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目的:描述ICU患者的睡眠自评报告,检测患者的睡眠自评报告和床旁护士的睡眠评估报告之间的关系;描述患者建议的促进睡眠的对策。方法:对2014-2015年间连续纳入的能进行交流的成年患者,进行了探索性描述研究。患者睡眠情况采用理查兹-坎贝尔(Richards-Campbell)睡眠问卷(评分范围为0~100 mm;得分越高,表明睡眠质量越好)进行自评,同时护士以5级递进形式记录患者睡眠情况,进行评估。要求患者每日描述辅助或妨碍睡眠的因素。研究已获得伦理委员会批准。进行描述性统计分析[中位数(四分位间距)];用Spearman等级相关分析相关关系,用Kruskal-Wallis检验进行差异检验;P<0.05时,认为差异有显著性。结果:151名受试者纳入研究,年龄为60(46~71)岁,ICU停留时间为4(2~9)天,完成了356份睡眠自评报告。自我感知的睡眠质量为46(26~65)mm。睡眠的患者自评和护士评估之间存在中度相关(Spearman等级相关系数为0.39~0.50;P<0.001)。经患者认可的改善睡眠的对策包括适当的止痛和镇静药物,平和舒适的环境,以及集群护理、耳塞等物理措施。结论:患者在ICU期间,完成睡眠自评的中位数为2(1~3)日,表明常规使用自评是可行的。自评报告显示患者的睡眠质量低。在患者自评的多种辅助或妨碍睡眠的因素中,环境因素和影响患者舒适度的因素是最常见的。应实施针对这些因素的干预,以改善患者睡眠状况。
Objectives: Describe the self-assessment report on sleep in ICU patients, examine the relationship between self-reported sleep reports and bedside nurses’ sleep assessment reports, and describe patient-recommended measures to promote sleep. METHODS: An exploratory descriptive study was conducted on consecutive, communicable adult patients between 2014 and 2015. Patient Sleep Status Self-rated using a Richards-Campbell Sleep Questionnaire (scoring range 0-100 mm; higher score indicating better sleep quality) while nurses recorded patient sleep in 5-step progression Situation, to assess. Ask the patient daily to describe the factors that aid or hinder sleep. Research has been approved by Ethics Committee. Descriptive statistical analysis [median (interquartile range)]; Spearman rank correlation analysis of correlation, Kruskal-Wallis test was used to test differences; P <0.05, the difference was considered significant. Results: 151 subjects were enrolled in the study, aged 60 (46-71) years and ICU stay for 4 (2-9) days, completing 356 sleep self-assessment reports. Self-perceived sleep quality is 46 (26-65) mm. There was a moderate correlation between sleep self-assessment and nurse evaluation (Spearman rank correlation coefficient 0.39-0.50; P <0.001). Patient-approved measures to improve sleep include proper analgesic and sedative medication, a peaceful and comfortable environment, and physical measures such as cluster care and earbuds. Conclusions: The median sleep self-assessment completed during ICU was 2 (1-3 days), indicating that routine use of self-assessment is feasible. Self-assessment report shows that patients with low quality of sleep. Among the many self-rated factors that aid or interfere with sleep, environmental factors and factors affecting patient comfort are the most common. Interventions should be implemented for these factors to improve the patient’s sleep status.