Effect Of Moderate Traumatic Brain Injury On Sleep Quality

Background Traumatic brain injury(TBI)is the major cause of death and disability in adults.TBI has long-term effects in the patient's physical,cognitive,emotional,and social fields,and their families.The incidence of sleep disorders after TBI is very high,about 46%,include excessive daytime sleepiness,insomnia,hypersomnia,circadian rhythm sleep disorders and other movement disorders and parasomnias.The causes of sleep disorders after TBI are multi-factors,including pathophysiology,psychological factors,environmental factors,and social factors.Sleep disorders can aggravate other consequences of traumatic brain injury,especially cognitive impairment,pain and fatigue.At present,domestic and foreign research pays more attention to sleep disorders in patients with brain injury after a period of time(such as 6 months,1 year),and there are few studies on sleep status during hospitalization.Moreover,within 3 months after TBI,it is the golden period of recovery of the patient.Therefore,it is necessary to analyze the sleep disorder in the early phase of patients with traumatic brain injury.Objective To define the existence of changes in sleep quality after moderate traumatic brain injury,to arouse the attention of scholars on sleep problems after traumatic brain injury,and to attract more scholars to further study the sleep disorder after traumatic brain injury.In order to achieve intervention early and improve the prognosis of patients.Methods From June 2017 to June 2018,A study was performed on 65 patients with moderate traumatic brain injury who met the inclusion criteria at the Neurosurgery Department of the first affiliated Hospital of Xinxiang Medical University were selected.Two patients were lost to follow-up.The final 63 patients were included in the study.The sleep qualityof 63 patients was evaluated by PSQI at 1 month after injury.At the same time,the sleep quality of patients was evaluated by recalling the sleep quality of one month before the injury.After the evaluation,it will be evaluated again after 1 week and 2 weeks.The cubic data is averaged and the integer is taken.To analyze whether there are changes in the sleep quality.At the same time,Logistic regression analysis is used to understand the risk factors of increased PSQI sleep score in patients with moderate traumatic brain injury.Results There were significant differences in subjective sleep quality,sleep latency,sleep efficiency,sleep disorder,daytime function and the total score of PSQI before and 1month after injury in patients with moderate traumatic brain injury(P<0.05),but there was no significant difference in the application of sleeping pills(P =0.09 > 0.05).According to professional knowledge,the patient's sleep quality deteriorates.Logistic regression analysis showed that there was a correlation between the superior hemisphere injury or subarachnoid hemorrhage and the increase of PSQI total score in patients with moderate traumatic injury(P <0.05).Conclusions Moderate traumatic brain injury reduces the quality of sleep in patients.Superior hemisphere damage and subarachnoid hemorrhage are influencing factors for the increased total score of PSQI in patients with moderate traumatic brain injury.