Summary of best evidence for non-pharmacological intervention of sleep disorders in patients with osteoarthritis_West China Medical Journal

Authors：

XIE Yan ¹ ,  NING Ning ² ,  CHEN Jiali ² , LI Peifang ² , HOU Ailin ² , WANG Liqun ²

1. West China Fourth Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Orthopedic Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gkningning@126.com; CHEN Jiali, Email: cjl85614115@163.com

Keywords：

Osteoarthritis; sleep disorders; non-pharmacological intervention; evidence summary; evidence-based nursing

DOI：

10.7507/1002-0179.202403108

Video：

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Objective To retrieve and summarize evidence of non-pharmacological interventions for sleep disorders in patients with osteoarthritis (OA), and to organize and evaluate the extracted evidence to provide evidence-based interventions for sleep disorders in patients with OA. Methods The relevant literature on non-pharmacological interventions for sleep disorders in patients with OA in BMJ Best Practice, UpToDate, JBI evidence-based healthcare center database, National Institute for Health and Clinical Excellence, Registered Nurses’ Association of Ontario, Guidelines International Network, Medlive guidelines network, Cochrane Library, PubMed, Web of Science, China National Knowledge Infrastructure and Wanfang was systematically searched. The search deadline was June 30th, 2024. The retrieved results were integrated and analyzed to form evidence of non pharmacological interventions for sleep disorders in patients with OA. Results A total of 13 articles were included, including 1 evidence report, 5 guidelines, 2 expert consensus papers, 3 systematic reviews, and 2 randomized controlled trials. The summarized evidence involves six aspects of sleep screening, specialist visits, assessment tools, cognitive behavioral therapy, exercise therapy, and other measures, totaling 20 pieces of evidence. Conclusion Non-pharmacological interventions for sleep disorders of patients with OA include multiple aspects, and this evidence can provide theoretical basis for developing intervention plans for sleep disorder of patients with OA, thereby improving their sleep quality and enhancing quality of life.

Citation： XIE Yan, NING Ning, CHEN Jiali, LI Peifang, HOU Ailin, WANG Liqun. Summary of best evidence for non-pharmacological intervention of sleep disorders in patients with osteoarthritis. West China Medical Journal, 2024, 39(10): 1611-1616. doi: 10.7507/1002-0179.202403108 Copy

