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Associations of loneliness and sleep chronotype with depressive symptoms: a structural equation modeling approach. 孤独和睡眠类型与抑郁症状的关联:结构方程建模方法
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-08 DOI: 10.1080/07420528.2025.2571193
Xiaobing Xian, Ruochong Wang, Yao Wu, Qianying Shi, Li Zeng, Tengfei Niu

This study explores the relationship between loneliness, sleep chronotype (SC), and depressive symptoms (DS) in Chinese college students, with a focus on SC's mediating role. A cross-sectional survey was conducted with 1,079 college students, using validated instruments to assess loneliness, SC, and DS. Pearson correlation analysis revealed a significant positive correlation between loneliness and DS (r = 0.549, p < 0.01) and a negative correlation between SC and both loneliness (r = -0.177, p < 0.01) and DS (r = -0.206, p < 0.01). Structural equation modeling (SEM) indicated that SC partially mediated the relationship between loneliness and DS, with a significant indirect effect (β = 0.016, 95% CI: 0.003-0.035, p = 0.013). The findings suggest that college students with higher loneliness are more likely to have an evening-type sleep pattern, which exacerbates depressive symptoms. This study emphasizes the role of sleep-wake preference as a potential target for interventions to alleviate the effects of loneliness on adolescent depression, contributing to mental health prevention and treatment strategies.

本研究旨在探讨中国大学生孤独感、睡眠时型(SC)和抑郁症状之间的关系,并重点探讨睡眠时型的中介作用。对1079名大学生进行了横断面调查,使用有效的工具来评估孤独感、SC和DS。Pearson相关分析显示孤独感与DS呈显著正相关(r = 0.549, p r = -0.177, p r = -0.206, p p = 0.013)。研究结果表明,孤独感较高的大学生更有可能有晚睡型的睡眠模式,这会加剧抑郁症状。本研究强调睡眠-觉醒偏好作为缓解孤独感对青少年抑郁症影响的潜在干预目标,为心理健康预防和治疗策略提供依据。
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引用次数: 0
β-Sitosterol targets the gut-brain-clock axis to ameliorate circadian disruption and metabolic dysfunction: A herb-pharmacomicrobiomic perspective. β-谷甾醇靶向肠-脑-时钟轴以改善昼夜节律中断和代谢功能障碍:草药-药物微生物学视角。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-03 DOI: 10.1080/07420528.2025.2568586
Nila Ganamurali, Sarvesh Sabarathinam

β-Sitosterol (BS) is a phytosterol that may contribute to circadian and metabolic regulation through multiple predicted mechanisms. Using network pharmacology, gene expression profiling, and microbiome analysis, this study suggests that BS could interact with nuclear receptors (PPARγ, PPARα, RORα, RORγ) and potentially influence CLOCK:BMAL1 transcriptional rhythms in peripheral tissues. BS was also predicted to be associated with PER2-related feedback and the synchronization of gluconeogenic and lipogenic pathways with the light-dark cycle. In addition, computational and preclinical evidence indicates that BS may influence the gut microbiome, supporting short-chain fatty acid-producing bacteria, intestinal barrier integrity, and inflammatory balance. Limited preclinical findings further suggest a potential role for BS in mitigating circadian misalignment and insulin resistance, with possible implications for lipid homeostasis. Future clinical studies are warranted to investigate BS supplementation across different chronotypes and dietary conditions in order to evaluate its chronotherapeutic potential. While the findings are promising, they remain preliminary, and human validation is essential to determine dosing strategies and therapeutic relevance. This study, therefore, highlights BS as a candidate compound with potential relevance to circadian disruptions and metabolic disorders, pending further experimental confirmation.

