重症监护室睡眠促进包:对睡眠质量,妄想和其他患者结果的影响
Nicole M Gorecki1, Marilyn A Prasun2
1Nicole M. Gorecki is a clinical assistant professor, Louise Herrington School of Nursing, Baylor University, Dallas, Texas, and a nurse practitioner in the cardiothoracic and transplant intensive care unit, North Texas Critical Care, Baylor University Medical Center, Dallas.
在重症监护室 (ICU) 实施睡眠促进套餐减少了患者的动荡和停留时间. 虽然妄想率略有下降,但需要进一步的研究来证实其对患者康复的影响.
科学领域:
- 关键护理医学 关键护理医学
- 睡眠科学 睡眠科学
- 患者的康复 患者的康复
背景情况:
- 高质量的睡眠对于患者的康复至关重要.
- 医院的睡眠不足可能会对患者的治疗结果产生负面影响.
研究的目的:
- 评估在重症监护室 (ICU) 提供睡眠促进套餐的效果.
- 评估对妄,兴奋,限制使用和停留时间的影响.
主要方法:
- 在两个ICU中实施了基于证据的睡眠促进包.
- 在干预前和后收集了关于妄 (ICU的混评估方法),激动 (理ich蒙激动镇静量表),格拉斯哥昏迷量表,自控器的使用和停留时间的数据.
主要成果:
- 观察到狂妄症发病率下降了9%,但不显著.
- 发现ICU和住院时间的显著减少.
- 在机械呼吸的患者中,里士满兴奋镇静量表的高分数显著下降.
结论:
- 关键护理护士有很好的位置来实施促进睡眠的战略.
- 需要进一步的研究才能充分了解促进睡眠包的好处.
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