Our study aimed to systematically evaluate the effect of acupuncture in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS). Literature search of four Chinese databases and six English databases for studies published from the inception of each database to March 1, 2022 and identify relevant studies published in Chinese or English. Related randomized controlled trials of acupuncture for the treatment of OSAHS were included to analyze the efficacy of acupuncture. Two researchers independently reviewed all of the retrieved studies to screen for eligible studies and extract the required relevant data. Included studies were subjected to a methodological quality assessment using the Cochrane Manual 5.1.0, and to a meta-analysis using Cochrane Review Manager version 5.4. A total of 19 studies with 1365 participants were examined. Compared with the control group, the apnea-hypopnea index, lowest oxygen saturation, Epworth Sleepiness Scale, interleukin-6, tumor necrosis factor α, and nuclear factor κ-B indicators all exhibited statistically significant changes. Thus, acupuncture was effective in alleviating the state of hypoxia and sleepiness and reduced the inflammatory response and disease severity among reported patients with OSAHS. Therefore, acupuncture could be widely used in the clinical treatment of OSAHS patients as a complementary strategy and warrants further study.acupuncture, complementary and alternative therapies, meta-analysis, obstructive sleep apneahypopnea syndrome, randomized controlled trials | INTRODUCTIONObstructive sleep apnea-hypopnea syndrome (OSAHS) is an increasingly prevalent disorder in which the upper airway is narrowed or closes during sleep, causing hypopnea or apnea. The pathophysiology of OSAHS is multifactorial and includes airway narrowing due to altered upper airway anatomical and functional aspects and increased pharyngeal collapse due to impairment of muscle responsiveness, arousability and respiratory drive (Rajesh et al., 2021). Recent studies have estimated that nearly 1 billion adults worldwide experience OSAHS, with approximately 42% of these individuals affected by moderate to severe OSAHS (Benjafield et al., 2019). Furthermore, about 14.5% of children with sleep-disordered breathing may have severe OSAHS (Bains et al., 2020). Patients often manifest intermittent hypoxia and excessive daytime sleepiness which can lead to fatigue, impaired attention, and an increased risk of accidents.
Aim This systematic review evaluated the quality of evidence for the prevention and management of facial pressure injuries in medical staff. Design This review was presented in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. Methods We retrieved the relevant studies from 19 databases. Using the literature evaluation standards and evidence grading system of the Australian Joanna Briggs Institute Evidence‐Based Health Care Center, we evaluated the quality of the literature encompassing different types of research and assessed their levels of evidence. Results A total of 13 studies were included, including seven expert consensuses, two recommended practices, one clinical decision, one best practice information booklet, one systematic review and one randomized controlled trial. In the end, 31 best evidence were summarized, including skin cleaning and care, PPE placement and movement, reasonable use of dressings, treatment measures and education and training.
AimThe aim of this study was to identify the influencing factors of sleep disorders and sleep quality in healthcare workers during the COVID‐19 pandemic.DesignSystematic review and meta‐analysis of observational research.MethodsThe databases of the Cochrane Library, Web of Science, PubMed, Embase, SinoMed database, CNKI, Wanfang Data, and VIP were systematically searched. The quality of studies was assessed using the Agency for Healthcare Research and Quality evaluation criteria and the Newcastle–Ottawa scale.ResultsA total of 29 studies were included, of which 20 were cross‐sectional studies, eight were cohort studies, and 1 was a case–control study; 17 influencing factors were finally identified. Greater risk of sleep disturbance was associated with female gender, single relationship status, chronic disease, insomnia history, less exercise, lack of social support, frontline work, days served in frontline work, department of service, night shift, years of work experience, anxiety, depression, stress, received psychological assistance, worried about being infected, and degree of fear with COVID‐19.ConclusionsDuring the COVID‐19 pandemic, healthcare workers did have worse sleep quality than the general population. The influencing factors of sleep disorders and sleep quality in healthcare workers are multifaceted. Identification and timely intervention of resolvable influencing factors are particularly important for preventing sleep disorders and improving sleep.Patient or Public ContributionThis is a meta‐analysis of previously published studies so there was no patient or public contribution.
AimThis study systematically compared the efficacy of various dressings that may prevent facial medical device‐related pressure injury (MRDPI) in medical staff during the COVID‐19 pandemic.BackgroundDuring the COVID‐19 pandemic, medical staff who are required to wear masks, goggles and other personal protective equipment (PPE) are susceptible to facial MRDPI, which exacerbates working conditions. Dressings can effectively prevent or alleviate MRDPI, but it is unclear which dressings are most effective.DesignA systematic review and network meta‐analysis, in accordance with PRISMA.MethodsA comprehensive literature search was conducted in four English and four Chinese databases to identify relevant studies published up to 8 September 2022. The selected studies were randomised controlled trials, with populations comprising medical staff who wore PPE during the COVID‐19 pandemic and included an observation and control group.ResultsThe network meta‐analysis of the 12 selected articles showed that foam dressing, hydrocolloid dressing and petrolatum gauze were better than conventional protection for preventing MRDPI. The surface under the cumulative ranking curve indicated that foam dressing was the best preventative.ConclusionFoam dressing is more effective than other dressings in preventing facial MRDPI in medical staff. When PPE must be worn for many hours, such as during the COVID‐19 pandemic, medical staff can use foam dressings to prevent MRDPI.Relevance to clinical practiceThe results support the use of dressings, especially foam dressings, to prevent MRDPI in healthcare workers. The appropriate dressings are recommended to prevent MRDPI associated with wearing PPE.
Aim To evaluate the incidence of facial pressure injuries in health‐care professionals during the COVID‐19 pandemic in a meta‐analysis. Methods Related studies were obtained through electronic databases, including PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI) Chinese Scientific Journal (VIP) China Biomedical Literature service systems (CBM) and Wanfang Data (from inception to 27 November 2021). The pooled incidence and the 95% confidence interval of facial pressure injuries were calculated with Review Manager v5.4 software. Results Overall, 16 studies with 14 430 health‐care professionals were included. Pooled results showed that the pooled incidence of facial pressure injury in health‐care professionals was 58.8% (95% CI: 49.0%–68.7%; p < 0.01). The results of the subgroup analysis showed that the incidence of facial pressure injury in these staff was high, and predominantly stage I pressure injury, in the following cases: in health‐care professionals who wore personal protective equipment for longer than 4 h, in those without any training experience, and on the nose. Conclusion Administrators and researchers should pay attention to preventing facial pressure injury related to the wearing of personal protective equipment (PPE) by ensuring all health‐care professionals receive training and by limiting prolonged periods of use.
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