β-谷甾醇(BS)是一种植物甾醇,可能通过多种可预测的机制参与昼夜节律和代谢调节。通过网络药理学、基因表达谱和微生物组分析,本研究表明,BS可能与核受体(PPARγ、PPARα、RORα、RORγ)相互作用,并可能影响外周组织CLOCK:BMAL1的转录节律。BS还被预测与per2相关的反馈以及糖异生和脂肪生成途径与光-暗循环的同步有关。此外,计算和临床前证据表明,BS可能影响肠道微生物群,支持短链脂肪酸产生细菌、肠道屏障完整性和炎症平衡。有限的临床前研究结果进一步表明,BS在减轻昼夜节律失调和胰岛素抵抗方面具有潜在作用,可能对脂质稳态有影响。未来的临床研究需要对不同时间类型和饮食条件下补充BS进行调查,以评估其时间治疗潜力。虽然这些发现很有希望,但它们仍然是初步的,人体验证对于确定剂量策略和治疗相关性至关重要。因此,这项研究强调BS是一种与昼夜节律紊乱和代谢紊乱潜在相关的候选化合物,有待进一步的实验证实。
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引用次数: 0
Bidirectional genetic associations between chronotype and shift work: A Mendelian randomization study. 时间型和轮班工作之间的双向遗传关联:一项孟德尔随机研究。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1080/07420528.2025.2577244
Youjin Kim, Jongin Lee, Jeehee Min, Min Young Park, Seung-Yeon Lee, Seunghyun Lee, Wanhyung Lee

Shift work, particularly night shifts, disrupts circadian rhythms and contributes to various adverse health outcomes. However, the degree of individual adaptability varies considerably, suggesting complex interactions between genetic factors, such as chronotype, and shift work exposure. To explore these interactions, we conducted a bidirectional Mendelian randomization (MR) analysis using genome-wide association study (GWAS) data from European populations. We examined causal associations between chronotype and shift work patterns (limited, intermittent, regular). A significant inverse causal effect was identified for intermittent shift work influencing morning chronotype (IVW: β =-0.0032, SE = 0.0013, p = 0.0114; weighted median: β = -0.0041, SE = 0.0018, p = 0.0213). This suggests that intermittent shift work may impact circadian preferences genetically linked to chronotype. Conversely, genetic predisposition toward morningness exhibited a notable but statistically non-significant inverse relationship with regular shift work. Our findings highlight that shift work and chronotype interact bidirectionally, potentially via circadian disruption and melatonin dysregulation. These insights could inform targeted health protection strategies for shift workers. Further studies should confirm these genetic interactions across diverse populations and clarify the underlying chronobiological mechanisms to enhance occupational health policies.

轮班工作,特别是夜班,会扰乱昼夜节律,造成各种不利的健康后果。然而,个体的适应程度差异很大,这表明遗传因素(如睡眠类型)和轮班工作暴露之间存在复杂的相互作用。为了探索这些相互作用,我们使用来自欧洲人群的全基因组关联研究(GWAS)数据进行了双向孟德尔随机化(MR)分析。我们研究了时间类型和轮班工作模式(有限的、间歇的、规律的)之间的因果关系。发现间歇性轮班工作对早晨睡眠类型有显著的反向因果效应(IVW: β =-0.0032, SE = 0.0013, p = 0.0114;加权中位数:β = -0.0041, SE = 0.0018, p = 0.0213)。这表明,间歇性轮班工作可能会影响与时型基因相关的昼夜节律偏好。相反,早起的遗传倾向与定期轮班工作表现出显著但统计上不显著的负相关。我们的研究结果强调,轮班工作和时间类型双向相互作用,可能通过昼夜节律中断和褪黑激素失调。这些见解可以为轮班工人提供有针对性的健康保护战略。进一步的研究应证实这些遗传相互作用在不同人群中,并澄清潜在的时间生物学机制,以加强职业健康政策。
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引用次数: 0
The Snowball Effect: Snow cover increases light exposure, suppresses melatonin, and improves alertness in an urban population at northern latitudes. 雪球效应:积雪增加了光照,抑制了褪黑素的分泌,提高了北纬城市人口的警觉性。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-16 DOI: 10.1080/07420528.2025.2571190
Arne Lowden, Seren Dincel

