眼罩和耳塞与睡眠建议宣传单在改善孕期夜间睡眠时间方面的比较：随机对照试验。

IF 5.3 2区医学 Q1 CLINICAL NEUROLOGY

Sleep Pub Date : 2023-12-11 DOI:10.1093/sleep/zsad196

Farah Gan, Muginrarao Sooriappragasarao, Sofiah Sulaiman, Nuguelis Razali, Jesrine Gek Shan Hong, Peng Chiong Tan

{"title":"眼罩和耳塞与睡眠建议宣传单在改善孕期夜间睡眠时间方面的比较：随机对照试验。","authors":"Farah Gan, Muginrarao Sooriappragasarao, Sofiah Sulaiman, Nuguelis Razali, Jesrine Gek Shan Hong, Peng Chiong Tan","doi":"10.1093/sleep/zsad196","DOIUrl":null,"url":null,"abstract":"Study objectives: To evaluate at-home use of eye-mask and earplugs (EMEP) versus sleep hygiene advice leaflet (AL) on actigraphy-derived night sleep duration in sleep-deprived pregnant women.Methods: A randomized controlled trial was conducted in the antenatal clinic of University Malaya Medical Centre from June 2021 to June 2022. Women at 34-36 weeks gestation with self-reported night sleep duration ≤6 hours were recruited. Participants wore an actigraphy device at night for seven consecutive nights (Observation/Baseline week). Only women whose actigraphy-derived night sleep duration was confirmed to be ≤360 minutes were randomized to use EMEP or AL. Actigraphy was continued for another week (Intervention week). Primary outcome was change in actigraphy-derived night sleep duration from observation to intervention week across trial arms. Secondary outcomes include participants' sleep quality, labor, and neonatal outcome. Comparisons were by Student t-test, Mann-Whitney U test, and chi-square test.Results: A total of 210 women were randomized: 105 each to EMEP and AL. The increase in night sleep duration over baseline was significantly longer with both EMEP (mean ± SD) 23 ± 41 minutes, p < .001, and AL 10 ± 35 minutes, p = .007. Night sleep duration was longer by 12.9 (95% CI = 2.2 to 23.7) minutes, p = .019 with EMEP over AL. Sleep quality (Global Pittsburgh Sleep Quality Index score) was significantly improved with EMEP (mean ± SD) -2.0 ± 2.5, p < .001, but not with AL -0.3 ± 2.2, p = .246. Labor and neonatal outcomes were not significantly different.Conclusion: EMEP significantly lengthened night sleep duration in sleep-deprived women in late pregnancy and is superior to AL.Clinical trial information: \"Use of eye masks and earplugs compared with standard advice to improve sleep in pregnancy\". https://doi.org/10.1186/ISRCTN19061849. Registered with ISRCTN on 07 May 2021, trial identification number: ISRCTN19061849.","PeriodicalId":49514,"journal":{"name":"Sleep","volume":null,"pages":null},"PeriodicalIF":5.3000,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Eye-mask and earplugs compared with sleep advice leaflet to improve night sleep duration in pregnancy: a randomized controlled trial.\",\"authors\":\"Farah Gan, Muginrarao Sooriappragasarao, Sofiah Sulaiman, Nuguelis Razali, Jesrine Gek Shan Hong, Peng Chiong Tan\",\"doi\":\"10.1093/sleep/zsad196\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Study objectives: To evaluate at-home use of eye-mask and earplugs (EMEP) versus sleep hygiene advice leaflet (AL) on actigraphy-derived night sleep duration in sleep-deprived pregnant women.Methods: A randomized controlled trial was conducted in the antenatal clinic of University Malaya Medical Centre from June 2021 to June 2022. Women at 34-36 weeks gestation with self-reported night sleep duration ≤6 hours were recruited. Participants wore an actigraphy device at night for seven consecutive nights (Observation/Baseline week). Only women whose actigraphy-derived night sleep duration was confirmed to be ≤360 minutes were randomized to use EMEP or AL. Actigraphy was continued for another week (Intervention week). Primary outcome was change in actigraphy-derived night sleep duration from observation to intervention week across trial arms. Secondary outcomes include participants' sleep quality, labor, and neonatal outcome. Comparisons were by Student t-test, Mann-Whitney U test, and chi-square test.Results: A total of 210 women were randomized: 105 each to EMEP and AL. The increase in night sleep duration over baseline was significantly longer with both EMEP (mean ± SD) 23 ± 41 minutes, p < .001, and AL 10 ± 35 minutes, p = .007. Night sleep duration was longer by 12.9 (95% CI = 2.2 to 23.7) minutes, p = .019 with EMEP over AL. Sleep quality (Global Pittsburgh Sleep Quality Index score) was significantly improved with EMEP (mean ± SD) -2.0 ± 2.5, p < .001, but not with AL -0.3 ± 2.2, p = .246. Labor and neonatal outcomes were not significantly different.Conclusion: EMEP significantly lengthened night sleep duration in sleep-deprived women in late pregnancy and is superior to AL.Clinical trial information: \\\"Use of eye masks and earplugs compared with standard advice to improve sleep in pregnancy\\\". https://doi.org/10.1186/ISRCTN19061849. Registered with ISRCTN on 07 May 2021, trial identification number: ISRCTN19061849.\",\"PeriodicalId\":49514,\"journal\":{\"name\":\"Sleep\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":5.3000,\"publicationDate\":\"2023-12-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sleep\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/sleep/zsad196\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/sleep/zsad196","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

