Sleep deprivation in critical illness: its role in physical and psychological recovery.
Sleep deprivation in critical illness: its role in physical and psychological recovery.
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DOI：
10.1177/0885066610394322
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发表时间：
2012-03-01
影响因子：
3.1
通讯作者：
Collop, Nancy A
中科院分区：
文献类型：
--
作者：
Kamdar, Biren B;Needham, Dale M;Collop, Nancy A
重症患者经常经历睡眠不佳，其特征是频繁中断，昼夜节律丧失，以及在恢复性睡眠阶段花费的时间很少。与重症监护室（ICU）中睡眠中断相关的因素包括患者-呼吸机不同步、药物治疗、患者护理相互作用以及环境噪音和光线。随着重症监护领域越来越关注危重病后患者的生理和心理结局，了解ICU相关睡眠中断对患者恢复的潜在贡献是一个重要的研究领域。这篇综述文章总结了有关重症患者睡眠结构和测量的文献，ICU睡眠碎片的原因，以及ICU相关睡眠中断对患者从重症疾病中恢复的潜在影响。有了这些背景信息，还讨论了ICU中优化睡眠的策略。
Critically ill patients frequently experience poor sleep, characterized by frequent disruptions, loss of circadian rhythms, and a paucity of time spent in restorative sleep stages. Factors that are associated with sleep disruption in the intensive care unit (ICU) include patient-ventilator dysynchrony, medications, patient care interactions, and environmental noise and light. As the field of critical care increasingly focuses on patients' physical and psychological outcomes following critical illness, understanding the potential contribution of ICU-related sleep disruption on patient recovery is an important area of investigation. This review article summarizes the literature regarding sleep architecture and measurement in the critically ill, causes of ICU sleep fragmentation, and potential implications of ICU-related sleep disruption on patients' recovery from critical illness. With this background information, strategies to optimize sleep in the ICU are also discussed.