影响摩洛哥南部重症监护室患者睡眠质量的环境因素:一项评估研究
Abdelmajid Lkoul1, Keltouma Oumbarek1, Youssef Bouchriti2
1Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat 10010, Morocco.
Advances in respiratory medicine
|June 25, 2025
概括
重症监护室 (ICU) 患者的睡眠质量不佳. 减少环境噪音,改善疼痛管理,尽量减少护理干预,可以改善ICU患者的睡眠.
科学领域:
- 关键护理医学 关键护理医学
- 睡眠医学 睡眠医学
- 患者体验 患者体验
背景情况:
- 睡眠障碍是重症监护室 (ICU) 患者常见且具有影响力的并发症.
- 在ICU的睡眠质量不佳可能会对患者的康复和整体幸福感产生负面影响.
研究的目的:
- 评估ICU患者的睡眠质量.
- 调查影响ICU住院期间睡眠质量的环境和临床因素.
主要方法:
- 一项为期六个月的横截面研究,涉及328名住了至少三晚的ICU患者.
- 使用阿拉伯弗里德曼睡眠问卷评估睡眠质量;分析环境 (噪音,光线,护理干预) 和临床 (疾病严重程度,疼痛) 因素.
- 统计分析包括威尔科克森测试,斯皮尔曼相关性和使用JAMOVI软件的多重回归.
主要成果:
- 强症监护室患者报告睡眠质量明显降低,与他们在家中的睡眠相比 (p < 0.001).
- 较高的EVA和APACHE II分数与较差的睡眠质量相关 (p < 0.001,p = 0.015).
- 环境因素如噪音 (p = 0.008),光线 (p = 0.009) 和护理干预 (p = 0.009) 显著影响了睡眠质量.
结论:
- 强化护理病人的睡眠质量通常不佳.
- 建议包括加强疼痛管理,减少环境噪音,尽量减少与工作人员有关的干扰,以改善患者的睡眠.
- 解决这些因素可以显著改善ICU患者的睡眠质量和恢复.
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