1.	陆朋玮, 李杨. 骨关节炎患者睡眠障碍相关因素及干预研究进展. 护理学报, 2016(2): 23-26.
2.	Tang NK, Lereya ST, Boulton H, et al. Nonpharmacological treatments of insomnia for long-term painful conditions: a systematic review and meta-analysis of patient-reported outcomes in randomized controlled trials. Sleep, 2015, 38(11): 1751-1764.
3.	Selvanathan J, Pham C, Nagappa M, et al. Cognitive behavioral therapy for insomnia in patients with chronic pain - a systematic review and meta-analysis of randomized controlled trials. Sleep Med Rev, 2021, 60: 101460.
4.	Chan NY, Chan JWY, Li SX, et al. Non-pharmacological approaches for management of insomnia. Neurotherapeutics, 2021, 18(1): 32-43.
5.	Sharafkhaneh A, Salari N, Khazaie S, et al. Telemedicine and insomnia: a comprehensive systematic review and meta-analysis. Sleep Med, 2022, 90: 117-130.
6.	余新愿. 加速康复外科背景下药物睡眠管理对全膝关节置换围手术期的疗效影响分析. 银川: 宁夏医科大学, 2023.
7.	Brasure M, Fuchs E, MacDonald R, et al. Psychological and behavioral interventions for managing insomnia disorder: an evidence report for a clinical practice guideline by the american college of physicians. Ann Intern Med, 2016, 165(2): 113-124.
8.	Wang YY, Yang Y, Rao WW, et al. Cognitive behavioural therapy monotherapy for insomnia: a meta-analysis of randomized controlled trials. Asian J Psychiatr, 2020, 49: 101828.
9.	Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting, and evaluation in health care. Prev Med, 2010, 51(5): 421-424.
10.	朱政, 胡雁, 周英凤, 等. 推动证据向临床转化(五)证据临床转化研究中的文献质量评价. 护士进修杂志, 2020, 35(11): 996-1000.
11.	张方圆, 沈傲梅, 曾宪涛, 等. 系统评价方法学质量评价工具 AMSTAR 2 解读. 中国循证心血管医学杂志, 2018, 10(1): 14-18.
12.	Foster MJ, Shurtz S. Making the critical appraisal for summaries of evidence (CASE) for evidence-based medicine (EBM): critical appraisal of summaries of evidence. J Med Libr Assoc, 2013, 101(3): 192-198.
13.	曲畅, 郭海玲, 魏宇, 等. 维持性血液透析后疲乏管理最佳证据总结. 护理学报, 2021, 28(5): 43-48.
14.	Kumar A, Taggarsi M. GRADEing quality of evidence and its importance in evidence-based practice. BMJ Evid Based Med, 2021, 26(5): 228-230.
15.	王春青, 胡雁. JBI 证据预分级及证据推荐级别系统(2014 版). 护士进修杂志, 2015, 30(11): 964-967.
16.	Cunnington D, Junge M. Chronic insomnia: diagnosis and non-pharmacological management. BMJ, 2016, 355: i5819.
17.	Praharaj SK, Gupta R, Gaur N. Clinical practice guideline on management of sleep disorders in the elderly. Indian J Psychiatry, 2018, 60(Suppl 3): S383-S396.
18.	Soong C, Burry L, Cho HJ, et al. An implementation guide to promote sleep and reduce sedative-hypnotic initiation for noncritically ill inpatients. JAMA Intern Med, 2019, 179(7): 965-972.
19.	National Institute for Health and Care Excellence. Sleepio to treat insomnia and insomnia symptoms. London: National Institute for Health and Care Excellence, 2022: 1-23.
20.	Edinger JD, Arnedt JT, Bertisch SM, et al. Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. J Clin Sleep Med, 2021, 17(2): 263-298.
21.	Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health, 2015, 1(1): 40-43.
22.	沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复——围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 2016, 9(2): 91-97.
23.	Ho KKN, Ferreira PH, Pinheiro MB, et al. Sleep interventions for osteoarthritis and spinal pain: a systematic review and meta-analysis of randomized controlled trials. Osteoarthritis Cartilage, 2019, 27(2): 196-218.
24.	Tang Y, Gong M, Qin X, et al. The Therapeutic effect of aromatherapy on insomnia: a meta-analysis. J Affect Disord, 2021, 288: 1-9.
25.	Lowe H, Haddock G, Mulligan LD, et al. Does exercise improve sleep for adults with insomnia? A systematic review with quality appraisal. Clin Psychol Rev, 2019, 68: 1-12.
26.	Smith MT, Finan PH, Buenaver LF, et al. Cognitive-behavioral therapy for insomnia in knee osteoarthritis: a randomized, double-blind, active placebo-controlled clinical trial. Arthritis Rheumatol, 2015, 67(5): 1221-1233.
27.	Wang HX, Wang L, Zhang WR, et al. Effect of transcranial alternating current stimulation for the treatment of chronic insomnia: a randomized, double-blind, parallel-group, placebo-controlled clinical trial. Psychother Psychosom, 2020, 89(1): 38-47.
28.	de Zambotti M, Cellini N, Goldstone A, et al. Wearable sleep technology in clinical and research settings. Med Sci Sports Exerc, 2019, 51(7): 1538-1557.
29.	Milne S, Elkins MR. Exercise as an alternative treatment for chronic insomnia (PEDro synthesis). Br J Sports Med, 2017, 51(5): 479-480.
30.	Siu PM, Yu AP, Tam BT, et al. Effects of Tai Chi or exercise on sleep in older adults with insomnia: a randomized clinical trial. JAMA Netw Open, 2021, 4(2): e2037199.
31.	Hurley M, Dickson K, Hallett R, et al. Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review. Cochrane Database Syst Rev, 2018, 4(4): CD010842.
32.	van Maanen A, Meijer AM, van der Heijden KB, et al. The effects of light therapy on sleep problems: a systematic review and meta-analysis. Sleep Med Rev, 2016, 29: 52-62.

