Defining sleep disturbance after brain injury
Defining sleep disturbance after brain injury
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DOI：
10.1097/00002060-199807000-00006
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发表时间：
1998-07-01
影响因子：
3
通讯作者：
Corrigan, J
中科院分区：
文献类型：
--
作者：
Clinchot, DM;Bogner, J;Corrigan, J
睡眠障碍是脑损伤后相对常见的情况。睡眠障碍通常会导致白天表现不佳和个人幸福感不佳。不幸的是，人们对这种常见且常常致残的脑损伤后遗症的关注很少。本研究试图定义脑损伤后发生的睡眠障碍的发生率和类型，并对其进行关联。康复中心的连续入院被用来创建一个纵向数据库，旨在预测脑损伤患者的长期结果。百分之五十的受试者有睡眠困难。 64% 的人表示起得太早，25% 的人表示比平常睡得更多，45% 的人表示入睡困难。百分之八十报告睡眠问题的受试者还报告了疲劳问题。逻辑回归分析显示：脑损伤越严重，受试者出现睡眠障碍的可能性就越小；有睡眠障碍的受试者更有可能出现疲劳问题；女性更容易出现睡眠问题。这项研究表明脑损伤后睡眠障碍的普遍存在。它强调了睡眠障碍和疲劳感之间的关系。它还强调临床医生需要努力进行介入研究，以研究脑损伤后睡眠和疲劳问题的治疗方法。
Sleep disorders are a relatively common occurrence after brain injury. Sleep disturbances often result in a poor daytime performance and a poor individual sense of well-being. Unfortunately, there has been minimal attention paid to this common and often disabling sequela of brain injury. This study attempts to define and to correlate the incidence and type of sleep disturbances that occur after brain injury. Consecutive admissions to a rehabilitation unit were used to create a longitudinal database designed to predict long-term outcomes for individuals who suffered a brain injury. Fifty percent of subjects had difficulty sleeping. Sixty-four percent described waking up too early, 25% described sleeping more than usual, and 45% described problems falling asleep. Eighty percent of subjects reporting sleep problems also reported problems with fatigue. Logistic regression analysis revealed the following: the more severe the brain injury the less likely the subject would be to have a sleep disturbance; subjects who had sleep disturbances were more likely to have problems with fatigue; females were more likely to have trouble with sleep. This study demonstrates the substantial prevalence of sleep disturbances after brain injury. It underscores the relationship between sleep disorders and perception of fatigue. It also underscores the need for clinicians to strive for interventional studies to look at the treatment of sleep and fatigue problems after brain injury.