长沙市316名一线轮值晚夜班护士对患者睡眠的关怀现状  

Investigation and analysis on the current situation of sleep care of 316 front-line night nurses in Changsha

作　　者：许浸 汤雁[1] 韩辉武[1] 李丽[1] 肖莹[1] 张琼[2] 张玲[2] XU Jin;TANG Yan;HAN Huiwu;LI Li;XIAO Ying;ZHANG Qiong;ZHANG Ling(Department of Cardiovascular,Xiangya Hospital,Central South University, Changsha 410007,China;Department of Nursing,Xiangya Hospital,Central South University, Changsha 410007,China)

机构地区：[1]中南大学湘雅医院心内科,长沙410007 [2]中南大学湘雅医院护理部,长沙410007

出　　处：《临床与病理杂志》2018年第11期2494-2501,共8页Journal of Clinical and Pathological Research

摘　　要：目的:了解并分析一线轮值晚夜班护士对住院患者睡眠的关怀程度及干预现状。方法:采用自行设计的睡眠关怀调查表,利用问卷星对长沙市6所三级甲等医院的316名临床一线轮值晚夜班护士进行问卷调查。结果:91.8%的护士对住院患者的睡眠状况比较关心;97.8%的护士认为患者的睡眠对其他疾病的恢复影响比较大,其中83.6%的护士能主动了解患者发生睡眠障碍的原因,但也有27.2%的护士偶尔、甚至从不帮助改善或解决患者的失眠状况,有29.4%的护士偶尔、甚至从不对睡眠障碍患者进行睡眠习惯的宣教。对比分析不同年龄、科室、工龄、职称和文化程度护士对患者睡眠关怀程度及睡眠质量的管理行为,发现不同工龄护士对患者睡眠的关怀度和睡眠宣教差异具有统计学意义(P<0.05)。结论:护士对住院患者睡眠情况的关怀持积极态度,已经认识到睡眠质量对患者疾病恢复的重要性,并且积极参与到改善睡眠质量的行动中。但仍有近1/3的护士对睡眠障碍患者不做宣教和不帮助睡眠障碍患者改善或解决失眠状况,且多见于低工作年限的护士。护理管理应重视护士对患者睡眠关怀的培训,尤其是一线轮值晚夜班护士应该作为重点干预对象,完善标准化睡眠评估工具,形成规范化的干预体系从而指导护士采取有效措施改善住院患者睡眠质量。Objective: To investigate and analyze the degree of care and intervention of front-line night nurses for the sleep condition of inpatients. Methods: Using the self-designed sleep care questionnaire, 316 clinical frontline night nurses from six first-class hospitals in Changsha were investigated by questionnaire. Results: From our investigation, 91.8% of the nurses were concerned about the sleep condition of the inpatients. 97.8% of the nurses think sleep condition has great influence on the recovery of other diseases, 83.6% of the nurses could actively understand the causes of sleep disorders in patients, but there are 27.2% of the nurses;occasionally, or never help improve or solve patients’ insomnia, 29.4% of nurses occasionally, or never contact sleep education on patients with sleep disorders. A comparative analysis was conducted on the management behaviors of sleep care degree and sleep quality of patients by nurses of different ages, departments, working years, professional titles and educational levels, the results showed that the different working years had statistically significant in sleep care and sleep education(P<0.05). Conclusion: The nurses show a positive attitude to the caring and intervention of inpatients’ sleeping, and they have realized the importance of sleeping to the recovery of illnesses. Actions have been taken to improve the sleeping quality of inpatients actively. However, around one third of nurses don’t help to improve or solve the inpatients’ sleeping disorders, among whom most are with a short length of service. In future, Nursing management should pay more attention to the training of nurses on patients’ sleep care, especially the front-line night shift nurses should be the key intervention object. It is supposed to improve the standardized sleep assessment tools and form a standardized intervention system,which could guide nurses to take effective measures to improve the sleep quality of inpatients and promote the early recovery of patients.

关 键 词：一线轮值晚夜班护士 睡眠障碍 睡眠关怀 

分 类 号：R47[医药卫生—护理学]