지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.8
- 수록면
- 66 - 71 (6page)
- DOI
- 10.13078/jsm.210016
이용수
초록· 키워드
오류제보하기
Sleep disturbances are common among patients admitted to the intensive care unit (ICU); however, these issues tend to receive less attention because critical care is prioritized in seriously ill patients. Recent studies have reported that sleep disturbances in patients admitted to the ICU are associated with delirium, weakened immunity, long-term cognitive decline, and persistent sleep disorders. Sleep disturbances in the ICU are attributable to the disease per se and also to the ICU environment that is not conducive to good sleep.
Continuous exposure to light and noise are major environmental risk factors that disrupt the circadian rhythm and interfere with deep sleep. Sleep analysis using polysomnography in patients admitted to the ICU typically reveals increase in sleep latency, sleep fragmentation, and decreased stage N3 and rapid eye movement sleep, which are associated with poor prognosis even in patients with severe neurological conditions, including traumatic brain injury and intracranial hemorrhage. Polysomnography is the gold standard for objective evaluation of sleep; however, its applicability is limited in ICU settings, and novel methods such as continuous electroencephalographic spectral analysis and actigraphy have recently been proposed in clinical practice. Efforts to reduce nighttime light and noise (which are modifiable environmental factors) can improve sleep quality. In this article, the author reviews the studies that discuss characteristics of sleep disturbances, the associated risk factors and their correlation with prognosis among patients admitted to the ICU, as well as possible strategies to improve sleep quality in this patient population.
목차
등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
A. B. Newman / 2001 / Relation of Sleep-disordered Breathing to Cardiovascular Disease Risk Factors : The Sleep Heart Health Study / American Journal of Epidemiology 154(1):50~59
Faith S. Luyster / 2012 / Sleep: A Health Imperative / Sleep 35(6):727~734
John W. Devlin / 2018 / Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU / Critical Care Medicine 46(9):e825~e873
H. C. Boesen / 2016 / Sleep and delirium in unsedated patients in the intensive care unit / Acta Anaesthesiologica Scandinavica 60(1):59~68
Penelope A. Bryant / 2004 / Sick and tired: does sleep have a vital role in the immune system? / Nature Reviews Immunology 4(6):457~467
Faith S. Luyster / 2012 / Sleep: A Health Imperative / Sleep 35(6):727~734
John W. Devlin / 2018 / Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU / Critical Care Medicine 46(9):e825~e873
H. C. Boesen / 2016 / Sleep and delirium in unsedated patients in the intensive care unit / Acta Anaesthesiologica Scandinavica 60(1):59~68
Penelope A. Bryant / 2004 / Sick and tired: does sleep have a vital role in the immune system? / Nature Reviews Immunology 4(6):457~467
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