ICU相关记忆及其影响因素的研究  

Study on memories from the intensive care unit and the influencing factors

作　　者：黄丽[1] 罗利[2] 胡蓉芳[1] 

机构地区：[1]福建医科大学护理学院,福建福州350108 [2]福建医科大学附属第一医院重症监护室,福建福州350108

出　　处：《护理学杂志》2015年第24期70-73,共4页

基　　金：国家自然科学基金项目(81201500);教育部人文社会科学研究一般项目(11YJC190008);福建省杰出青年教师人才支持项目(JA12165S)

摘　　要：目的探讨ICU患者对ICU经历的记忆及其影响因素,并分析其与ICU期间睡眠质量的关系。方法采用ICU记忆评估工具(ICUMT)和Richards-Campbell睡眠量表(RCSQ)对492例转出ICU 1周内的患者进行调查。结果 60例(12.2%)患者忘记接受过特别监护,338例(68.7%)记得入住ICU期间发生的一切;452例(91.9%)有事实记忆,358例(72.8%)有情感记忆,143例(29.1%)有妄想性记忆;睡眠质量是情感记忆的主要影响因素(P<0.05),ICU停留天数是妄想性记忆的主要影响因素(P<0.01);睡眠质量差者对声音、灯光、不舒服、焦虑/惊恐、疼痛及噩梦记忆的发生率显著高于睡眠质量良好者(P<0.05,P<0.01)。结论睡眠质量差、ICU停留天数多的患者其ICU不良记忆发生率较高。临床工作者应重视评估、改善患者在ICU期间的睡眠质量,以减少患者不适体验和不良记忆的发生,从而维护患者的身心健康。Objective To explore patients′memories from the intensive care unit（ICU）and the influencing factors,and to examine the relationship between ICU memories and ICU sleep quality.Methods The ICU Memory Tool（ICUMT）and Richards-Campbell Sleep Questionnaire（RCSQ）were used to investigate 492 patients who transferred out from ICU within 1 week.Results Sixty patients（13.2%）had no memory of intensive care,338 patients（68.7%）memorized whatever happened during their stay in ICU;452 patients（91.9%）had factual memories,358 patients（72.7%）had affective memories,143 patients（29.1%）suffered delusional memories;sleep quality was the main influencing factor of affective memories（P〈0.05）,length of stay in ICU was the major influencing factor of delusional memories（P〈0.01）;the patients with bad sleep quality had significantly higher incidence of memories in sound,lighting,discomfort,anxiety/panic,pain and nightmare than others with good sleep quality（P〈0.05,P〈0.01）.Conclusion The patients with bad sleep quality and stay longer in ICU have higher incidence of bad memories of intensive care.In order to decrease discomfort experience as well as bad memories,and maintain patients′physical and mental health,ICU staffs should pay close attention to assessment and improve sleep quality for intensive care patients.

关 键 词：重症监护室 记忆 事实记忆 妄想性记忆 情感记忆 睡眠质量 影响因素 

分 类 号：R47[医药卫生—护理学] R395.6[医药卫生—临床医学]