Chen Shang, Ya Yang, Chengcheng He, Junqi Feng, Yan Li, Meimei Tian, Zhanqi Zhao, Yuan Gao, Zhe Li
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Surgical types and sleep parameters were analyzed.</p><p><strong>Results: </strong>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). 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引用次数: 0
摘要
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。
Quantitative Impact of Traditional Open Surgery and Minimally Invasive Surgery on Patients' First-Night Sleep Status in the Intensive Care Unit: Prospective Cohort Study.
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.
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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