Sleeping on a problem: the impact of sleep disturbance on intensive care patients - a clinical review.

Sleeping on a problem: the impact of sleep disturbance on intensive care patients - a clinical review.
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DOI:
10.1186/s13613-015-0043-2
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发表时间:
2015
影响因子:
8.1
通讯作者:
Lopez V
Lopez V
中科院分区:
医学1区
文献类型:
--
作者:
Delaney LJ;Van Haren F;Lopez V

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睡眠障碍是重症监护患者中常见的问题,具有显著的心理生理影响,延长康复时间,增加死亡率。重症监护患者的生物生理监测揭示了睡眠结构的改变,睡眠质量和连续性下降。睡眠障碍的病因被认为是多因素的,尽管环境压力因素,即噪音、光线和临床护理的相互作用在主观和客观研究中经常被引用。因此,干预措施的目标是可改变的因素,以改善其影响。本文综述了正常睡眠生理和睡眠障碍对患者心理生理恢复的影响,以及临床环境对重症监护患者睡眠的影响。
Sleep disturbance is commonly encountered amongst intensive care patients and has significant psychophysiological effects, which protract recovery and increases mortality. Bio-physiological monitoring of intensive care patients reveal alterations in sleep architecture, with reduced sleep quality and continuity. The etiological causes of sleep disturbance are considered to be multifactorial, although environmental stressors namely, noise, light and clinical care interactions have been frequently cited in both subjective and objective studies. As a result, interventions are targeted towards modifiable factors to ameliorate their impact. This paper reviews normal sleep physiology and the impact that sleep disturbance has on patient psychophysiological recovery, and the contribution that the clinical environment has on intensive care patients’ sleep.
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