Modern lifestyles increasingly involve indoor activities, which entails considerations for ensuring sufficient light exposure for circadian entrainment and overall well-being. At higher latitudes, where daylight hours are limited in winter, environmental factors such as snow cover may enhance light exposure through its high reflectance. This study investigates the potential effects of snow cover on human biology and behavior in an urban population in Uppsala (59.9° North), Sweden between December and February. Forty-five individuals were monitored for 1 week when there was snow cover and another week without snow cover by using actigraphy, diaries, and collection of morning saliva melatonin samples. Our findings suggest that indoor dwellers at northern latitudes struggle to obtain adequate natural light exposure to sustain mood and alertness during December and January. However, snow cover increases morning light exposure, lowers melatonin levels, and enhances alertness and activity throughout the day. On the other hand, snow cover had minimal influence on sleep-wake cycles, sleep quality, and daytime mood ratings.

现代生活方式越来越多地涉及室内活动,这需要考虑确保充足的光照,以满足昼夜节律和整体健康。在冬季日照时间有限的高纬度地区,积雪等环境因素可能会通过高反射率增强光照。本研究调查了瑞典乌普萨拉(59.9°North)城市人口在12月至2月间积雪对人类生物学和行为的潜在影响。采用活动记录仪、日记和收集早晨唾液褪黑素样本,对45名受试者进行了为期一周的积雪监测和无积雪监测。我们的研究结果表明,在12月和1月,北纬地区的室内居民很难获得足够的自然光照射来维持情绪和警觉性。然而,积雪增加了晨光照射,降低了褪黑激素水平,提高了一整天的警觉性和活动性。另一方面,积雪对睡眠-觉醒周期、睡眠质量和白天情绪评级的影响最小。
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引用次数: 0
Reconsidering the scientific scope of global research trends on exercise and circadian rhythm. 重新考虑运动与昼夜节律全球研究趋势的科学范围。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-20 DOI: 10.1080/07420528.2025.2576489
Efrem Kentiba, Victoria Drazdova
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引用次数: 0
The role of caffeine and probiotics in modulating biochemical alterations induced by constant light-mediated circadian rhythm disruption in a rat model. 咖啡因和益生菌在大鼠模型中调节恒定光介导的昼夜节律紊乱引起的生化改变中的作用。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-08 DOI: 10.1080/07420528.2025.2568584
Asmaa M Shamandy, Mona Abdel-Rahman, Rehab E El-Hennamy, Inas S M Elsayed, Heba A Elmasry

Light pollution has become a potential health risk factor worldwide. It exerts its effect by disrupting the circadian rhythms, which is linked to adverse health outcomes, including mood disturbances. Caffeine can influence alertness and sleep patterns, while probiotics may affect circadian regulation through the gut-brain axis. Consequently, this study aimed to investigate the potential role of caffeine (30 mg/kg) and probiotics (1 billion colony forming units (CFUs) per day) in alleviating biochemical alterations associated with depression following constant light exposure. Neurotransmitters, glutathione (GSH), malondialdehyde (MDA), and melatonin (MEL) were estimated in the cerebral cortex and the hypothalamus. Hormonal levels of MEL and corticosterone (CORT) were measured in serum samples. LL exposure reduced serotonin (5-HT) levels. It also induced alteration in MEL and CORT rhythmicity. However, caffeine enhanced 5-HT and MEL content and modulated the temporal profile of MEL. Probiotics restored corticosterone and melatonin level to a temporal pattern like controls. Additionally, both treatments reduced MDA levels and enhanced GSH content. Coadministration of caffeine and probiotics reduced 5-HT levels. In conclusion, caffeine and probiotics could modulate biochemical alterations caused by constant light exposure, which is known to disrupt circadian rhythm in rodents, making them apropriate antidepressants.

