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舒适护理改善ICU非机械通气老年患者的睡眠质量

Comfort nursing in improving sleep quality of non-mechanical ventilated elderly patients in ICU

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【作者】 吴燕妮吴新海

【Author】 WU Yan-ni;WU Xin-hai;ICU, Shenzhen Hospital of Peking University;

【机构】 北京大学深圳医院重症监护室北京大学深圳医院麻醉科

【摘要】 目的探讨舒适护理对ICU非机械通气老年患者睡眠质量的的影响。方法将135例ICU非机械通气老年患者随机分为对照组(67例)和干预组(68例),对照组进行常规护理;干预组在对照组基础上进行舒适护理,包括心理舒适护理、环境舒适护理和认知和情绪干预护理等,两组在干预前后采用匹兹堡睡眠质量指数(PSQI)量表进行睡眠质量评价和比较。结果干预组干预后第2晚和第4晚的PSQI的分值低于对照组(P<0.05),干预后的第4晚的PSQI的分值低于第2晚和干预前(P<0.05)。结论针对影响ICU非机械通气老年患者的睡眠因素,对患者实施舒适护理,可以改善其睡眠质量。

【Abstract】 Objective To investigate the influence of comfort nursing on sleep quality of nonmechanically ventilated elderly patients in ICU. Methods A total of 135 non-mechanically ventilated elderly patients were randomly divided into two groups as control group(n=67) and intervention group(n=68). The control group received conventional nursing, and the intervention group received additional comfort nursing, including psychological comfort nursing, environmental comfort nursing, and cognitive and feeling intervention nursing. Pittsburgh Sleep Quality Index(PSQI) questionnaire was used to assess and compare the sleep quality of patients before and after intervention. Results PSQI scores in the second and fourth night after intervention of the intervention group were lower than those of the control group. The difference has statistical significance(P<0.05). The PSQI score in the fourth night after intervention was lower than that in the second night and that before intervention, and the difference has statistical significance(P<0.05). Conclusion Aimed at relieving the influence factors on the sleep quality of non-mechanical ventilated elderly patients in ICU, the application of comfort nursing can improve their sleep quality.

【关键词】 舒适护理ICU老年睡眠质量
【Key words】 Comfort nursingICUElderly patientSleep quality
  • 【文献出处】 中国实用医药 ,China Practical Medicine , 编辑部邮箱 ,2014年33期
  • 【分类号】R473
  • 【被引频次】3
  • 【下载频次】42
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