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：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

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

1.	唐四桂. 骨科老年患者術后認知功能障礙現狀及護理研究進展. 微創醫學, 2016, 11(4): 562-564, 568.
2.	李笑芬, 吳桂榮, 楊麗, 等. 骨科患者術后睡眠障礙的原因及護理進展. 保健文匯, 2018(1): 111.
3.	李敏清, 張廣清. 骨科患者術后睡眠障礙的原因及護理進展. 光明中醫, 2016, 31(19): 2897-2900.
4.	盧紅梅, 康佳迅, 趙瑞. 癌癥患者正念水平與睡眠質量的相關性研究. 中華現代護理雜志, 2017, 23(31): 3999-4002.
5.	趙東芳, 穆紅, 劉均娥. 骨科患者睡眠狀況調查及影響因素分析. 中華護理教育, 2007, 4(2): 85-88.
6.	李同愛, 郭鑫. 骨科術后患者失眠的原因與護理(附220例報告). 臨床誤診誤治, 2009, 22(2): 83-84.
7.	Serbest S, Tiftik?i U, Ask?n 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, Lar?i 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.	鄭紅衛, 徐小燕, 池燕玲. 正念鍛煉對慢性腎病患者睡眠質量的影響. 中華現代護理雜志, 2014, 20(35): 4473-4475.
17.	汪雪梅, 陳艷芳, 匡蕾蕾, 等. 護理干預對鼻咽癌患者放射治療期間睡眠質量的影響. 中華護理雜志, 2012, 47(10): 900-902.
18.	黎銀煥, 周燕斌. 腫瘤相關睡眠障礙的研究現狀. 國際內科學雜志, 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.	劉娟. 正念訓練對大學生實驗室應激條件下的焦慮情緒的干預效果. 北京: 首都師范大學, 2012.
21.	龔湖萍, 魏清風, 張世慧, 等. 正念減壓訓練對腸造口患者睡眠質量和生活質量影響的效果評價. 護理學報, 2017, 24(6): 5-8.

1. 唐四桂. 骨科老年患者術后認知功能障礙現狀及護理研究進展. 微創醫學, 2016, 11(4): 562-564, 568.
2. 李笑芬, 吳桂榮, 楊麗, 等. 骨科患者術后睡眠障礙的原因及護理進展. 保健文匯, 2018(1): 111.
3. 李敏清, 張廣清. 骨科患者術后睡眠障礙的原因及護理進展. 光明中醫, 2016, 31(19): 2897-2900.
4. 盧紅梅, 康佳迅, 趙瑞. 癌癥患者正念水平與睡眠質量的相關性研究. 中華現代護理雜志, 2017, 23(31): 3999-4002.
5. 趙東芳, 穆紅, 劉均娥. 骨科患者睡眠狀況調查及影響因素分析. 中華護理教育, 2007, 4(2): 85-88.
6. 李同愛, 郭鑫. 骨科術后患者失眠的原因與護理(附220例報告). 臨床誤診誤治, 2009, 22(2): 83-84.
7. Serbest S, Tiftik?i U, Ask?n 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, Lar?i 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. 鄭紅衛, 徐小燕, 池燕玲. 正念鍛煉對慢性腎病患者睡眠質量的影響. 中華現代護理雜志, 2014, 20(35): 4473-4475.
17. 汪雪梅, 陳艷芳, 匡蕾蕾, 等. 護理干預對鼻咽癌患者放射治療期間睡眠質量的影響. 中華護理雜志, 2012, 47(10): 900-902.
18. 黎銀煥, 周燕斌. 腫瘤相關睡眠障礙的研究現狀. 國際內科學雜志, 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. 劉娟. 正念訓練對大學生實驗室應激條件下的焦慮情緒的干預效果. 北京: 首都師范大學, 2012.
21. 龔湖萍, 魏清風, 張世慧, 等. 正念減壓訓練對腸造口患者睡眠質量和生活質量影響的效果評價. 護理學報, 2017, 24(6): 5-8.

West China Medical Journal

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

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content