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
1秒前
寻桃阿玉完成签到 ,获得积分10
2秒前
天问完成签到 ,获得积分10
3秒前
huaming完成签到,获得积分10
4秒前
狼洪明完成签到,获得积分10
4秒前
雁塔完成签到 ,获得积分10
7秒前
lcsolar完成签到,获得积分10
9秒前
xiaowang完成签到,获得积分10
10秒前
而当下的完成签到,获得积分10
12秒前
Lujiokh发布了新的文献求助30
12秒前
carly完成签到 ,获得积分10
13秒前
Nicole完成签到 ,获得积分10
13秒前
SYSUer完成签到,获得积分10
13秒前
多边形完成签到 ,获得积分10
13秒前
minino完成签到 ,获得积分10
18秒前
一路狂奔等不了完成签到 ,获得积分10
19秒前
卓梨完成签到 ,获得积分10
19秒前
土狗完成签到,获得积分10
20秒前
ruuuu完成签到,获得积分10
21秒前
缓慢白曼完成签到 ,获得积分10
23秒前
xcwy完成签到,获得积分10
26秒前
Alisa完成签到 ,获得积分10
27秒前
Accepted完成签到,获得积分10
30秒前
东方欲晓完成签到 ,获得积分0
31秒前
丰富冰凡完成签到,获得积分10
31秒前
淡淡向日葵完成签到 ,获得积分10
32秒前
拓跋傲薇完成签到,获得积分10
34秒前
yuze_22完成签到,获得积分10
34秒前
Astro应助bernie1023采纳,获得10
35秒前
陈居居完成签到,获得积分10
36秒前
hahaha完成签到,获得积分10
36秒前
36秒前
小喵完成签到 ,获得积分10
41秒前
秋秋儿完成签到,获得积分10
42秒前
无忧翻书完成签到 ,获得积分10
43秒前
幸运星完成签到 ,获得积分10
44秒前
棒棒完成签到 ,获得积分10
45秒前
陈居居发布了新的文献求助30
45秒前
小张完成签到 ,获得积分10
45秒前
龙抬头完成签到,获得积分10
47秒前
高分求助中
Evolution 10000
Sustainability in Tides Chemistry 2800
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
叶剑英与华南分局档案史料 500
Foreign Policy of the French Second Empire: A Bibliography 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 3146931
求助须知:如何正确求助?哪些是违规求助? 2798176
关于积分的说明 7826946
捐赠科研通 2454756
什么是DOI,文献DOI怎么找? 1306446
科研通“疑难数据库(出版商)”最低求助积分说明 627788
版权声明 601565