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Prospective Assessment of Sleep Quality Before and After Primary Total Joint Replacement

机译：初级共关节置换前后睡眠质量的前瞻性评估

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摘要

Sleep disruption is a common, yet rarely addressed, complaint among patients who have undergone total joint arthroplasty (TJA). This study assessed sleep quality before and after primary TJA. A total of 105 patients who underwent primary total hip arthroplasty (THA) or total knee arthroplasty (TKA) prospectively completed questionnaires during the preoperative, early postoperative, and late postoperative periods. The survey included the Epworth Sleepiness Scale, current sleeping habits, and patient perspectives of sleep quality and duration. In the early postoperative period (4.7 +/- 2.0 weeks), patients reported significant increases in sleep disturbance as denoted by increased length of time to fall asleep (P=.006) and mean nightly awakenings (P=.002) compared with the preoperative baseline. At late postoperative follow-up (40.8 +/- 19.5 weeks), patients' sleep quality subsequently improved above the preoperative baseline. Approximately 40% of patients tried a new sleeping method postoperatively, the most common being new pillow placement. No significant differences in pre-or postoperative sleeping trends were noted between THA and TKA patients. These findings suggest transient sleep disturbance is common in the early postoperative period, with subsequent improvement by 10-month follow-up after a primary TJA. Given the growing importance of patient satisfaction in health care systems, orthopedic surgeons must manage patients' expectations while working with them to optimize sleep quality after TJA. A multimodal approach with preoperative counseling, early postoperative sleep modifications, and possibly preemptive use of medications may improve transient sleep disturbance among TJA patients.
机译：睡眠中断是一个常见的，但很少有人解决，并且在经历过整个关节成形术（TJA）的患者中抱怨。本研究评估了原发性TJA之前和之后的睡眠质量。共有105名患者接受初级髋关节置换术（THA）或全膝关节成形术（TKA）在术前，术后早期和晚期术后期间进行了调查问卷。该调查包括环购睡眠规模，当前睡眠习惯，患者睡眠质量和持续时间的耐心观点。在术后早期（4.7 +/- 2.0周）中，患者报告睡眠障碍的显着增加，因为随着时间的推移而增加的时间（p = .006）和平均觉醒（p = .002）而表示术前基线。晚期术后随访（40.8 +/- 19.5周），患者的睡眠质量随后改善了术前基线。大约40％的患者术后尝试了一种新的睡眠方法，最常见的是新的枕头放置。在THA和TKA患者之间没有注意到预先或术后睡眠趋势的显着差异。这些研究结果表明术后早期患病时期常见的睡眠障碍，随后在初级TJA后的10个月随访后随后改善。鉴于患者满意度在医疗保健系统中越来越重要，矫形外科医生必须管理患者的期望，同时与他们合作，以优化TJA后的睡眠质量。具有术前咨询，早期睡眠修饰以及可能先发制用药物的多模式方法可以改善TJA患者的瞬态睡眠障碍。

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  • 来源
    《Orthopedics》 |2017年第4期|共5页
  • 作者

    Manning Blaine T.; Kearns Sean M.; Bohl Daniel D.; Edmiston Tori; Sporer Scott M.; Levine Brett R.;

  • 作者单位

    Rush Univ Med Ctr Dept Orthopaed Surg 1611 W Harrison St Ste 300 Chicago IL 60612 USA;

    Rush Univ Med Ctr Dept Orthopaed Surg 1611 W Harrison St Ste 300 Chicago IL 60612 USA;

    Rush Univ Med Ctr Dept Orthopaed Surg 1611 W Harrison St Ste 300 Chicago IL 60612 USA;

    Rush Univ Med Ctr Dept Orthopaed Surg 1611 W Harrison St Ste 300 Chicago IL 60612 USA;

    Rush Univ Med Ctr Dept Orthopaed Surg 1611 W Harrison St Ste 300 Chicago IL 60612 USA;

    Rush Univ Med Ctr Dept Orthopaed Surg 1611 W Harrison St Ste 300 Chicago IL 60612 USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 骨科学（运动系疾病、矫形外科学）;
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