多模式睡眠管理通过最佳的愈合环境,减少一般手术患者的外科手术期间失眠
Hongxia Xu1, Xiaoxiao Jiang1, Hongying Pan2
1Nursing Department, School of Medicine, Sir Run Run Shaw Hospital, Zhejiang University, No. 3 East Qingchun Road, Hangzhou, China.
Scientific reports
|November 29, 2025
概括
一项质量改善研究通过实施基于最佳治疗环境 (OHE) 模型的多模式睡眠计划,减少了手术患者的情境性失眠,显著改善了睡眠质量和患者满意度.
科学领域:
- 提高质量 提高质量
- 手术护理 医疗护理
- 睡眠医学 睡眠医学
背景情况:
- 局势性失眠在外科手术前患者中很普遍.
- 最佳治愈环境 (OHE) 模型为改善患者康复提供了一个框架.
- 外科病房现有的睡眠管理策略需要改进.
研究的目的:
- 分析影响一般手术患者情境性失眠的因素.
- 开发和实施基于OHE模型的多模式睡眠管理计划.
- 评估该计划对失眠发生率,环境因素和患者满意度的影响.
主要方法:
- 用文献审查,问卷调查和小组讨论来确定影响因素.
- 开发了一种多模式的睡眠管理计划,包括标准化的评估,环境优化 (噪音/光线减少),员工行为协议 ("安静时间") 和患者教育.
- 该计划在一般外科病房中实施.
主要成果:
- 情境性失眠的发生率显著下降,从66.4%降至35.5%.
- 中午和夜间的噪音水平分别减少了21.5%和28.0%.
- 患者对噪音和温度管理的满意度分别提高了38.7%和20.3%.
结论:
- 基于OHE的多模式睡眠管理计划有效地减少了外科手术前的情境性失眠.
- 该计划显著改善了医院环境和患者满意度.
- 这种方法有助于增强患者的康复和整体的整体护理质量在整体外科.
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