,SD16.2 vs 平均49.5,SD14.8;P=.03)和华为睡眠评分(平均77.9,SD4.5 vs 平均68.6,SD11.1;PC结论:与TOS相比,MIS有助于提高重症监护病房患者术后的睡眠质量。
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来源期刊
CiteScore
14.40
自引率
5.40%
发文量
654
审稿时长
1 months
期刊介绍: The Journal of Medical Internet Research (JMIR) is a highly respected publication in the field of health informatics and health services. With a founding date in 1999, JMIR has been a pioneer in the field for over two decades. As a leader in the industry, the journal focuses on digital health, data science, health informatics, and emerging technologies for health, medicine, and biomedical research. It is recognized as a top publication in these disciplines, ranking in the first quartile (Q1) by Impact Factor. Notably, JMIR holds the prestigious position of being ranked #1 on Google Scholar within the "Medical Informatics" discipline.
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