促进住院儿童的睡眠和休息:一个最佳实践实施项目的项目
Carolina Lechosa-Muñiz1,2,3, Laura Ruiz-Azcona2,4,5, Elena Pérez Belmonte1,6
1Pediatrics Section, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain.
JBI evidence implementation
|August 22, 2024
概括
实施基于证据的策略显著改善了住院儿童的儿科睡眠质量. 员工培训和多方面的方法加强了促进睡眠的做法,从而改善了患者的休息.
科学领域:
- 儿科护理 儿科护理
- 睡眠科学 睡眠科学
- 基于证据的实践实施实施.
背景情况:
- 医院环境会扰乱儿童的睡眠,其中20-30%的儿童有睡眠问题.
- 住院治疗对儿科患者的睡眠时间和质量产生负面影响.
- 噪音,光线和工作人员的干扰等外部因素导致睡眠不良.
研究的目的:
- 实施基于证据的战略,促进住院儿童的睡眠和休息.
- 改善儿科患者在住院期间的睡眠质量.
- 为了应对医院环境中睡眠障碍的挑战.
主要方法:
- 使用JBI证据实施框架进行审计,反和重新审计.
- 干预涉及100名儿童 (2-16岁) 和27名西班牙大学医院的医疗人员.
- 专注于识别和管理实施促进睡眠战略的障碍.
主要成果:
- 医疗保健人员对儿科睡眠的培训从4%增加到80%.
- 多面性睡眠促进方法的实施率从21%上升到87%.
- 促进睡眠的放松技巧从0%增加到80%.
结论:
- 该项目成功实现了改善住院期间儿童睡眠的目标.
- 涉及整个医疗保健团队和持续培训对于克服对变化的抵抗至关重要.
- 建议每年进行后续审计,以确保改善睡眠实践的可持续性.
相关概念视频
Insufficient Sleep and Sleep Deprivation
137
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...
137
Management of Insomnia
237
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...
237
Nightmares and Night Terrors
81
Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares...
Nightmares...
81
Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.9K
Sedatives and Hypnotics Drugs: Miscellaneous Agents
162
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
162
Sleep-Wake Cycles
1.2K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.2K


