Perioperative Sleep Disorder: A Review.

Dandan Lin,Yi Sun,Xiao Huang,Changwei Wei,Anshi Wu

doi:10.3389/fmed.2021.640416

Dandan Lin, Yi Sun + Show 3 more

Open Access

https://doi.org/10.3389/fmed.2021.640416

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Abstract

Patients in the perioperative period usually present with different types and degrees of sleep disorders, which can severely affect their post-operative outcomes. Multiple risk factors may lead to the occurrence of perioperative sleep disorders, including personal factors, psychological factors, surgery factors, and environmental factors. In this review, we summarize the potential risk factors for perioperative sleep disorders during hospitalization. And it also provides an overview of perioperative outcomes and potential therapeutic prevention of perioperative sleep disorders. However, the further search is necessary to investigate the effectiveness and safety of preventions in the clinical practice and push forward the therapies.

Highlights

Sleep is one of the human basic physiological needs
Subjective sleep quality assessment is mainly measured by the scales, the Pittsburgh Sleep Quality Index questionnaire (PSQI), Insomnia
Pre-operative insomnia severity was significantly correlated with post-operative pain

Summary

INTRODUCTION

Sleep is one of the human basic physiological needs. Sleep disorders, which can occur short term or long term in the perioperative period, affect a large number of patients undergoing surgery. Sleep disorders can adversely affect patient recovery, increase the incidence of post-operative neurological outcomes and pain, and decrease hospitalization satisfaction. Halle reported that 49.7% of patients undergoing lung cancer surgery had sleep disturbance at 1 year post-operatively [3]. Patients have a high incidence of post-operative sleep disturbance, while preoperative sleep disturbance predicts opioid use [6]. Subjective sleep quality assessment is mainly measured by the scales, the Pittsburgh Sleep Quality Index questionnaire (PSQI), Insomnia. PSQI could evaluate seven areas of sleep, which include subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction over the last month. The PSQI is used to evaluate sleep quality in 1 month As another assessment of sleep quality, ISI is a self-rating scale measuring insomnia symptoms and consequences.

Objective assessment

Findings

CONCLUSION