准实验性的,非随机的倡议,以尽量减少住院儿童的睡眠障碍
Brianna Glover1, Leonid Bederman2, Evan Orenstein1,3,4
1From the Department of Pediatrics, Emory University School of Medicine, Atlanta, Ga.
Pediatric quality & safety
|July 12, 2023
概括
住院儿童在实施新的生命体征 (VS) 协议后,睡眠障碍较少. 这种变化减少了夜间血压检查,并改善了患者的休息.
科学领域:
- 儿科医院医药 儿科医院医药
- 睡眠科学 睡眠科学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 住院儿童经常经历睡眠障碍.
- 护理人员将夜间生命体征 (VS) 识别为这些干扰的主要原因.
- 需要在住院期间改善儿科睡眠质量.
研究的目的:
- 在12个月内将住院儿童的护理人员报告的睡眠障碍减少10%.
- 实施和评估修改后的VS频率顺序.
- 评估新的VS协议对患者睡眠和安全的影响.
主要方法:
- 引入了一个新的VS订单:"每4小时一次 (除非在23:00到0500之间睡觉) ".
- 使用电子健康记录 (EHR) 来追踪遵守新的VS命令.
- 测量护理人员报告的睡眠障碍作为主要结果.
- 监督遵守和快速响应作为过程和平衡措施.
主要成果:
- 护理人员报告的睡眠障碍明显减少,从干预前的24%降至干预后的8% (P < 0.001).
- 一夜间的血压读数在新的VS频率下大大降低 (36%对87%,P<0.001).
- 没有任何与干预相关的不良安全事件.
结论:
- 一个新的生命体征频率协议在儿科医院环境中安全地实施.
- 这项干预成功地减少了夜间血压监测.
- 这项研究表明,住院儿童的睡眠障碍显著减少.
更多相关视频
08:36Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
12.0K
06:23A Chronic Sleep Fragmentation Model using Vibrating Orbital Rotor to Induce Cognitive Deficit and Anxiety-Like Behavior in Young Wild-Type Mice
Published on: September 22, 2020
5.4K
相关概念视频
REM Sleep Behavior Disorder
265
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
265
Insufficient Sleep and Sleep Deprivation
176
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
176
Blind Procedures
10.7K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.7K
Management of Insomnia
281
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
281
Substance Use Disorders Affecting Sleep
198
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
198
Restless Leg Syndrome and Night Terrors
210
Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
210
