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首页> 外文期刊>Pain. >Quality of sleep and its daily relationship to pain intensity in hospitalized adult burn patients.
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Quality of sleep and its daily relationship to pain intensity in hospitalized adult burn patients.

机译:住院成年烧伤患者的睡眠质量及其与疼痛强度的日常关系。

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摘要

Sleep disturbances are frequently reported in victims following burn injuries. This prospective study was designed to assess sleep quality and to examine its daily relationship to pain intensity within the first week of hospitalization. Twenty-eight non-ventilated patients were interviewed during 5 consecutive mornings (number of observations=140) to collect information about perceived quality of sleep (visual analogue scale, number of hours, number of awakenings, presence of nightmares). Pain intensity was assessed at rest (nighttime, morning, during the day) and following therapeutic procedures using a 0-10 numeric scale. Seventy-five percent of patients reported sleep disturbances at some point during the study although, in most patients, sleep quality was not consistently poor. Pooled cross-section regression analyses showed significant temporal relationships between quality of sleep and pain intensity such that a night of poor sleep was followed by a significantly more painful day. Pain during the day was not found to be a significant predictor of poor sleep on the following night. These results support previous findings that perceived quality of sleep following burn injury is poor. Moreover, they show a daily relationship between quality of sleep and acute burn pain in which poor sleep is linked to higher pain intensity during the day.
机译:烧伤后的受害者经常报告有睡眠障碍。这项前瞻性研究旨在评估睡眠质量,并检查其在住院第一周内与疼痛强度之间的日常关系。在连续5个早晨(观察次数= 140)中对28名非通风患者进行了访谈,以收集有关觉察到的睡眠质量的信息(视觉模拟量表,小时数,清醒次数,噩梦)。在休息(夜间,早晨,白天)和治疗程序后,使用0-10数字刻度评估疼痛强度。尽管在大多数患者中,睡眠质量并非一直很差,但仍有75%的患者在研究期间的某个时间报告了睡眠障碍。汇总的横截面回归分析显示,睡眠质量与疼痛强度之间存在显着的时间关系,因此一夜的睡眠不足会导致一天的痛苦明显增加。没有发现白天的疼痛是第二天晚上睡眠不良的重要预兆。这些结果支持以前的发现,即烧伤后觉察到的睡眠质量差。而且,它们显示出睡眠质量和急性烧伤疼痛之间的日常关系,其中不良睡眠与白天较高的疼痛强度有关。

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