Risk factors for sleep quality disturbances in patients with lumbar spinal stenosis before operation

Wang, Yuming; Gao, Fuqiang; Yi, Ping; Cao, Hong; Zou, Haibo; Zhang, Shuai

doi:10.1007/s11325-020-02055-8

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…A previous study reported that the incidence of pre-operative insomnia is 37–38.2% ( 6 , 7 ). They assumed that after intranasal DEX administration, the incidence of pre-operative insomnia decreased from 38.2 to 5%, with the statistical power of 90% and a two-sided significance level of 0.05.…”

Section: Methodsmentioning

confidence: 99%

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Intranasal Dexmedetomidine for the Treatment of Pre-operative Anxiety and Insomnia: A Prospective, Randomized, Controlled, and Clinical Trial

et al. 2022

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Background and ObjectiveSeveral patients with pre-operative anxiety and insomnia refuse to take sleeping pills because of the side effects of sleeping pills. This study aimed to evaluate the applicability of intranasal dexmedetomidine (DEX) in the treatment of pre-operative anxiety and insomnia.MethodsA total of 72 patients with insomnia and anxiety were randomly divided into two groups of intranasal DEX (n = 36) and intranasal normal saline (NS, n = 36). The primary outcomes included patients' time to fall asleep, total sleep time, insomnia severity index (ISI) after treatment, and satisfaction with the treatment effect. The secondary outcomes were mean arterial pressure (MAP), oxygen saturation (SPO2), heart rate (HR), Narcotrend index (NI) in the first 2 h of treatment, and the incidence of adverse events within 12 h after treatment.ResultsThe time to fall asleep (22.08 ± 3.95 min) and total sleep time (400.06 ± 28.84 min) in the DEX group were significantly different from those in the NS group [time to fall asleep, 89.31 ± 54.56 min; total sleep time (295.19 ± 73.51 min; P < 0.001)]. ISI after treatment in the DEX group was lower than that in the NS group (P < 0.001). Satisfaction with the treatment effect was better in the DEX group than that in the NS group (P < 0.001). The general vital signs in the two groups were stable during the treatment. The drowsiness rate in the NS group was higher than that in the DEX group (P < 0.001).ConclusionIntranasal DEX can significantly improve pre-operative anxiety and insomnia.Clinical Trial RegistrationThis study was registered on Chinese Clinical Trial Registry (http://www.chictr.org.cn/searchproj.aspx, ChiCTR2100044747).

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Section: Methodsmentioning

confidence: 99%

“…( 5 ). The incidence of pre-operative insomnia is 37–38.2% ( 6 , 7 ). Such a high incidence requires clinicians' additional attention to provide more efficacious treatments for patients with insomnia.…”

Section: Introductionmentioning

confidence: 99%

Intranasal Dexmedetomidine for the Treatment of Pre-operative Anxiety and Insomnia: A Prospective, Randomized, Controlled, and Clinical Trial

et al. 2022

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“…Patients' apprehensions about impending surgery negatively impact preoperative sleep duration and efficiency. Moreover, erroneous beliefs about sleep increase the likelihood of PSD (Wang et al, 2020). Conversely, higher levels of self-esteem and positive coping attitudes towards illness can mitigate preoperative insomnia (Sun et al, 2020).…”

Section: Antecedentsmentioning

confidence: 99%

Perioperative Sleep Disturbance in Surgical Patients: A Concept Analysis

Yuan,

Ju,

Zhang

et al. 2024

Clin Nurs Res

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To investigate and define the concept of perioperative sleep disturbance (PSD) among surgical patients, with the goal of aiding clinical practice and research. Walker and Avant’s eight-step approach of concept analysis was applied. A systematic search of English literature was conducted in the following databases: PubMed, Web of Science, and CINAHL, with a time restriction from 2010 to August 2023. Based on the 54 eligible studies, the attributes of PSD in surgical patients were identified as individualized symptom manifestation, difficulty initiating and/or maintaining sleep, and altered sleep patterns. The antecedents included poor psychological state, inaccurate perception, surgery and/or anesthesia-related physiological changes, and environmental interference. PSD in surgical patients was found to result in physical discomfort, psychological disorder, impaired neurocognitive function, and prolonged recovery. A clearly defined and distinguishable concept of PSD in surgical patients was achieved through concept analysis, which provides a conceptual basis for future development in both clinical practice and related research.

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“…Many studies have shown that sleep disorders are related to sleeprelated cognition (10)(11)(12), but the relevant mechanism is not yet clear. Harvey AG proposed a cognitive model of sleep disorders, showing that thinking activities can trigger autonomous arousal and emotional distress and excessive worry about sleep is a manifestation of dysfunctional sleep beliefs (13).…”

Section: Introductionmentioning

confidence: 99%

Investigation on sleep-related cognition of Chinese health care workers during the first wave of COVID-19 pandemic

Wang

Ji²,

Guo³

et al. 2023

Front. Psychiatry

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BackgroundThe COVID pandemic has brought tremendous negative effects on the mental health of health care workers, such as anxiety, depression, and sleep disorders. We conducted this study to evaluate the sleep-related cognition of Chinese health care workers (HCWs) during the first wave of COVID-19 pandemic and analyze its association with sleep quality, so as to provide scientific reference for improving sleep of HCWs.Patients and methodsA total of 404 HCWs from Yijishan Hospital of Wuhu City, China were enrolled in the study, selected by randomized cluster sampling in May 2020. We made a questionnaire to collect the general demographic information of the participants. The Pittsburgh Sleep Quality Index (PSQI) and a brief version of Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS-16) were used to measure sleep quality and sleep-related cognition, respectively.ResultsThe results showed that 312 HCWs (77.2%) had false beliefs and attitudes about sleep, while only 92 HCWs (22.8%) had correct beliefs about sleep. In addition, we found that those HCWs who were older, married, with a bachelor’s degree or higher, nurses, more daily working hours (> 8 h) and monthly night shifts (≥ 5 times), had higher DBAS-16 scores (all p < 0.05). However, we did not find significant differences between men and women in DBAS-16 scores. According to the definition of PSQI, a total of 1/4 of the HCWs are poor sleepers and their DBAS-16 score was higher than good sleepers (t = 7.622, p < 0.001). In the end, we confirmed a positive correlation between sleep cognition and sleep quality (r = 0.392, p < 0.01).ConclusionOur study revealed false beliefs and attitudes about sleep were prevalent among HCWs during the first wave of COVID-19 pandemic, and these false beliefs about sleep were closely correlated to sleep quality. We recommend fighting against these false beliefs about sleep.

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Risk factors for sleep quality disturbances in patients with lumbar spinal stenosis before operation

Cited by 5 publications

References 27 publications

Intranasal Dexmedetomidine for the Treatment of Pre-operative Anxiety and Insomnia: A Prospective, Randomized, Controlled, and Clinical Trial

Intranasal Dexmedetomidine for the Treatment of Pre-operative Anxiety and Insomnia: A Prospective, Randomized, Controlled, and Clinical Trial

Perioperative Sleep Disturbance in Surgical Patients: A Concept Analysis

Investigation on sleep-related cognition of Chinese health care workers during the first wave of COVID-19 pandemic

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