Sleep quality following lower extremity surgery in elderly patients

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K10716
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Fukui Prefectural University
• Principal Investigator: Arita Hiromi 福井県立大学, 看護福祉学部, 教授 (30336599)
• Co-Investigator(Kenkyū-buntansha): 藤本 悦子 関西医科大学, 看護学部, 教授 (00107947) ; 竹野 ゆかり 名古屋大学, 医学系研究科(保健), 講師 (20509088) ; 矢島 直樹 福井県立大学, 看護福祉学部, 助教 (40649208)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 睡眠 / 高齢患者 / 整形外科手術

Outline of Final Research Achievements

The purpose of this study was to investigate the sleep conditions of elderly patients who had undergone orthopedic surgery of the lower extremities from the night before surgery until one week postoperatively. Elderly patients were studied using Mattress-type sleep monitoring device (SleepscanR SL-503; Tanita Co., Tokyo) and St. Mary’s Hospital Sleep Questionnaire. Sleep patterns of patients with knee/hip surgery were showed deprivation and fragment of sleep. Sleep parameters in Lumbar spine surgery group were not significantly between before and after surgery. There was no significant difference in sleep parameters between the two groups, lumbar spine surgery and knee/hip surgery.
In the lumbar surgery group, it tended to be worse subjective sleep perception of postoperative day 6 than that before surgery.

Free Research Field

臨床看護学

Academic Significance and Societal Importance of the Research Achievements

本研究によって、ICU管理が必要な重症術後患者だけでなく、整形外科手術を受けた患者も夜間の睡眠リズムが乱れることがわかった。リハビリテーションが進んでいても睡眠障害や睡眠の満足度を得られていない患者や睡眠の乱れが回復してきても睡眠満足度は悪化したままであることが明らかになり、腰椎や膝・股関節手術後の患者の睡眠ケアの基礎資料となると考えられる。