TAILIEUCHUNG - Báo cáo y học: "Endothelial How did you sleep in the ICU"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Endothelial How did you sleep in the ICU? | Franck et al. Critical Care 2011 15 408 http content 15 2 408 CRITICAL CARE LETTER L_ How did you sleep in the ICU Laetitia Franck Jean-Pierre Tourtier Nicolas Libert Laurent Grasser and Yves Auroy Sleep is important for healing and survival of critical illness as far as quantitative and qualitative sleep deprivation can have negative consequences on a physiologic function particularly the immune mechanism as well as psychological well-being 1 . Patients perception of intensive care is very different depending on the study. To illustrate Simini reported frequent feelings such as pain noise sleep deprivation thirst hunger fear anxiety and isolation 2 but Granja and colleagues showed that 38 of patients did not remember at all their intensive care unit ICU stay and that 93 described the ICU environment as friendly and calm 3 . These authors also reported contrasting results Simini reported that 61 of patients had sleep deprivation in the ICU whereas sleep was described as being good and sufficient by 73 of patients in the study by Granja and colleagues. We explored the memorization of sleep disturbances during an ICU stay and then evaluated the quality of sleep reported by patients after critical care. A telephone interview including a random sample of 60 patients admitted to our ICU was performed 6 to 12 months after their discharge. Conventional intensive care variables were recorded from the ICU database and sleep disturbances were evaluated using the Basic Nordic Sleep Questionnaire 4 . Two nonvalidated questions were also analyzed one estimated the quality of sleep in the ICU while the other compared the quality of sleep before and after a stay in the ICU. Among 53 responding patients 47 remembered sleep disturbances in the ICU - among these sleep-disturbed patients 43 still declared a decreased long-term quality of sleep. In addition 30 of patients reported a worse quality of sleep after their ICU stay than before admission. No relation was .

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