光污染已成为世界范围内潜在的健康危害因素。它通过扰乱昼夜节律来发挥作用,而昼夜节律与不利的健康结果有关,包括情绪障碍。咖啡因可以影响警觉性和睡眠模式,而益生菌可能通过肠-脑轴影响昼夜节律调节。因此,本研究旨在探讨咖啡因(30 mg/kg)和益生菌(每天10亿菌落形成单位(cfu))在缓解持续光照后抑郁症相关生化改变方面的潜在作用。神经递质,谷胱甘肽(GSH),丙二醛(MDA),褪黑素(MEL)在大脑皮层和下丘脑的估计。测定血清中MEL和皮质酮(CORT)的激素水平。LL暴露降低了血清素(5-HT)水平。它还会引起MEL和CORT节律性的改变。然而,咖啡因增加了5-羟色胺和MEL含量,并调节了MEL的时间分布。益生菌使皮质酮和褪黑激素水平恢复到与对照组相同的时间模式。此外,两种处理都降低了MDA水平,提高了GSH含量。同时服用咖啡因和益生菌可降低5-羟色胺水平。综上所述,咖啡因和益生菌可以调节由持续的光照引起的生化变化,这是已知的破坏啮齿动物的昼夜节律,使它们成为合适的抗抑郁药。
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引用次数: 0
Perceived stress as a mediator between chronotype and eating disorder symptoms among college students: Cross-sectional and prospective analyses. 感知压力在大学生睡眠类型和饮食失调症状之间的中介作用:横断面和前瞻性分析
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-29 DOI: 10.1080/07420528.2025.2566722
Liping Zhang, Bingna Xu, Yong Yang, Dongfang Wang

The present study aimed to examine whether and how perceived stress mediates the association between chronotype and eating disorder symptoms (ED symptoms), using both cross-sectional and three-wave longitudinal data. A total of 7,892 college students completed three online surveys over one year: 17-29 October 2023 (Time 1, T1),15-24 April 2024 (Time 2, T2), and 16-29 October 2024 (Time 3, T3). Participants completed the reduced version of the Morningness-Eveningness Questionnaire, the 10-item Perceived Stress Scale, the short form of the Eating Disorder Examination Questionnaire, the three items in the Youth Self-Rating Insomnia Scale, and a self-developed demographic questionnaire. Cross-sectional analyses showed that T1 perceived stress partially mediated the relationship between T1 chronotype and T1 ED symptoms, after controlling for demographics and T1 insomnia symptoms. Prospective analyses indicated that T1 chronotype predicted T3 ED symptoms through T2 perceived stress, after controlling for demographics, T1 insomnia symptoms, T1 perceived stress, and T1 ED symptoms. This study highlights perceived stress as a mediator linking chronotype to ED symptoms, suggesting that early identification of evening chronotype and stress-reduction interventions may help prevent ED symptoms in college students.

本研究旨在通过横断面和三波纵向数据来研究感知压力是否以及如何介导时间型和饮食失调症状(ED症状)之间的关联。共有7892名大学生在一年内完成了三次在线调查:2023年10月17日至29日(时间1,T1), 2024年4月15日至24日(时间2,T2), 2024年10月16日至29日(时间3,T3)。参与者完成了精简版的“早晚性问卷”、10项“感知压力量表”、简短版的“饮食失调检查问卷”、“青少年失眠症自评量表”中的3项以及一份自行编制的人口调查问卷。横断面分析显示,在控制人口统计学和T1失眠症状后,T1感知应激部分介导了T1时型与T1 ED症状之间的关系。前瞻性分析表明,在控制人口统计学、T1失眠症状、T1感知压力和T1 ED症状后,T1时型通过T2感知压力预测T3 ED症状。本研究强调了感知压力是将睡眠类型与ED症状联系起来的中介,表明早期识别夜间睡眠类型和减压干预可能有助于预防大学生的ED症状。
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引用次数: 0
Effects of main and side dishes at different meal timings on metabolic parameters in older adults: A 12-week randomized controlled trial. 不同用餐时间的主菜和配菜对老年人代谢参数的影响:一项为期12周的随机对照试验。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-27 DOI: 10.1080/07420528.2025.2577862
Saeka Fuke, Kyoko Fujihira, Yuichi Ishizaki, Yoshimasa Sasahara, Hirotaka Ishii, Hitoshi Aoki, Masaki Takahashi

