A pragmatic evaluation of sleep patterns before gynecologic surgery

Sheizaf, Boaz; Almog, B.; Salamah, Kareemah; Shehata, Fady; Takefman, Janet; Tulandi, Togas

doi:10.1007/s10397-010-0639-3

Cited by 8 publications

(4 citation statements)

References 29 publications

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“…Surgery-related anxiety is an important problem that has also got negative repercussions and consequences before and after the procedure. Sleep disturbances, for instance, are common before gynaecological endoscopic surgery, regardless of the nature and extent of the operations [ 19 ]. Anxiety is a possible risk factor for postoperative nausea and vomiting [ 20 ].…”

Section: Resultsmentioning

confidence: 99%

Anxiety at outpatient hysteroscopy

2015

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This review summarises current understanding and research on the association between anxiety and outpatient hysteroscopy. Women undergoing hysteroscopy suffer from significant levels of anxiety, with repercussions on pain perception, success rates and satisfaction. Using validated tools such as the Spielberger State-Trait Anxiety Index (STAI) or the Hospital Anxiety and Depression Scale (HADS) in the outpatient hysteroscopy setting, average state anxiety scores similar or greater than those measured before more invasive procedures under general anaesthesia have been consistently reported. This clearly suggests a significant gap between our clinical viewpoint of what is “minimally invasive” and patients’ expectations. In spite of its potential role of confounder in studies on pain-reduction interventions, we found that patient anxiety was evaluated in only 9 (13 %) out of a sample of 70 randomised controlled trials on outpatient hysteroscopy published since 1992. Factors such as trait anxiety, age, indication and the efficiency of the clinic can be correlated to state anxiety before hysteroscopy, but more robust data are needed. Promising non-pharmacological interventions to reduce anxiety at hysteroscopy include patient education, communication through traditional or multimedia approaches, interaction and support during the procedure and music listening.

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Section: Resultsmentioning

confidence: 99%

Anxiety at outpatient hysteroscopy

2015

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“…Boaz and colleagues [13] also demonstrated that preoperative sleep is mainly disturbed at night before surgery when compared with the baseline (which was assessed six weeks earlier). Sleep quality scores were also significantly higher at night-1 than baseline in that study.…”

Section: Discussionmentioning

confidence: 98%

“…Probably it is not suitable to compare sleep disturbance of whole month activity with last night because only one sleep disturbance will be counted as a positive response. In previous studies, baseline sleep pattern was done six weeks [13] earlier while the present survey was completed on the morning of surgery.…”

Section: Discussionmentioning

confidence: 99%

Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery

Hamid

Mohammad

Ahmed

2019

Heliyon

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BackgroundSleep deprivation is considered a stress factor in the perioperative period. There are several studies on sleep disturbance after surgery but very limited literature available on preoperative sleep patterns, predictors of sleep disturbance and its effect on surgical outcome.MethodologyPatients scheduled for thoracic surgery were asked to fill out a written Pittsburgh Sleep Quality Index (PSQI) questionnaire. The primary investigator explained this form to all the patients. This was filled out before premedication for subjective assessment of sleeping pattern at two different time point. Only those patients included who spent the previous night at home. Participants were asked to respond to the questions regarding their baseline sleeping pattern and compare it with last night.ResultsTotal eighty-three patients with a mean age of 47.83 ± 17.88 were included in the study. Overall mean PSQI scores were significantly higher (p-value < 0.01) during the night before surgery (6.94 ± 2.115) when compared with baseline (3.88 ± 1.877). Sleep latency was also significantly affected when last night-1 (the night before admission) was compared with usual sleep latency. Twenty patients were unable to sleep more than 5 hrs at night before admission which was significant when compared with their last month status (20 vs 3). Logistic regression model demonstrated the age and Timing of surgery as a strong predictors of poor sleep (defined as PSQI ≥ 5).ConclusionQuality of sleep was profoundly affected at night before thoracic surgery, mainly due to a significant change in sleep latency and sleep duration. Although age and Timing of surgery were strong predictors of poor sleep we were unable to find any association between quality of sleep and type of surgery.

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“…When compared to the baseline, which was evaluated six weeks earlier, Boaz and colleagues also showed that preoperative sleep is primarily affected at night before surgery and found that night before surgery sleep quality was noticeably different than the baseline levels. Gynecology patients' preoperative sleep habits were examined at home six weeks, two days, and the night before operation [ 13 ]. Bakry et al found that immediately after having cardiac surgery, the quality of sleep was affected.…”

Section: Discussionmentioning

confidence: 99%

Sleep Pattern Changes in Patients Who Are Scheduled for Cardiac Surgery

Ahmed,

Hamid,

Yousuf

et al. 2023

Cureus

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Introduction Surgery patients frequently experience sleep deprivation, which is regarded as a stress factor during the perioperative period and can cause physical discomfort, exhaustion, and even postoperative pain. There is a dearth of information on preoperative sleep habits and the consequences that may result. There are both subjective and objective ways to rate the quality of your sleep. We chose the Pittsburgh Sleep Quality Index (PSQI), which employs a questionnaire to provide crucial information on issues like sleep length, efficiency, and interruption. Lower sleep quality is correlated with higher PSQI scores. Study objective Our study aimed to assess the changes in the sleep pattern of cardiac disease patients before cardiac surgery and compare these changes with baseline sleep patterns. Methods This prospective survey was carried out after ethical review committee approval at the Department of Anesthesia, Aga Khan University Hospital. Consent was obtained from all patients undergoing cardiac surgery. Strict inclusion and exclusion criteria were followed. All patients aged 25 to 65 who came from home for elective cardiac surgery under general anesthesia were included. At the same time, patient demographics were noted. Additionally, a printed PSQI questionnaire was distributed to each participant. The native Urdu language was also translated into this questionnaire. The patient was given an explanation of this form by a medical professional. This questionnaire was filled out by the patients on the surgical floor or preoperative area before premedication. The PSQI questionnaire was used to assess baseline sleeping patterns, and then the same questions were asked about the period between decisions for the date of surgery and the time of admission for surgery. Results A total of 83 patients participated in the study. The mean age of the patient was 57 ( ± 13.0), out of which 67 (80.7%) were males and 16 (19.3%) were females. The most common surgeries were coronary artery bypass (CABG) surgery 63 (77.8%), followed by valve replacement nine (11.1%). The overall mean PSQI score was higher (5.27) once the surgery date was decided as compared to the baseline (4.84), but it did not reach the statistically significant level (p-value 0.411). Sleep latency (time to fall asleep while in bed) was the only variable statistically significant between baseline (26.1 (±35.0) and after the surgery date has been finalized (36.1 (±46.6)). No significant differences were found in other variables like sleep quality (feeling of being well-rested), sleep duration (hours of actual sleep), sleep efficiency (sleep efficiency is the ratio of the amount of total time asleep versus the total time in bed), and sleep disturbance (problem initiating and maintaining sleep). Total bedtime was also reduced at night before surgery but did not achieve a significant level. The logistic regression model demon...

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A pragmatic evaluation of sleep patterns before gynecologic surgery

Cited by 8 publications

References 29 publications

Anxiety at outpatient hysteroscopy

Anxiety at outpatient hysteroscopy

Sleeping pattern before thoracic surgery: A comparison of baseline and night before surgery

Sleep Pattern Changes in Patients Who Are Scheduled for Cardiac Surgery

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