Perioperative Sleep Disturbance in Surgical Patients: A Concept Analysis

Xi Yuan, Zhengyu Ju, Xinmei Zhang and Xuequn Yin

Clinical Nursing Research, 2024, vol. 33, issue 6, 493-501

Abstract: To investigate and define the concept of perioperative sleep disturbance (PSD) among surgical patients, with the goal of aiding clinical practice and research. Walker and Avant’s eight-step approach of concept analysis was applied. A systematic search of English literature was conducted in the following databases: PubMed, Web of Science, and CINAHL, with a time restriction from 2010 to August 2023. Based on the 54 eligible studies, the attributes of PSD in surgical patients were identified as individualized symptom manifestation, difficulty initiating and/or maintaining sleep, and altered sleep patterns. The antecedents included poor psychological state, inaccurate perception, surgery and/or anesthesia-related physiological changes, and environmental interference. PSD in surgical patients was found to result in physical discomfort, psychological disorder, impaired neurocognitive function, and prolonged recovery. A clearly defined and distinguishable concept of PSD in surgical patients was achieved through concept analysis, which provides a conceptual basis for future development in both clinical practice and related research.

Keywords: perioperative sleep disturbance; concept analysis; surgical patients; perioperative care; sleep disturbance (search for similar items in EconPapers)
Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:33:y:2024:i:6:p:493-501

DOI: 10.1177/10547738241258509

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