Đặc điểm lâm sàng chất lượng giấc ngủ ở bệnh nhân cao tuổi tăng huyết áp

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Tác giả: Huỳnh Phương Nghi Dương, Thị Ngọc Yến Kim, Lan Chi Lý, Chanh Ty Néang, Thắng Nguyễn, Thị Kim Xuyến Nguyễn, Văn Thống Nguyễn, Văn Tuấn Nguyễn, Hữu Tín Triệu, Sơn Tùng Vũ

Ngôn ngữ: vie

Ký hiệu phân loại: 612.1 Blood and circulation

Thông tin xuất bản: Tạp chí nghiên cứu y học, 2021

Mô tả vật lý: 45-54

Bộ sưu tập: Metadata

ID: 489336

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Tóm tắt
Chủ đề

Rối loạn giấc ngủ là nguyên nhân quan trọng làm giảm khả năng kiểm soát huyết áp và là yếu tố dự báo về trầm cảm và ý định tự sát ở người cao tuổi. Để có được cái nhìn tổng quát về đặc điểm lâm sàng chất lượng giấc ngủ, một khảo sát cắt ngang được thực hiện dựa trên theo thang đo PSQI cho 306 bệnh nhân nội trú. Tuổi trung bình của đối tượng nghiên cứu là 75,26 ± 8,44 tuổi, nữ giới chiếm 70,3%. Tỷ lệ chất lượng giấc ngủ kém là 83,3%. Về lâm sàng, thời lượng ngủ trung bình của bệnh nhân là 5,0 ± 1,9 giờ mỗi đêm, hiệu quả giấc ngủ dưới 65% chiếm 45,8%. Các vấn đề phổ biến gây gián đoạn giấc ngủ là tỉnh dậy lúc nửa đêm (92,5%), thức dậy đi vệ sinh (92,2%), không thể ngủ được trong vòng 30 phút (88,2%) và khoảng ½ bệnh nhân gặp rối loạn chức năng ban ngày. Các bác sỹ lâm sàng cần tầm soát, điều trị rối loạn giấc ngủ bên cạnh kiểm soát tốt huyết áp, nhằm nâng cao sức khỏe thể chất và tinh thần cho bệnh nhân.Sleep disturbance is important to control blood pressure and is a predictor of depression and suicidal ideation in the elderly. To get an overview of the clinical characteristics of sleep quality, a cross-sectional survey was performed based on the PSQI scale for 306 inpatients. The average age of the participants was 75.26 ± 8.44 years old, female accounted for 70.3%. The rate of poor sleep quality was 83.3%. Clinically, the average sleep duration of patients is 5.0 ± 1.9 hours per night, và lt
65% sleep efficiency is accounted for 45.8%. Common sleep disruption problems were waking up in the middle of the night (92.5%), going to the bathroom (92.2%), not being able to fall asleep within 30 minutes (88.2%), and about half of patients experiencing daytime dysfunction. We suggest the need for clinicians to screen and treat sleep disorders in addition to good blood pressure control, in order to improve the physical and mental health of ederly patients.

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