Effectiveness of non‐pharmacological interventions in improving sleep quality after cardiac surgery: A systematic review and meta‐analysis

医学 物理疗法 心理干预 荟萃分析 焦虑 安慰剂 音乐疗法 随机对照试验 按摩 梅德林 内科学 精神科 替代医学 政治学 法学 病理
作者
Pei Qi Peggy Soh,Wei Hao Timothy Wong,Tanushri Roy,Wilson Tam
出处
期刊:Journal of Clinical Nursing [Wiley]
被引量:1
标识
DOI:10.1111/jocn.17115
摘要

Abstract Background Sleep disturbance is highly prevalent among post‐operative cardiac patients, with negative impacts on surgical recovery and rehabilitation. Post‐operative pain and anxiety commonly seen in cardiac surgery patients are associated with poor sleep. Sleep medications commonly used are not ideal with prolonged usage, and non‐pharmacological interventions can be good alternatives or complements. Aim To examine effectiveness of non‐pharmacological interventions in post‐operative cardiac settings on sleep quality, pain intensity and anxiety. Design Systematic review and meta‐analysis. Methods PubMed, CENTRAL, Embase, CINAHL, Scopus, CNKI and ProQuest Dissertations and Theses were searched on 12 October 2022. Randomised controlled trials of non‐pharmacological interventions examining sleep quality for adult post‐operative cardiac patients were included. Included studies were appraised using Cochrane Risk of Bias tool version 1. Meta‐analysis was conducted using RevMan version 5.4.1, and heterogeneity was assessed using I 2 statistics and Cochran Q's test. Results Eighteen studies involving 1701 participants were identified. Coronary artery bypass graft was most common. Non‐pharmacological interventions varied in types and duration. All intervention groups were compared to usual care, placebo, no interventions or active comparators. Statistically significant improvement in sleep quality (SMD = −.91, 95% CI = −1.17 to −.65) was found among intervention groups that explored cognitive behavioural therapy, relaxation techniques, exercise, massage, acupressure, aromatherapy, music, eye mask and earplugs. Pain intensity was reduced (SMD = −.63, 95% CI = −1.05 to −.20) with cognitive behavioural therapy, relaxation techniques, massage, music and eye mask. Anxiety was improved (SMD = −.21, 95% CI = −.38 to −.04) with exercise and music. Conclusion The overall use of non‐pharmacological interventions can optimise sleep after cardiac surgery. Further research with greater methodological rigour is needed to investigate different intervention‐related characteristics while considering potential confounders. Relevance to Clinical Practice Post‐operative cardiac settings can consider incorporating non‐pharmacological interventions. Patients and healthcare providers can be better informed about the use of such interventions to improve sleep. Registration PROSPERO CRD42022384991.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
和谐诗柳发布了新的文献求助10
刚刚
英姑应助小娟娟采纳,获得10
1秒前
2秒前
华志文发布了新的文献求助10
3秒前
111完成签到 ,获得积分10
8秒前
kento应助柒柒采纳,获得200
11秒前
汉堡包应助cheng采纳,获得10
12秒前
13秒前
一叶知秋发布了新的文献求助10
13秒前
14秒前
胡茶茶完成签到 ,获得积分10
14秒前
gogozoco发布了新的文献求助10
16秒前
16秒前
zhaofw完成签到,获得积分10
16秒前
科研通AI2S应助leyellows采纳,获得10
17秒前
Lavender发布了新的文献求助10
18秒前
18秒前
科研通AI2S应助Yuxiao采纳,获得30
18秒前
田様应助roger采纳,获得10
19秒前
半生半熟完成签到,获得积分10
19秒前
疗伤烧肉粽完成签到,获得积分10
20秒前
酷波er应助青瓜大王采纳,获得10
20秒前
21秒前
庾磬发布了新的文献求助10
21秒前
刘大宝完成签到,获得积分20
24秒前
盒子盒子完成签到 ,获得积分10
24秒前
萌兰完成签到,获得积分10
25秒前
26秒前
视野胤完成签到,获得积分10
29秒前
王煊完成签到,获得积分10
29秒前
jinx123456完成签到,获得积分10
30秒前
科研圈圈关注了科研通微信公众号
30秒前
奇奇怪怪完成签到,获得积分10
31秒前
视野胤发布了新的文献求助10
31秒前
摸电门的猫完成签到,获得积分10
32秒前
花语完成签到,获得积分10
32秒前
斯文败类应助Lavender采纳,获得30
34秒前
YanZhe发布了新的文献求助10
35秒前
epmoct完成签到 ,获得积分10
35秒前
星辰予卓完成签到 ,获得积分10
37秒前
高分求助中
Sustainability in ’Tides Chemistry 1500
The ACS Guide to Scholarly Communication 1000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Handbook of the Mammals of the World – Volume 3: Primates 805
Ethnicities: Media, Health, and Coping 800
Historia de la ciencia jurídica europea 600
Gerard de Lairesse : an artist between stage and studio 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3069575
求助须知:如何正确求助?哪些是违规求助? 2723483
关于积分的说明 7481948
捐赠科研通 2370550
什么是DOI,文献DOI怎么找? 1257057
科研通“疑难数据库(出版商)”最低求助积分说明 609800
版权声明 596861