Expert consensus on perioperative sleep care management for patients with cervical spondylosis_West China Medical Journal

Authors：

 Nursing Group, Professional Committee of Spine and Spinal Cord, Chinese Association of Rehabilitation Medicine ,  Nursing Group, Professional Committee of Orthopaedics, Sichuan Medical Association

Corresponding author：

Nursing Group, Professional Committee of Spine and Spinal Cord, Chinese Association of Rehabilitation Medicine, Email: gkningning@126.com; Nursing Group, Professional Committee of Orthopaedics, Sichuan Medical Association, Email: gkningning@126.com

Keywords：

Cervical spondylosis; sleep disorders; expert consensus

DOI：

10.7507/1002-0179.202208003

Video：

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The incidence of perioperative sleep disorders in patients with cervical spondylosis is high, which affects the physiological and psychological rehabilitation effect of patients after surgery. The expert consensus (preliminary draft) was prepared by summarizing expert experience and recommendations. After expert review and revision, the consensus was formed. The consensus was developed based on existing evidence-based medical evidence and expert clinical experience, which is scientific and practical and can provide a basis for clinical medical personnel to prevent and treat perioperative sleep disorders in patients with cervical spondylosis.

Citation： Nursing Group, Professional Committee of Spine and Spinal Cord, Chinese Association of Rehabilitation Medicine, Nursing Group, Professional Committee of Orthopaedics, Sichuan Medical Association. Expert consensus on perioperative sleep care management for patients with cervical spondylosis. West China Medical Journal, 2022, 37(10): 1454-1459. doi: 10.7507/1002-0179.202208003 Copy

