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基于证据的干预研究,以改善醒着的成年ICU患者的睡眠质量:一个前性,单盲,集群受控试验

Yanting Zhang¹, Yihua Yang¹, Chong Cheng¹

¹Department of Critical Care Medicine, Hubei Clinical Research Center for Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.

Critical care (London, England)

|November 13, 2024

概括

基于证据的干预措施改善了重症监护室 (ICU) 停留时间超过一天的患者的睡眠质量. 然而,这些干预措施并没有显著改善 ICU 中仅停留一天的患者的睡眠.

科学领域:

关键护理医学关键护理医学
睡眠科学睡眠科学
基于证据的实践.

背景情况:

重症监护室 (ICU) 的患者经常经历睡眠质量差,尽管基于证据的指导方针建议促进睡眠.
为了解决这个问题,与医疗保健提供者一起制定了基于证据的协作干预措施.
这项研究旨在评估这些干预措施在改善清醒成人ICU患者睡眠质量的有效性.

研究的目的:

开发和评估一种基于证据的协作干预措施,以改善重症监护室 (ICU) 患者的睡眠质量.
确定针对环境噪声,护理行动和照明的干预措施是否可以改善患者的睡眠.
通过客观 (动图) 和主观 (问卷) 测量来评估睡眠质量.

主要方法:

在两个ICU中进行了前性,非随机的集群控制试验.
符合条件的参与者是有意识的成年患者 (≥18岁),至少在ICU停留一晚.
干预组接受了量身定制的促进睡眠的措施;对照组没有. 睡眠质量使用可穿戴动态图和理查兹-坎贝尔睡眠问卷 (RCSQ) 来评估.

主要成果:

与对照组相比,干预组的睡眠质量得分改善,总睡眠时间增加.
干预组的患者经历的觉醒次数较少.
在入住ICU超过一天的患者中,观察到睡眠质量的显著改善,效果大小为中大. 对于只停留一天的患者来说,没有发现显著的改善.

结论:

基于证据的干预措施有效地改善了住院超过一天的ICU患者的睡眠质量.
这项研究没有发现证据支持一天住宿的ICU患者的睡眠质量得到改善.
合作开发干预措施是提高关键环境中的患者护理的关键.

关键词:

醒着的病人没有醒来.这是一项受控研究.基于证据的护理.在重症监护病房的重症监护病房.睡眠质量睡眠质量

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