进入中期护理单位的患者的睡眠质量
Paula Itxaso Sirera-Pérez1, Adriana Martín-Sanjoaquín1, Beatriz Juandeaburre-Pedroarena1
1Área de Cuidados Intermedios, Clínica Universidad de Navarra, Spain.
Enfermeria clinica (English Edition)
|April 25, 2025
概括
在重症监护室 (ICU) 的患者体验到相当好的睡眠质量. 噪音,疼痛和光等因素显著扰乱睡眠,强调需要环境和护理调整以改善休息.
科学领域:
- 关键护理医学 关键护理医学
- 睡眠科学 睡眠科学
- 患者体验 患者体验
背景情况:
- 重症监护病房 (ICU) 存在许多环境和临床因素,这些因素会导致重症患者的睡眠障碍.
- 了解患者对睡眠的看法对于开发有效干预措施至关重要.
研究的目的:
- 描述患者在ICU环境中对夜间休息的看法.
- 为了将睡眠感知与社会人口统计学变量相关联.
- 确定影响睡眠质量的关键因素.
主要方法:
- 一项描述性,前性,观察性研究在第三级大学医院的ICU中进行.
- 使用理查兹-坎贝尔睡眠问卷 (RCSQ) 测量睡眠感知.
- 社会人口统计学,临床数据和影响睡眠的因素通过问卷收集.
主要成果:
- 在146个晚上分析了75名患者的睡眠,揭示了公平的整体睡眠感知.
- 平均RCSQ得分为60.22 (SD: 24.81). 这是一个很好的结果.
- 影响睡眠的重要因素包括患者的担忧,噪音,疼痛,不适,环境光和其他患者的存在.
结论:
- 患者在ICU中对睡眠的感知通常是公平的.
- 尽量减少环境干扰 (光,噪音),控制疼痛,改善患者的沟通和舒适度对于提高睡眠质量至关重要.
相关概念视频
Management of Insomnia
185
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...
185
Acute Respiratory Failure-IV
107
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
107
Substance Use Disorders Affecting Sleep
148
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
148
Special considerations while measuring oxygen saturation
522
Assessing respiratory rate concurrently with pulse measurement is fundamental to patient care, providing valuable insights into the patient's respiratory function. The normal breathing rate for an adult usually falls within a normal range of 12 to 20 breaths per minute. Abnormal respiratory rates can signal underlying health conditions or the need for immediate intervention.
Ensuring accuracy in vital sign recordings while prioritizing patient comfort and minimizing anxiety is...
Ensuring accuracy in vital sign recordings while prioritizing patient comfort and minimizing anxiety is...
522
Respiratory Volumes and Capacities I
776
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
776
Insufficient Sleep and Sleep Deprivation
118
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...
118