1.	中华外科杂志编辑部. 颈椎病的分型、诊断及非手术治疗专家共识(2018). 中华外科杂志, 2018, 56(6): 401-402.
2.	Wang D, Teichtahl H. Opioids, sleep architecture and sleep-disordered breathing. Sleep Med Rev, 2007, 11(1): 35-46.
3.	Rosenberg-Adamsen S, Kehlet H, Dodds C, et al. Postoperative sleep disturbances: mechanisms and clinical implications. Br J Anaesth, 1996, 76(4): 552-559.
4.	魏晨慧, 郭锦丽, 程宏, 等. 骨科患者围术期睡眠质量的调查及影响因素分析. 世界睡眠医学杂志, 2021, 8(6): 941-944.
5.	Artner J, Cakir B, Spiekermann JA, et al. Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients. J Pain Res, 2013, 6: 1-6.
6.	Kim J, Oh JK, Kim SW, et al. Risk factors for sleep disturbance in patients with cervical myelopathy and its clinical significance: a cross-sectional study. Spine J, 2021, 21(1): 96-104.
7.	陈佳丽, 宁宁, 李佩芳, 等. 协同创新在加速康复外科围手术期管理中的应用进展. 华西医学, 2017, 32(9): 1317-1319.
8.	陈佳丽, 宁宁, 屈俊宏, 等. 骨科加速康复外科新视角. 华西医学, 2018, 33(9): 1068-1072.
9.	屈俊宏, 宁宁, 李佩芳, 等. 脊柱外科入院患者情绪障碍调查研究. 华西医学, 2017, 32(9): 1347-1350.
10.	姚梅, 宁宁, 李佩芳, 等. 加速康复外科在脊髓型颈椎病患者围手术期心理管理中的应用研究. 华西医学, 2017, 32(9): 1351-1354.
11.	屈俊宏, 宁宁, 李佩芳, 等. 基于加速康复外科的骨科心理睡眠管理模式构建及效果评价. 华西医学, 2018, 33(9): 1168-1172.
12.	Simon GE, Vonkorff M. Prevalence, burden, and treatment of insomnia in primary care. Am J Psychiatry, 1997, 154(10): 1417-1423.
13.	Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
14.	Higgins JP, Altman DG, Gøtzsche PC, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
15.	Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
16.	黎宜飞, 费诗琪, 石元洪. 睡眠障碍在围产期抑郁发病中的作用研究进展. 中国民康医学, 2022, 34(1): 150-152.
17.	尹美玲, 孙晓媛, 岳利峰, 等. 基于文献计量学的国内外睡眠障碍研究现状与热点分析. 世界科学技术-中医药现代化, 2022, 24(1): 436-445.
18.	Sateia MJ. International classification of sleep disorders-third edition highlights and modifications. Chest, 2014, 146(5): 1387-1394.
19.	沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复—围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 2016, 9(2): 91-97.
20.	张婵. 失眠的原因. 中国实用乡村医生杂志, 2017, 24(5): 8-10.
21.	陈辉. 精神分裂症共病失眠患者的睡眠认知特征及相关影响因素. 世界睡眠医学杂志, 2022, 9(3): 558-559.
22.	Honarmand K, Rafay H, Le J, et al. A systematic review of risk factors for sleep disruption in critically ill adults. Crit Care Med, 2020, 48(7): 1066-1074.
23.	滑宏巨, 张淑娟, 雷冰冰, 等. 慢性失眠症病因及相关危险因素分析. 世界睡眠医学杂志, 2019, 6(5): 532-535.
24.	中华医学会神经病学分会, 中华医学会神经病学分会睡眠障碍学组. 中国成人失眠诊断与治疗指南(2017 版). 中华神经科杂志, 2018, 51(5): 324-335.
25.	Schutte-Rodin S, Broch L, Buysse D, et al. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med, 2008, 4(5): 487-504.
26.	Smith MT, McCrae CS, Cheung J, et al. Use of actigraphy for the evaluation of sleep disorders and circadian rhythm sleep-wake disorders: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med, 2018, 14(7): 1231-1237.
27.	Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28(2): 193-213.
28.	Mollayeva T, Thurairajah P, Burton K, et al. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep Med Rev, 2016, 25: 52-73.
29.	Farah NM, Saw Yee T, Mohd Rasdi HF. Self-reported sleep quality using the Malay version of the Pittsburgh sleep quality index (PSQI-M) in Malaysian adults. Int J Environ Res Public Health, 2019, 16(23): 4750.
30.	Morin CM, Belleville G, Bélanger L, et al. The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep, 2011, 34(5): 601-608.
31.	Ibáñez V, Silva J, Cauli O. A survey on sleep questionnaires and diaries. Sleep Med, 2018, 42: 90-96.
32.	De Lima AE, Da Cunha ED, De Lima EA, et al. Environmental noise in hospitals: a systematic review. Environ Sci Pollut Res Int, 2021, 28(16): 19629-19642.
33.	Auckley D. Poor sleep in the hospital: contributing factors and interventions. (2022-01-25)[2022-06-28]. https://www.uptodate.com/contents/poor-sleep-in-the-hospital-contributing-factors-and-interventions.
34.	Wesselius HM, Van Den Ende ES, Alsma J, et al. Quality and quantity of sleep and factors associated with sleep disturbance in hospitalized patients. JAMA Intern Med, 2018, 178(9): 1201-1208.
35.	Locihová H, Axmann K, Žiaková K. Sleep-disrupting effects of nocturnal nursing interventions in intensive care unit patients: a systematic review. J Sleep Res, 2021, 30(4): e13223.
36.	丁琛, 洪瑛, 王贝宇, 等. 颈椎前路手术加速康复外科实施流程专家共识. 中华骨与关节外科杂志, 2019, 12(7): 486-497.
37.	徐锋. 异丙嗪联合天麻素血塞通治疗颈椎病所致眩晕症的效果. 家庭医药, 2017(9): 134.
38.	Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2020, 131(2): 411-448.
39.	封婷. 多种药物联合用于预防全身麻醉后的呕吐. 中国社区医师, 2016, 32(32): 32, 34.
40.	刘芳, 贾文成, 孙亚兰. 支持性心理联合认知行为干预在脊髓型颈椎病手术患者中的应用. 医学临床研究, 2021, 38(2): 310-313.
41.	顾越, 童辉杰. 冥想对积极情绪的调节作用综述. 医学与哲学, 2021, 42(1): 48-53.
42.	孙焱, 陈宏祺. 国际冥想研究的现状及演进动态分析. 中华医学图书情报杂志, 2021, 30(1): 67-73.
43.	马翠芹, 施亦赟, 李五妹, 等. 自制改良型颈椎枕在颈椎病患者术后的应用. 护理学报, 2018, 25(11): 75-77.
44.	Martin JL. Cognitive behavioral therapy for insomnia in adults. (2022-06-20)[2022-06-21]. https://www.uptodate.com/contents/cognitive-behavioral-therapy-for-insomnia-in-adults#!.
45.	Jun J, Kapella MC, Hershberger PE. Non-pharmacological sleep interventions for adult patients in intensive care Units: a systematic review. Intensive Crit Care Nurs, 2021, 67: 103124.
46.	Sun J, Kang J, Wang P, et al. Self-relaxation training can improve sleep quality and cognitive functions in the older: a one-year randomised controlled trial. J Clin Nurs, 2013, 22(9/10): 1270-1280.
47.	王开, 段光友, 赵鹏, 等. 右美托咪定术中持续泵注对脊柱手术患者术后睡眠质量的改善作用. 第三军医大学学报, 2020, 42(10): 1002-1007.
48.	蒋铁均. 医院镇痛、镇静用药的管理现状与认知度调查. 中医药管理杂志, 2021, 29(18): 40-42.

