Sleeping better after heart surgery: natural methods in the test

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Schlafqualität nach Herz-OPs lässt sich durch nicht-medik. Methoden steigern! Mehr dazu in unserer Studie. #Gesundheit #HerzOP
Sleep quality according to cardiac surgeries can be done through non-medication. Increase methods! More on this in our study. #Gesundheit #herzop (Symbolbild/natur.wiki)

sleep disorders are a widespread problem in patients after heart surgery, which has a negative effect on recovery after the operation and rehabilitation. Usual sleep medication are not ideal for long-term use, and non-pharmacological treatments could represent sensible alternatives or additions. This study examined the effectiveness of such non-pharmacological measures with regard to sleep quality, the intensity of the pain and anxiety in patients after heart surgery.

The effects of non-pharmacological interventions on sleep quality after heart surgery were evaluated by a systematic overview and meta-analysis that deals with the effect of non-pharmacological interventions. The evaluation of 18 studies with 1701 participants showed that methods such as cognitive behavioral therapy, relaxation techniques, movement, massage, acupressure, aromatherapy, music therapy, as well as the use of eye masks and earplugs , which can significantly improve sleep quality, pain intensity and anxiety.

This findings indicate that the use of non-pharmacological measures can optimize the quality of sleep after heart surgery. However, further research with larger methodological rigor is required for even more precise evidence. In clinical practice, these results could contribute to the fact that such interventions are increasingly included in the care of patients after heart surgery in order to improve the quality of sleep. For patients and health service providers, this offers the opportunity to better inform about the advantages of these interventional approaches.

Basic terms:

  • non-pharmacological interventions: treatment methods that do without medication.
  • cognitive behavioral therapy: A psychotherapeutic method that aims to identify and change harmful thinking patterns.
  • relaxation techniques: procedure used to reduce stress and tension, e.g. breathing exercises or progressive muscle relaxation.
  • acupressure: a form of therapy from traditional Chinese medicine, which acts through pressure on certain parts of the body.
  • aromatherapy: The use of essential oils to promote health and well -being.
In summary, these examinations offer promising approaches to support the recovery of patients after heart surgery by non-pharmacological methods. They emphasize the importance of further research to ensure the optimal integration of these interventions into clinical practice.

increase in sleep quality through non-pharmacological interventions in postoperative cardiac patients

Systematic review and meta analysis aimed to examine the effectiveness of non-pharmacological interventions on sleep quality, pain intensity and fear in postoperative cardiac patients. A total of 18 studies with 1701 participants compared various non-pharmacological approaches and their effects on recovery after a heart operation.

methodology of the study

  • A comprehensive search for literature in databases such as Pubmed, Central, Embase, Cinahl, Scopus, CNKI and PROQUEST Dissertations and Theses on October 12, 2022.
  • included were randomized controlled studies that examined the effectiveness of non-pharmacological interventions to improve sleep quality in adult postoperative cardiac patients.
  • To assess the risk of distortions (Bias), the authors used the Cochrane risk of bias tool version 1.
  • For the meta-analysis, the Software Revman version 5.4.1 was used, while the heterogeneity of the study results was evaluated using I-statistics and Cochran-Q test.

results

The majority of the patients involved had undergone a coronary bypass operation. The examined non-pharmacological interventions included cognitive behavioral therapy, relaxation techniques, movement, massage, acupressure, aromatherapy, music as well as the use of eye masks and earplugs that were tested compared to the usual care, placebos, no intervention or active comparison groups.

  • In the Interventions, a statistically significant improvement in sleep quality (Standard Mean Difference (SMD) = -0.91, 95% confidence interval (KI) = -1.17 to -0.65) was found.
  • A reduction in pain intensity was also reported (SMD = -0.63, 95% KI = -1.05 to -0.20) in groups that received cognitive behavioral therapy, relaxation techniques, massage, music and eye masks.
  • an improvement in fear levels was achieved through movement and music (SMD = -0.21, 95% KI = -0.38 to -0.04).

conclusion and clinical relevance

The study comes to the conclusion that the use of non-pharmacological interventions can optimize sleep quality after heart surgery. However, it is pointed out to the need for further research with greater methodological stricts in order to examine various intervention -specific features taking into account potential disruptive factors. The results underline the importance of the use of non-pharmacological measures in postoperative cardiac care to support recovery and improve the quality of life of the patient.

Link to the external source of research: https://pubmed.nlm.nih.gov/38477050