在ICU环境中循环卫生 (CHIE) 研究
Rob Boots1,2, Gabrielle Mead3, Oliver Rawashdeh3
1Thoracic Medicine, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
概括
重症监护室 (ICU) 的环境通常具有低光和干扰噪音,可能会影响患者的睡眠. 这项研究发现,这些因素与ICU患者中中断的核心体温节律之间没有明确的联系.
科学领域:
- 关键护理医学 关键护理医学
- 睡眠科学 睡眠科学
- 环境健康 环境健康
背景情况:
- 重症监护病房 (ICU) 面临着独特的环境挑战,可能会影响患者的康复.
- 昼夜节律的扰乱,包括核心体温 (CBT),是严重病患者常见的.
- 了解ICU环境在昼夜干扰中的作用对于改善患者的治疗结果至关重要.
研究的目的:
- 调查ICU环境 (光,声音,温度,湿度) 和护理干预措施与患者昼夜温度扰乱之间的关系.
- 评估特定护理活动对患者睡眠和昼夜节律的影响.
主要方法:
- 在27个床位的三级ICU中进行了为期30天的前性期患病率研究.
- 收集的数据包括ICU环境因素 (光,声音,温度,湿度),护理干预 (治疗干预评分系统-28) 和患者核心体温.
- 包括28名预计至少需要24小时的患者,其中71%的患者接受机械通风.
主要成果:
- 集中治疗室的光强度很低,上午7点达到165卢克斯,下午23点达到15卢克斯,夜间常常低于100卢克斯.
- 噪音水平经常达到62.55dB,相当于对话式语音,并且在夜间存在很大.
- 在50%以上的患者中,更换床单和洗等护理活动扰乱了夜间睡眠;然而,破坏CBT节律性与环境因素或护理干预没有明确的关联.
结论:
- 密切护理环境的特点是低光,温度和湿度低于昼夜调整的最佳值,噪音水平类似于对话.
- 病人护理程序经常会在一夜之间打断睡眠.
- 这些环境因素和护理活动对ICU患者中断核心体温节律的直接贡献尚不清楚.
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