环境舒适性促进重症患者的睡眠:一个范围审查
Dimensions of critical care nursing : DCCN
|April 2, 2024
概括
本范围审查确定了护理干预措施,以改善重症患者的睡眠和舒适度. 有效的环境舒适度策略和评估工具对于提高患者睡眠质量至关重要.
科学领域:
- 护理科学 护理科学
- 临界护理医学 临界护理医学
- 睡眠医学 睡眠医学
背景情况:
- 了解舒适度对于开发有效的患者辅助干预措施至关重要.
- 在患者的环境中评估和监测睡眠对于舒适度至关重要,特别是在重症监护机构.
- 管理噪音和隐私等环境因素是具有挑战性的,但对于重症患者来说至关重要.
研究的目的:
- 绘制护理干预的地图,以促进重症患者睡眠的环境舒适性.
- 确定用于评估重症患者睡眠的仪器.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行范围审查.
- 在多个数据库 (CINAHL,PubMed等) 进行了搜索. 使用与重症监护,睡眠和护理相关的特定布尔术语.
- 包括对成年重症监护/重症监护和急诊病房患者的研究,重点关注环境舒适性和睡眠促进.
主要成果:
- 包括21篇文章,将护理干预分为以人为中心 (14),以环境为中心 (37) 和以护士角色为中心 (45) 的类别.
- 确定了三个类别的睡眠评估仪器:睡眠质量 (12),环境影响 (2) 和ICU睡眠实践 (1).
结论:
- 使用睡眠和舒适度监测仪器有助于评估护理干预措施.
- 准确的评估可以提高促进睡眠的干预措施的影响,改善重症患者的睡眠.
- 患者对环境的体验显著影响舒适度;团队对干预措施的反思至关重要.
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