We aimed to examine the effects of main and side dishes at given at different time on metabolic parameters in older adults. This randomized controlled trial included, conducted June through October 2023, 43 older adults, aged 65 years and older, who were randomly divided into four groups: control (n = 8), morning (n = 12, 0700 h to 0900 h), lunch (n = 11, 1100 to 1300 h), and dinner (n = 12, 1700 to 1900 h). The participants in the control group maintained their usual dietary habits for 12 weeks. The morning, lunch, and dinner groups were each asked to consume the test meal, consisting of one main and four side dishes, once a day at a specific time for 12 consecutive weeks. Blood parameters and body composition were evaluated in the fasting state before and after the intervention. The HbA1c levels after the intervention in the morning and dinner groups were significantly lower than those at baseline (morning, p = 0.031; dinner, p = 0.016). Additionally, the body weight (BW) and BMIs after the intervention in the dinner group were significantly lower than those at baseline (BW, p = 0.002; BMI, p = 0.001). These findings indicate that the timing of main and side dishes intake may influence changes in glucose tolerance and BMI without decreasing nutritional intake.

我们的目的是研究在给定的不同时间,主菜和配菜对老年人代谢参数的影响。这项随机对照试验于2023年6月至10月进行,包括43名65岁及以上的老年人,他们被随机分为四组:对照组(n = 8),早上(n = 12,0700至0900小时),午餐(n = 11,1100至1300小时)和晚餐(n = 12,1700至1900小时)。对照组的参与者保持他们通常的饮食习惯12周。在连续12周的时间里,每天一次的特定时间,早上、午餐和晚餐组都被要求食用测试餐,包括一份主菜和四份配菜。在干预前后空腹状态下评估血液参数和身体成分。干预后,早、晚餐组的HbA1c水平均显著低于基线(早、晚餐,p = 0.031;晚餐,p = 0.016)。此外,晚餐组干预后的体重(BW)和BMI显著低于基线(BW, p = 0.002; BMI, p = 0.001)。这些发现表明,主食和配菜的摄入时间可能会影响葡萄糖耐量和BMI的变化,而不会减少营养摄入。
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引用次数: 0
The impact of biological rhythms and sleep quality on the link between depression and functionality in bipolar disorder. 生物节律和睡眠质量对双相情感障碍患者抑郁和功能之间联系的影响。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-06 DOI: 10.1080/07420528.2025.2569694
Irem Hacisalihoglu Aydin, Nazife Gamze Usta Sağlam, Mehmet Murat Kırpınar, Cana Aksoy Poyraz

This study examined the role of biological rhythms and sleep quality on the impact of depression on functionality in bipolar disorder (BD) and compared these factors between euthymic bipolar patients and healthy controls. Ninety-eight patients with BD were included in the study and recategorized as euthymic or depressive based on their Hamilton Depression Rating Scale scores, along with ninety-six healthy controls. Biological rhythms, functionality, and sleep quality were evaluated utilizing the Biological Rhythms Assessment in Neuropsychiatry, Functioning Assessment Short Test, and Pittsburgh Sleep Quality Index. Biological rhythms and sleep were more disrupted in bipolar depression, with no differences between euthymic patients and controls. Positive correlations were found among depression, functionality, sleep quality, and biological rhythms. Mediation analysis revealed that biological rhythm disturbances partially mediate the link between depression and functionality, while sleep quality does not. Interventions addressing both depression and biological rhythms may improve functionality in BD.

