影响重症监护室睡眠质量的因素:在韩国进行了一项描述性试点研究
Yoon Hae Ahn1, Hong Yeul Lee1, Sang-Min Lee1,2
1Department of Critical Care Medicine, Seoul National University Hospital, Seoul, Korea.
Acute and critical care
|August 10, 2023
概括
重症监护病房的患者由于不适,手术和感觉不舒服而睡眠质量不佳. 解决这些障碍对于改善ICU患者的休息和恢复至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 睡眠医学 睡眠医学
- 患者体验 患者体验
背景情况:
- 睡眠障碍在重症监护病房 (ICU) 中很普遍.
- 了解睡眠质量及其障碍对于患者护理至关重要.
研究的目的:
- 评估ICU患者的睡眠质量.
- 确定影响ICU环境中睡眠的特定障碍.
主要方法:
- 患者被录取到第三级医院ICU (2022年6月至12月),而不是机械通风.
- 在家和ICU的睡眠质量使用视觉模拟秤和韩国版本的理查兹-坎贝尔睡眠问卷 (K-RCSQ) 进行了评估.
- 良好的睡眠质量被定义为K-RCSQ分数≥50.
主要成果:
- 在30名患者中,有19名患者在ICU报告睡眠质量差 (得分<50).
- 在家庭睡眠质量和ICU睡眠质量之间没有发现显著的相关性 (r=0.16,P=0.40).
- 主要的睡眠障碍包括身体不适 (43%),在手术前醒来 (43%),感觉不舒服 (37%),噪音 (30%) 和光线 (13%).
结论:
- 身体上的不适,患者的护理互动 (程序) 和不适的感觉显著损害了ICU中的睡眠质量.
- 噪音和光线等环境因素也会导致睡眠障碍.
- 针对这些障碍可能会改善重症患者的睡眠质量.
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