摘要

研究目的评估在家使用眼罩和耳塞（EMEP）与睡眠卫生建议宣传单（AL）对睡眠不足孕妇夜间睡眠时间的影响：方法：2021 年 6 月至 2022 年 6 月，在马来亚大学医疗中心的产前诊所进行了一项随机对照试验。招募了自我报告夜间睡眠时间≤6 小时的 34-36 周妊娠妇女。参与者连续七个晚上（观察/基线周）在夜间佩戴动图仪。只有通过动静描记法确认夜间睡眠时间≤360 分钟的女性才会被随机分配使用 EMEP 或 AL。继续进行一周的动觉测量（干预周）。主要结果是各试验组从观察周到干预周的动图推导夜间睡眠时间的变化。次要结果包括参与者的睡眠质量、分娩和新生儿结局。比较采用学生 t 检验、曼-惠特尼 U 检验和卡方检验：共有 210 名产妇被随机分配：结果：共有 210 名产妇被随机分配，其中 EMEP 和 AL 各占 105 人。与基线相比，EMEP（平均值±标准差）和 AL（平均值±标准差）的夜间睡眠时间均显著延长（23±41分钟），P 结论：EMEP显著延长了夜间睡眠时间：EMEP可明显延长妊娠晚期睡眠不足妇女的夜间睡眠时间，且优于AL："使用眼罩和耳塞改善孕期睡眠与标准建议的比较"。https://doi.org/10.1186/ISRCTN19061849。2021 年 5 月 7 日在 ISRCTN 注册，试验识别号：ISRCTN19061849。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Eye-mask and earplugs compared with sleep advice leaflet to improve night sleep duration in pregnancy: a randomized controlled trial.

Study objectives: To evaluate at-home use of eye-mask and earplugs (EMEP) versus sleep hygiene advice leaflet (AL) on actigraphy-derived night sleep duration in sleep-deprived pregnant women.

Methods: A randomized controlled trial was conducted in the antenatal clinic of University Malaya Medical Centre from June 2021 to June 2022. Women at 34-36 weeks gestation with self-reported night sleep duration ≤6 hours were recruited. Participants wore an actigraphy device at night for seven consecutive nights (Observation/Baseline week). Only women whose actigraphy-derived night sleep duration was confirmed to be ≤360 minutes were randomized to use EMEP or AL. Actigraphy was continued for another week (Intervention week). Primary outcome was change in actigraphy-derived night sleep duration from observation to intervention week across trial arms. Secondary outcomes include participants' sleep quality, labor, and neonatal outcome. Comparisons were by Student t-test, Mann-Whitney U test, and chi-square test.

Results: A total of 210 women were randomized: 105 each to EMEP and AL. The increase in night sleep duration over baseline was significantly longer with both EMEP (mean ± SD) 23 ± 41 minutes, p < .001, and AL 10 ± 35 minutes, p = .007. Night sleep duration was longer by 12.9 (95% CI = 2.2 to 23.7) minutes, p = .019 with EMEP over AL. Sleep quality (Global Pittsburgh Sleep Quality Index score) was significantly improved with EMEP (mean ± SD) -2.0 ± 2.5, p < .001, but not with AL -0.3 ± 2.2, p = .246. Labor and neonatal outcomes were not significantly different.

Conclusion: EMEP significantly lengthened night sleep duration in sleep-deprived women in late pregnancy and is superior to AL.

Clinical trial information: "Use of eye masks and earplugs compared with standard advice to improve sleep in pregnancy". https://doi.org/10.1186/ISRCTN19061849. Registered with ISRCTN on 07 May 2021, trial identification number: ISRCTN19061849.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Sleep 医学-临床神经学

CiteScore

10.10

自引率

10.70%

发文量

1134

审稿时长

3 months

期刊介绍： SLEEP® publishes findings from studies conducted at any level of analysis, including: Genes Molecules Cells Physiology Neural systems and circuits Behavior and cognition Self-report SLEEP® publishes articles that use a wide variety of scientific approaches and address a broad range of topics. These may include, but are not limited to: Basic and neuroscience studies of sleep and circadian mechanisms In vitro and animal models of sleep, circadian rhythms, and human disorders Pre-clinical human investigations, including the measurement and manipulation of sleep and circadian rhythms Studies in clinical or population samples. These may address factors influencing sleep and circadian rhythms (e.g., development and aging, and social and environmental influences) and relationships between sleep, circadian rhythms, health, and disease Clinical trials, epidemiology studies, implementation, and dissemination research.