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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Abstract Full text Figures/Tables Video References Cited by

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.	中華外科雜志編輯部. 頸椎病的分型、診斷及非手術治療專家共識(2018). 中華外科雜志, 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, 郭錦麗, 程宏, 等. 骨科患者圍術期睡眠質量的調查及影響因素分析. 世界睡眠醫學雜志, 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.	陳佳麗, 寧寧, 李佩芳, 等. 協同創新在加速康復外科圍手術期管理中的應用進展. 華西醫學, 2017, 32(9): 1317-1319.
8.	陳佳麗, 寧寧, 屈俊宏, 等. 骨科加速康復外科新視角. 華西醫學, 2018, 33(9): 1068-1072.
9.	屈俊宏, 寧寧, 李佩芳, 等. 脊柱外科入院患者情緒障礙調查研究. 華西醫學, 2017, 32(9): 1347-1350.
10.	姚梅, 寧寧, 李佩芳, 等. 加速康復外科在脊髓型頸椎病患者圍手術期心理管理中的應用研究. 華西醫學, 2017, 32(9): 1351-1354.
11.	屈俊宏, 寧寧, 李佩芳, 等. 基于加速康復外科的骨科心理睡眠管理模式構建及效果評價. 華西醫學, 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, G?tzsche 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.	黎宜飛, 費詩琪, 石元洪. 睡眠障礙在圍產期抑郁發病中的作用研究進展. 中國民康醫學, 2022, 34(1): 150-152.
17.	尹美玲, 孫曉媛, 岳利峰, 等. 基于文獻計量學的國內外睡眠障礙研究現狀與熱點分析. 世界科學技術-中醫藥現代化, 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, 翁習生, 廖刃, 等. 中國髖、膝關節置換術加速康復—圍術期疼痛與睡眠管理專家共識. 中華骨與關節外科雜志, 2016, 9(2): 91-97.
20.	張嬋. 失眠的原因. 中國實用鄉村醫生雜志, 2017, 24(5): 8-10.
21.	陳輝. 精神分裂癥共病失眠患者的睡眠認知特征及相關影響因素. 世界睡眠醫學雜志, 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, 張淑娟, 雷冰冰, 等. 慢性失眠癥病因及相關危險因素分析. 世界睡眠醫學雜志, 2019, 6(5): 532-535.
24.	中華醫學會神經病學分會, 中華醫學會神經病學分會睡眠障礙學組. 中國成人失眠診斷與治療指南(2017 版). 中華神經科雜志, 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.	Ibá?ez 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, ?iaková 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, 王貝宇, 等. 頸椎前路手術加速康復外科實施流程專家共識. 中華骨與關節外科雜志, 2019, 12(7): 486-497.
37.	徐鋒. 異丙嗪聯合天麻素血塞通治療頸椎病所致眩暈癥的效果. 家庭醫藥, 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. 多種藥物聯合用于預防全身麻醉后的嘔吐. 中國社區醫師, 2016, 32(32): 32, 34.
40.	劉芳, 賈文成, 孫亞蘭. 支持性心理聯合認知行為干預在脊髓型頸椎病手術患者中的應用. 醫學臨床研究, 2021, 38(2): 310-313.
41.	顧越, 童輝杰. 冥想對積極情緒的調節作用綜述. 醫學與哲學, 2021, 42(1): 48-53.
42.	孫焱, 陳宏祺. 國際冥想研究的現狀及演進動態分析. 中華醫學圖書情報雜志, 2021, 30(1): 67-73.
43.	馬翠芹, 施亦赟, 李五妹, 等. 自制改良型頸椎枕在頸椎病患者術后的應用. 護理學報, 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.	王開, 段光友, 趙鵬, 等. 右美托咪定術中持續泵注對脊柱手術患者術后睡眠質量的改善作用. 第三軍醫大學學報, 2020, 42(10): 1002-1007.
48.	蔣鐵均. 醫院鎮痛、鎮靜用藥的管理現狀與認知度調查. 中醫藥管理雜志, 2021, 29(18): 40-42.