1. 陆朋玮, 李杨. 骨关节炎患者睡眠障碍相关因素及干预研究进展. 护理学报, 2016(2): 23-26.
2. Tang NK, Lereya ST, Boulton H, et al. Nonpharmacological treatments of insomnia for long-term painful conditions: a systematic review and meta-analysis of patient-reported outcomes in randomized controlled trials. Sleep, 2015, 38(11): 1751-1764.
3. Selvanathan J, Pham C, Nagappa M, et al. Cognitive behavioral therapy for insomnia in patients with chronic pain - a systematic review and meta-analysis of randomized controlled trials. Sleep Med Rev, 2021, 60: 101460.
4. Chan NY, Chan JWY, Li SX, et al. Non-pharmacological approaches for management of insomnia. Neurotherapeutics, 2021, 18(1): 32-43.
5. Sharafkhaneh A, Salari N, Khazaie S, et al. Telemedicine and insomnia: a comprehensive systematic review and meta-analysis. Sleep Med, 2022, 90: 117-130.
6. 余新愿. 加速康复外科背景下药物睡眠管理对全膝关节置换围手术期的疗效影响分析. 银川: 宁夏医科大学, 2023.
7. Brasure M, Fuchs E, MacDonald R, et al. Psychological and behavioral interventions for managing insomnia disorder: an evidence report for a clinical practice guideline by the american college of physicians. Ann Intern Med, 2016, 165(2): 113-124.
8. Wang YY, Yang Y, Rao WW, et al. Cognitive behavioural therapy monotherapy for insomnia: a meta-analysis of randomized controlled trials. Asian J Psychiatr, 2020, 49: 101828.
9. Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting, and evaluation in health care. Prev Med, 2010, 51(5): 421-424.
10. 朱政, 胡雁, 周英凤, 等. 推动证据向临床转化(五)证据临床转化研究中的文献质量评价. 护士进修杂志, 2020, 35(11): 996-1000.
11. 张方圆, 沈傲梅, 曾宪涛, 等. 系统评价方法学质量评价工具 AMSTAR 2 解读. 中国循证心血管医学杂志, 2018, 10(1): 14-18.
12. Foster MJ, Shurtz S. Making the critical appraisal for summaries of evidence (CASE) for evidence-based medicine (EBM): critical appraisal of summaries of evidence. J Med Libr Assoc, 2013, 101(3): 192-198.
13. 曲畅, 郭海玲, 魏宇, 等. 维持性血液透析后疲乏管理最佳证据总结. 护理学报, 2021, 28(5): 43-48.
14. Kumar A, Taggarsi M. GRADEing quality of evidence and its importance in evidence-based practice. BMJ Evid Based Med, 2021, 26(5): 228-230.
15. 王春青, 胡雁. JBI 证据预分级及证据推荐级别系统(2014 版). 护士进修杂志, 2015, 30(11): 964-967.
16. Cunnington D, Junge M. Chronic insomnia: diagnosis and non-pharmacological management. BMJ, 2016, 355: i5819.
17. Praharaj SK, Gupta R, Gaur N. Clinical practice guideline on management of sleep disorders in the elderly. Indian J Psychiatry, 2018, 60(Suppl 3): S383-S396.
18. Soong C, Burry L, Cho HJ, et al. An implementation guide to promote sleep and reduce sedative-hypnotic initiation for noncritically ill inpatients. JAMA Intern Med, 2019, 179(7): 965-972.
19. National Institute for Health and Care Excellence. Sleepio to treat insomnia and insomnia symptoms. London: National Institute for Health and Care Excellence, 2022: 1-23.
20. Edinger JD, Arnedt JT, Bertisch SM, et al. Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. J Clin Sleep Med, 2021, 17(2): 263-298.
21. Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health, 2015, 1(1): 40-43.
22. 沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复——围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 2016, 9(2): 91-97.
23. Ho KKN, Ferreira PH, Pinheiro MB, et al. Sleep interventions for osteoarthritis and spinal pain: a systematic review and meta-analysis of randomized controlled trials. Osteoarthritis Cartilage, 2019, 27(2): 196-218.
24. Tang Y, Gong M, Qin X, et al. The Therapeutic effect of aromatherapy on insomnia: a meta-analysis. J Affect Disord, 2021, 288: 1-9.
25. Lowe H, Haddock G, Mulligan LD, et al. Does exercise improve sleep for adults with insomnia? A systematic review with quality appraisal. Clin Psychol Rev, 2019, 68: 1-12.
26. Smith MT, Finan PH, Buenaver LF, et al. Cognitive-behavioral therapy for insomnia in knee osteoarthritis: a randomized, double-blind, active placebo-controlled clinical trial. Arthritis Rheumatol, 2015, 67(5): 1221-1233.
27. Wang HX, Wang L, Zhang WR, et al. Effect of transcranial alternating current stimulation for the treatment of chronic insomnia: a randomized, double-blind, parallel-group, placebo-controlled clinical trial. Psychother Psychosom, 2020, 89(1): 38-47.
28. de Zambotti M, Cellini N, Goldstone A, et al. Wearable sleep technology in clinical and research settings. Med Sci Sports Exerc, 2019, 51(7): 1538-1557.
29. Milne S, Elkins MR. Exercise as an alternative treatment for chronic insomnia (PEDro synthesis). Br J Sports Med, 2017, 51(5): 479-480.
30. Siu PM, Yu AP, Tam BT, et al. Effects of Tai Chi or exercise on sleep in older adults with insomnia: a randomized clinical trial. JAMA Netw Open, 2021, 4(2): e2037199.
31. Hurley M, Dickson K, Hallett R, et al. Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review. Cochrane Database Syst Rev, 2018, 4(4): CD010842.
32. van Maanen A, Meijer AM, van der Heijden KB, et al. The effects of light therapy on sleep problems: a systematic review and meta-analysis. Sleep Med Rev, 2016, 29: 52-62.

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