1. 中华外科杂志编辑部. 颈椎病的分型、诊断及非手术治疗专家共识(2018). 中华外科杂志, 2018, 56(6): 401-402.
2. Wang D, Teichtahl H. Opioids, sleep architecture and sleep-disordered breathing. Sleep Med Rev, 2007, 11(1): 35-46.
3. Rosenberg-Adamsen S, Kehlet H, Dodds C, et al. Postoperative sleep disturbances: mechanisms and clinical implications. Br J Anaesth, 1996, 76(4): 552-559.
4. 魏晨慧, 郭锦丽, 程宏, 等. 骨科患者围术期睡眠质量的调查及影响因素分析. 世界睡眠医学杂志, 2021, 8(6): 941-944.
5. Artner J, Cakir B, Spiekermann JA, et al. Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients. J Pain Res, 2013, 6: 1-6.
6. Kim J, Oh JK, Kim SW, et al. Risk factors for sleep disturbance in patients with cervical myelopathy and its clinical significance: a cross-sectional study. Spine J, 2021, 21(1): 96-104.
7. 陈佳丽, 宁宁, 李佩芳, 等. 协同创新在加速康复外科围手术期管理中的应用进展. 华西医学, 2017, 32(9): 1317-1319.
8. 陈佳丽, 宁宁, 屈俊宏, 等. 骨科加速康复外科新视角. 华西医学, 2018, 33(9): 1068-1072.
9. 屈俊宏, 宁宁, 李佩芳, 等. 脊柱外科入院患者情绪障碍调查研究. 华西医学, 2017, 32(9): 1347-1350.
10. 姚梅, 宁宁, 李佩芳, 等. 加速康复外科在脊髓型颈椎病患者围手术期心理管理中的应用研究. 华西医学, 2017, 32(9): 1351-1354.
11. 屈俊宏, 宁宁, 李佩芳, 等. 基于加速康复外科的骨科心理睡眠管理模式构建及效果评价. 华西医学, 2018, 33(9): 1168-1172.
12. Simon GE, Vonkorff M. Prevalence, burden, and treatment of insomnia in primary care. Am J Psychiatry, 1997, 154(10): 1417-1423.
13. Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
14. Higgins JP, Altman DG, Gøtzsche PC, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
15. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
16. 黎宜飞, 费诗琪, 石元洪. 睡眠障碍在围产期抑郁发病中的作用研究进展. 中国民康医学, 2022, 34(1): 150-152.
17. 尹美玲, 孙晓媛, 岳利峰, 等. 基于文献计量学的国内外睡眠障碍研究现状与热点分析. 世界科学技术-中医药现代化, 2022, 24(1): 436-445.
18. Sateia MJ. International classification of sleep disorders-third edition highlights and modifications. Chest, 2014, 146(5): 1387-1394.
19. 沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复—围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 2016, 9(2): 91-97.
20. 张婵. 失眠的原因. 中国实用乡村医生杂志, 2017, 24(5): 8-10.
21. 陈辉. 精神分裂症共病失眠患者的睡眠认知特征及相关影响因素. 世界睡眠医学杂志, 2022, 9(3): 558-559.
22. Honarmand K, Rafay H, Le J, et al. A systematic review of risk factors for sleep disruption in critically ill adults. Crit Care Med, 2020, 48(7): 1066-1074.
23. 滑宏巨, 张淑娟, 雷冰冰, 等. 慢性失眠症病因及相关危险因素分析. 世界睡眠医学杂志, 2019, 6(5): 532-535.
24. 中华医学会神经病学分会, 中华医学会神经病学分会睡眠障碍学组. 中国成人失眠诊断与治疗指南(2017 版). 中华神经科杂志, 2018, 51(5): 324-335.
25. Schutte-Rodin S, Broch L, Buysse D, et al. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med, 2008, 4(5): 487-504.
26. Smith MT, McCrae CS, Cheung J, et al. Use of actigraphy for the evaluation of sleep disorders and circadian rhythm sleep-wake disorders: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med, 2018, 14(7): 1231-1237.
27. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28(2): 193-213.