1. 中華外科雜志編輯部. 頸椎病的分型、診斷及非手術治療專家共識(2018). 中華外科雜志, 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, 郭錦麗, 程宏, 等. 骨科患者圍術期睡眠質量的調查及影響因素分析. 世界睡眠醫學雜志, 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. 陳佳麗, 寧寧, 李佩芳, 等. 協同創新在加速康復外科圍手術期管理中的應用進展. 華西醫學, 2017, 32(9): 1317-1319.
8. 陳佳麗, 寧寧, 屈俊宏, 等. 骨科加速康復外科新視角. 華西醫學, 2018, 33(9): 1068-1072.
9. 屈俊宏, 寧寧, 李佩芳, 等. 脊柱外科入院患者情緒障礙調查研究. 華西醫學, 2017, 32(9): 1347-1350.
10. 姚梅, 寧寧, 李佩芳, 等. 加速康復外科在脊髓型頸椎病患者圍手術期心理管理中的應用研究. 華西醫學, 2017, 32(9): 1351-1354.
11. 屈俊宏, 寧寧, 李佩芳, 等. 基于加速康復外科的骨科心理睡眠管理模式構建及效果評價. 華西醫學, 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, G?tzsche 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. 黎宜飛, 費詩琪, 石元洪. 睡眠障礙在圍產期抑郁發病中的作用研究進展. 中國民康醫學, 2022, 34(1): 150-152.
17. 尹美玲, 孫曉媛, 岳利峰, 等. 基于文獻計量學的國內外睡眠障礙研究現狀與熱點分析. 世界科學技術-中醫藥現代化, 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, 翁習生, 廖刃, 等. 中國髖、膝關節置換術加速康復—圍術期疼痛與睡眠管理專家共識. 中華骨與關節外科雜志, 2016, 9(2): 91-97.
20. 張嬋. 失眠的原因. 中國實用鄉村醫生雜志, 2017, 24(5): 8-10.
21. 陳輝. 精神分裂癥共病失眠患者的睡眠認知特征及相關影響因素. 世界睡眠醫學雜志, 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, 張淑娟, 雷冰冰, 等. 慢性失眠癥病因及相關危險因素分析. 世界睡眠醫學雜志, 2019, 6(5): 532-535.
24. 中華醫學會神經病學分會, 中華醫學會神經病學分會睡眠障礙學組. 中國成人失眠診斷與治療指南(2017 版). 中華神經科雜志, 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. Ibá?ez 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, ?iaková 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, 王貝宇, 等. 頸椎前路手術加速康復外科實施流程專家共識. 中華骨與關節外科雜志, 2019, 12(7): 486-497.
37. 徐鋒. 異丙嗪聯合天麻素血塞通治療頸椎病所致眩暈癥的效果. 家庭醫藥, 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. 多種藥物聯合用于預防全身麻醉后的嘔吐. 中國社區醫師, 2016, 32(32): 32, 34.
40. 劉芳, 賈文成, 孫亞蘭. 支持性心理聯合認知行為干預在脊髓型頸椎病手術患者中的應用. 醫學臨床研究, 2021, 38(2): 310-313.
41. 顧越, 童輝杰. 冥想對積極情緒的調節作用綜述. 醫學與哲學, 2021, 42(1): 48-53.
42. 孫焱, 陳宏祺. 國際冥想研究的現狀及演進動態分析. 中華醫學圖書情報雜志, 2021, 30(1): 67-73.
43. 馬翠芹, 施亦赟, 李五妹, 等. 自制改良型頸椎枕在頸椎病患者術后的應用. 護理學報, 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. 王開, 段光友, 趙鵬, 等. 右美托咪定術中持續泵注對脊柱手術患者術后睡眠質量的改善作用. 第三軍醫大學學報, 2020, 42(10): 1002-1007.
48. 蔣鐵均. 醫院鎮痛、鎮靜用藥的管理現狀與認知度調查. 中醫藥管理雜志, 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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