Current status and influencing factors of sleep quality in patients after knee arthroscopy_West China Medical Journal

Authors：

ZENG Zhen , LIU Li , YANG Xuetao ,  LI Pengcheng

Sports Medical Center of Orthopaedics Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Pengcheng, Email: 16699411@qq.com

Keywords：

Knee arthroscopy; Mindfulness level; Sleep disorder

DOI：

10.7507/1002-0179.201812206

Video：

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Objective To investigate the relative factors of sleep disorders in patients after arthroscopic knee surgery.Methods The clinical data of 155 patients undergoing arthroscopic knee surgery in West China Hospital of Sichuan University from October 1st 2017 to April 1st 2018 were analyzed. The sleep quality index was assessed by the Pittsburgh Sleep Quality Index. According to the scores, the patients were divided into two groups: the sleep disorder group and the non-sleep disorder group. Mindfulness level were evaluated by Mindful Attention Awareness Scale (MAAS). The binary logistic regression was used to assess the relationship between MAAS and sleep disorders.Results Among the enrolled cases, there were 135 males and 20 females, with an average age of (34.12±12.13) years; 64 patients had poor sleep quality. The results of univariate analysis showed that the payment method, single or bilateral lesions, and MAAS score were the factors affecting sleep (P<0.05). The results of multivariate analysis indicated that with medical insurance [odds ratio (OR)=0.118, 95% confidence interval (CI) (0.021, 0.671), P=0.016], postoperative pain [OR=3.379, 95%CI (1.164, 9.812), P=0.025], bilateral lesions [OR=3.842, 95%CI (1.040, 14.191), P=0.044], and MAAS score ≥68 [OR=0.046, 95%CI (0.018, 0.121), P<0.001] were independent predictive factors for sleep disorders (P<0.05). Conclusion Postoperative pain reduction and mindfulness training may improve the patients’ sleep quality and reduce the incidence of sleep disorders.

Citation： ZENG Zhen, LIU Li, YANG Xuetao, LI Pengcheng. Current status and influencing factors of sleep quality in patients after knee arthroscopy. West China Medical Journal, 2019, 34(6): 649-652. doi: 10.7507/1002-0179.201812206 Copy

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16.	郑红卫, 徐小燕, 池燕玲. 正念锻炼对慢性肾病患者睡眠质量的影响. 中华现代护理杂志, 2014, 20(35): 4473-4475.
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18.	黎银焕, 周燕斌. 肿瘤相关睡眠障碍的研究现状. 国际内科学杂志, 2009, 36(6): 337-342.
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1. 唐四桂. 骨科老年患者术后认知功能障碍现状及护理研究进展. 微创医学, 2016, 11(4): 562-564, 568.
2. 李笑芬, 吴桂荣, 杨丽, 等. 骨科患者术后睡眠障碍的原因及护理进展. 保健文汇, 2018(1): 111.
3. 李敏清, 张广清. 骨科患者术后睡眠障碍的原因及护理进展. 光明中医, 2016, 31(19): 2897-2900.
4. 卢红梅, 康佳迅, 赵瑞. 癌症患者正念水平与睡眠质量的相关性研究. 中华现代护理杂志, 2017, 23(31): 3999-4002.
5. 赵东芳, 穆红, 刘均娥. 骨科患者睡眠状况调查及影响因素分析. 中华护理教育, 2007, 4(2): 85-88.
6. 李同爱, 郭鑫. 骨科术后患者失眠的原因与护理(附220例报告). 临床误诊误治, 2009, 22(2): 83-84.
7. Serbest S, Tiftikçi U, Askın A, et al. Preoperative and post-operative sleep quality evaluation in rotator cuff tear patients. Knee Surg Sports Traumatol Arthrosc, 2017, 25(7): 2109-2113.
8. Kunze KN, Leong NL, Beck EC, et al. Hip arthroscopy for femoroacetabular impingement improves sleep quality postoperatively. Arthroscopy, 2019, 35(2): 461-469.
9. Keng SL, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Rev, 2011, 31(6): 1041-1056.
10. Greeson J, Brantley J, Ekblad A, et al. Mechanisms linking mindfulness, emotional experience, and sleep quality. EXPLORE, 2009, 5(3): 161-162.
11. Ong JC, Shapiro SL, Manber R. Mindfulness meditation and cognitive behavioral therapy for insomnia: a naturalistic 12-month follow-up. Explore (NY), 2009, 5(1): 30-36.
12. Howell AJ, Nancy L, Digdon, et al. Mindfulness predicts sleep-related self-regulation and well-being. Pers Individ Dif, 2010, 48(4): 419-424.
13. Zeidan F, Gordon NS, Merchant J, et al. The effects of brief mindfulness meditation training on experimentally induced pain. J Pain, 2010, 11(3): 199-209.
14. Grant JA, Rainville P. Pain sensitivity and analgesic effects of mindful states in Zen meditators: a cross-sectional study. Psychosom Med, 2009, 71(1): 106-114.
15. Jermann F, Billieux J, Larøi F, et al. Mindful Attention Awareness Scale (MAAS): psychometric properties of the French translation and exploration of its relations with emotion regulation strategies. Psychol Assess, 2009, 21(4): 506-514.
16. 郑红卫, 徐小燕, 池燕玲. 正念锻炼对慢性肾病患者睡眠质量的影响. 中华现代护理杂志, 2014, 20(35): 4473-4475.
17. 汪雪梅, 陈艳芳, 匡蕾蕾, 等. 护理干预对鼻咽癌患者放射治疗期间睡眠质量的影响. 中华护理杂志, 2012, 47(10): 900-902.
18. 黎银焕, 周燕斌. 肿瘤相关睡眠障碍的研究现状. 国际内科学杂志, 2009, 36(6): 337-342.
19. Desrosiers A, Klemanski DH, Nolen-Hoeksema S. Mapping mindfulness facets onto dimensions of anxiety and depression. Behav Ther, 2013, 44(3): 373-384.
20. 刘娟. 正念训练对大学生实验室应激条件下的焦虑情绪的干预效果. 北京: 首都师范大学, 2012.
21. 龚湖萍, 魏清风, 张世慧, 等. 正念减压训练对肠造口患者睡眠质量和生活质量影响的效果评价. 护理学报, 2017, 24(6): 5-8.

West China Medical Journal

Current status and influencing factors of sleep quality in patients after knee arthroscopy

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