Sleep Quality After Cesarean Delivery Under Spinal Anesthesia With Intrathecal Morphine and Related Factors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 286
- 试验地点
- 1
- 主要终点
- Sleep quality
研究概览
简要总结
Surgery causes poor sleep quality for several reasons eg. increasing stress hormonal production, pain, starvation, and environmental procedure namely noise, light, and nursing procedures. Poor sleep quality also brings numerous side effects including delirium, delayed recovery, and affect breastfeeding. We, therefore, aim to elucidate the incidence of poor sleep quality in parturients undergoing cesarean delivery in the early postoperative period and investigate the factors involving poor sleep conditions.
详细描述
Surgery causes poor sleep quality for several reasons eg. increasing stress hormonal production, pain, starvation, and environmental procedure namely noise, light, and nursing procedures. Postoperative pain after cesarean delivery can be found as high as 70 percent in the first postoperative pain. Also, the side effect of anesthetic may cause poor sleep quality such as itching, nausea, and vomiting.
Poor sleep quality brings numerous side effects including delirium, delayed recovery, and affect breastfeeding. The data on obstetric patients sleep quality in the early postoperative period is scarce. We, therefore, aim to elucidate the incidence of poor sleep quality in parturients undergoing cesarean delivery in the early postoperative period and investigate the factors involving poor sleep conditions.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Age >,= 18 years, undergoing cesarean delivery
- •Receive spinal anesthesia with local anesthetic drug and intrathecal morphine
- •Understand Thai
排除标准
- •Patients receive epidural block or nerve block
- •Patients require conversion to general anesthesia with any reasons
- •Patients require endotracheal intubation with any reasons
- •Patients admit to intensive care unit in postoperative period
- •Patients with the end of operation at the time 24.00-6.00 AM
结局指标
主要结局
Sleep quality
时间窗: 24 hours postoperative
Sleep quality at the first postoperative day evaluated by Richard Campbell Sleep Questionaire- Thai version
次要结局
- Itching(24 hours postoperative)
- LATCH score(24 hours postoperative and at the discharge day)
- Nausea and vomiting score(24 hours postoperative)
- EQ-5D-5L(24 hours postoperative)
- Length of hospital stay(Through the study completion an average 3-5 days)
- Postoperative pain(24 hours postoperative)
- Neonatal weight(Postoperative day 1 and day 3)