颈脊髓损伤患者睡眠质量影响因素的质性研究  

Influencing factors of sleep quality in patients with cervical spinal cord injury： a qualitative study

作　　者：李云[1] 周晓辰[1] 宁广智[1] Li Yun;Zhou Xiaochen;Ning Guangzhi(Orthopedics Department, Tianjin Medical University General Hospital, Tianjin 300041, China)

机构地区：[1]天津医科大学总医院骨科,天津300041

出　　处：《中华现代护理杂志》2018年第4期436-439,共4页Chinese Journal of Modern Nursing

摘　　要：目的 了解颈脊髓损伤患者影响睡眠的因素，为减轻患者失眠状况，提高睡眠质量提供依据。方法 2016 年11 月—2017 年1 月，采用目的抽样法抽取某三级甲等医院骨科脊柱病区收治的颈脊髓损伤患者为研究对象。采用质性研究方法，以半结构式访谈对13 例颈脊髓损伤患者进行深入访谈，并运用内容分析法进行资料分析。结果 颈脊髓损伤患者失眠状况显著。影响睡眠因素主要为：创伤后应激障碍、心理负担、不安全感、经济负担、躯体疼痛或麻木、寻求舒适体位、受伤前睡眠情况。结论 医护人员应对颈脊髓损伤患者的睡眠情况给予足够的重视，对患者失眠原因进行针对性指导，以促进患者早日恢复。Objective To understand the influencing factors of sleep in patients with cervical spinal cord injury, and to provide basis for reducing insomnia and improving sleep quality. Methods From November 2016 to January 2017, patients with cervical spinal cord injury who were treated in spinal ward of a Class Ill Grade A hospital were selected as research subjects by purposive sampling method. Qualitative research was conducted with semi-structured interviews with 13 patients with cervical spinal cord injury. The data were analyzed by content analysis. Results Insomnia was significant in patients with cervical spinal cord injury. Factors which affect the sleep factors were post-traumatic stress disorder, psychological burden, insecurity, economic status, physical pain or numbness, seeking comfortable position, pre-injury sleep status. Conclusions The medical staff should pay enough attention to the sleep condition of the patients with cervical spinal cord injury, and provide corresponding education to patients, in order to promote the early recovery of the patients.

关 键 词：睡眠 颈脊髓损伤 睡眠质量 影响因素 质性研究 

分 类 号：R473.6[医药卫生—护理学]