Ponzanelli EP, Vega RA

Language: Spanish
References: 21
Page: 362-366
PDF size: 623.97 Kb.

ABSTRACT

Introduction: hospitalization alters sleep quality (SQ), due to individual and environmental factors, especially in patients undergoing gynecological surgeries. Objective: evaluate SQ in patients who undergo gynecological surgeries that require hospitalization and identify influencing factors. Material and methods: an observational, longitudinal study was conducted on 35 gynecological patients in a private Hospital in Mexico City. Richards-Campbell Sleep Questionnaire (RCSQ) was used to measure SQ, and visual analog scale (VAS) was used to measure pain. Measures were taken pre and postoperative. Differences in these measures were analyzed across different types of gynecological surgeries. Results: postoperative pain significantly increased (p = 0.0185), but overall SQ didn’t change significantly (p = 0.1039). Nevertheless, patients who underwent hysterectomy procedures reported a significantly worse SQ compared to patients who underwent other gynecological surgical procedures (p = 0.0227). A directly proportional relationship was found between the number of surgical drainages and nurse night visits (p=0.001), but this did not affect subjective SQ. Conclusions: hysterectomized patients were associated with a worse SQ in the immediate postoperative period. Postoperative pain, nurse night visits and surgical drains did not influence the postoperative SQ perception. Improving preoperative sleep hygiene and stress management, particularly for hysterectomy patients, may enhance postoperative recovery.

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