视听觉隔离对ICU患者睡眠障碍的疗效观察  

The effect of audio-visual segregation on the sleep disorder of patients who Check-in ICU

作　　者：解军丽 刁井地 马昭君 冯伟龙[3] 冯伟生[1] 

机构地区：[1]江苏省连云港市中医院急诊ICU,江苏连云港222004 [2]江苏省连云港市疾病控制中心,江苏连云港222005 [3]江苏省东海县人民医院神经内科,江苏东海222300

出　　处：《实用临床医药杂志》2011年第16期42-44,共3页Journal of Clinical Medicine in Practice

摘　　要：目的研究单纯的视听隔离护理方法对ICU患者睡眠的量、质和结构的影响。方法对75例入选患者随机分组后,通过肌张力观察法、匹兹堡睡眠质量指数量表和脑电图监测3种方法,对视听隔离组(视听隔离组)和对照组观察观察结果进行统计学处理。结果两组间睡眠时间、睡眠质量有统计学差异(P<0.01),睡眠结构视听隔离组保持了正常的分期结构,对照组快波睡眠(REM)和慢波睡眠(NREM)3～4期有显著性减少,和视听隔离组有显著性差异。结论物理隔离的方法在保证ICU患者睡眠的质量和结构方面效果显著,有着较大的应用价值。Objective To investigate the effect of audio-visual segregation,a simply nursing methods,on the sleep quantity,quality and structure of patients who Check-in ICU.Methods 75 cases selected patients were randomly divided into observation,through muscle tension,Pittsburgh sleep quality index scale and EEG monitoring three kinds of methods,audio-visual isolated group and control group observation and statistics processing.Results between the two groups,the sleep quality and sleep time has a significant difference（P〈0.01）,sleep structure of audio-visual segregation group maintained at normal level,but in control group,the period NREM3-4 and REM significant reduced,and there was a significant difference in two groups.Conclusion The method of physical isolation guarantees the quality of sleep ICU patients with normal structure effect significantly,popularization.

关 键 词：物理隔离 ICU患者 睡眠障碍 睡眠结构 

分 类 号：R473.5[医药卫生—护理学]