28. Mollayeva T, Thurairajah P, Burton K, et al. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep Med Rev, 2016, 25: 52-73.
29. Farah NM, Saw Yee T, Mohd Rasdi HF. Self-reported sleep quality using the Malay version of the Pittsburgh sleep quality index (PSQI-M) in Malaysian adults. Int J Environ Res Public Health, 2019, 16(23): 4750.
30. Morin CM, Belleville G, Bélanger L, et al. The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep, 2011, 34(5): 601-608.
31. Ibáñez V, Silva J, Cauli O. A survey on sleep questionnaires and diaries. Sleep Med, 2018, 42: 90-96.
32. De Lima AE, Da Cunha ED, De Lima EA, et al. Environmental noise in hospitals: a systematic review. Environ Sci Pollut Res Int, 2021, 28(16): 19629-19642.
33. Auckley D. Poor sleep in the hospital: contributing factors and interventions. (2022-01-25)[2022-06-28]. https://www.uptodate.com/contents/poor-sleep-in-the-hospital-contributing-factors-and-interventions.
34. Wesselius HM, Van Den Ende ES, Alsma J, et al. Quality and quantity of sleep and factors associated with sleep disturbance in hospitalized patients. JAMA Intern Med, 2018, 178(9): 1201-1208.
35. Locihová H, Axmann K, Žiaková K. Sleep-disrupting effects of nocturnal nursing interventions in intensive care unit patients: a systematic review. J Sleep Res, 2021, 30(4): e13223.
36. 丁琛, 洪瑛, 王贝宇, 等. 颈椎前路手术加速康复外科实施流程专家共识. 中华骨与关节外科杂志, 2019, 12(7): 486-497.
37. 徐锋. 异丙嗪联合天麻素血塞通治疗颈椎病所致眩晕症的效果. 家庭医药, 2017(9): 134.
38. Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2020, 131(2): 411-448.
39. 封婷. 多种药物联合用于预防全身麻醉后的呕吐. 中国社区医师, 2016, 32(32): 32, 34.
40. 刘芳, 贾文成, 孙亚兰. 支持性心理联合认知行为干预在脊髓型颈椎病手术患者中的应用. 医学临床研究, 2021, 38(2): 310-313.
41. 顾越, 童辉杰. 冥想对积极情绪的调节作用综述. 医学与哲学, 2021, 42(1): 48-53.
42. 孙焱, 陈宏祺. 国际冥想研究的现状及演进动态分析. 中华医学图书情报杂志, 2021, 30(1): 67-73.
43. 马翠芹, 施亦赟, 李五妹, 等. 自制改良型颈椎枕在颈椎病患者术后的应用. 护理学报, 2018, 25(11): 75-77.
44. Martin JL. Cognitive behavioral therapy for insomnia in adults. (2022-06-20)[2022-06-21]. https://www.uptodate.com/contents/cognitive-behavioral-therapy-for-insomnia-in-adults#!.
45. Jun J, Kapella MC, Hershberger PE. Non-pharmacological sleep interventions for adult patients in intensive care Units: a systematic review. Intensive Crit Care Nurs, 2021, 67: 103124.
46. Sun J, Kang J, Wang P, et al. Self-relaxation training can improve sleep quality and cognitive functions in the older: a one-year randomised controlled trial. J Clin Nurs, 2013, 22(9/10): 1270-1280.
47. 王开, 段光友, 赵鹏, 等. 右美托咪定术中持续泵注对脊柱手术患者术后睡眠质量的改善作用. 第三军医大学学报, 2020, 42(10): 1002-1007.
48. 蒋铁均. 医院镇痛、镇静用药的管理现状与认知度调查. 中医药管理杂志, 2021, 29(18): 40-42.

West China Medical Journal

Expert consensus on perioperative sleep care management for patients with cervical spondylosis

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