本研究探讨了生物节律和睡眠质量在双相情感障碍(BD)患者抑郁对功能的影响中所起的作用,并将这些因素在正常心境双相情感障碍患者和健康对照者之间进行了比较。98名双相障碍患者被纳入研究,根据他们的汉密尔顿抑郁评定量表得分,将他们重新分类为心境正常或抑郁,同时还有96名健康对照。利用神经精神病学生物节律评估、功能评估短测试和匹兹堡睡眠质量指数对生物节律、功能和睡眠质量进行评估。生物节律和睡眠在双相抑郁症患者中更容易被打乱,在心境平和的患者和对照组之间没有差异。抑郁症、功能、睡眠质量和生物节律之间存在正相关。调解分析显示,生物节律紊乱部分调解了抑郁和功能之间的联系,而睡眠质量没有。针对抑郁和生物节律的干预可能改善双相障碍的功能。
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引用次数: 0
Circadian rhythm of melatonin secretion and associated factors of patients in the ICU: A prospective cohort study. ICU患者褪黑激素分泌的昼夜节律及相关因素:一项前瞻性队列研究
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-15 DOI: 10.1080/07420528.2025.2552861
Jingjing Li, Shining Cai, Xiao Liu, Jinghua Mei, Wenyan Pan, Joseph M Latour, Ming Zhong, Yuxia Zhang

Circadian rhythm of melatonin secretion disturbance is common in patients in the intensive care unit (ICU) and may contribute to poor patient prognoses. The aim of this study was to explore the melatonin secretion rhythm in critically ill patients and to identify factors influencing the melatonin secretion rhythm. This was a prospective cohort study conducted in the surgical ICU of a tertiary hospital in Shanghai, China, between February 2022 and December 2022. Patients were enrolled if they were conscious, > 18years, had an expected ICU stay longer than 24 h, and were postoperative. Patient observations started on the first day of admission. ICU light and noise level, baseline characteristics, average night-time interruptions, pain level, use of analgesics and sedation, feeding, duration of mechanical ventilation, leukocyte and procalcitonin (PCT) level, surgical procedures and disease information were observed. We defined melatonin rhythmicity by calculating melatonin acrophase and amplitude. Serum melatonin was collected at 3:00, 8:00, and 16:00 on the first three days after admission. There were 190 ICU patients included in this study. The melatonin acrophase was abnormal in 100 (52.6%) patients. Use of analgesics (p = 0.002) and average night-time interruptions (p = 0.011) were independently related to the melatonin acrophase. Melatonin amplitude was associated with age and average night-time interruptions (p = 0.018 and p = 0.048, respectively). Clinical staff should routinely assess patients' pain levels using validated assessment tools and implement a combination of non-pharmacological and pharmacological pain control interventions. To optimize the ICU environment at night, non-urgent medical procedures should be limited to only those necessary. These approaches may help ICU patients maintain their circadian rhythm and potentially improve their overall recovery.

褪黑激素分泌昼夜节律紊乱在重症监护病房(ICU)患者中很常见,并可能导致患者预后不良。本研究旨在探讨危重患者褪黑素分泌节律,并探讨影响褪黑素分泌节律的因素。这是一项前瞻性队列研究,于2022年2月至2022年12月在中国上海一家三级医院的外科ICU进行。如果患者意识清醒,年龄在18岁以上,预计ICU住院时间超过24小时,并且是术后患者,则纳入研究。入院第一天开始对患者进行观察。观察ICU的光照和噪音水平、基线特征、平均夜间中断时间、疼痛程度、镇痛药和镇静的使用、喂养、机械通气持续时间、白细胞和降钙素原(PCT)水平、手术程序和疾病信息。我们通过计算褪黑素的初相和振幅来定义褪黑素的节律性。于入院后3天的3:00、8:00、16:00采集血清褪黑素。本研究共纳入190例ICU患者。100例(52.6%)患者褪黑素峰期异常。镇痛药的使用(p = 0.002)和平均夜间中断时间(p = 0.011)与褪黑激素末相独立相关。褪黑素振幅与年龄和平均夜间干扰有关(分别为p = 0.018和p = 0.048)。临床工作人员应使用有效的评估工具对患者的疼痛水平进行常规评估,并实施非药物和药物疼痛控制干预措施的结合。为了优化夜间ICU的环境,非紧急医疗程序应仅限于必要的。这些方法可能有助于ICU患者维持昼夜节律,并有可能改善他们的整体康复。
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引用次数: 0
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Chronobiology International
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