ICU病人睡眠剥夺危险因素的Meta分析  

Risk factors of sleep deprivation in ICU patients:a Meta analysis

作　　者：周丹[1] 杨青敏[1] 顾艳荭 龚晨 王光鹏 乔建歌[1] ZHOU Dan;YANG Qingmin;GU Yanhong;GONG Chen;WANG Guangpeng;QIAO Jiange(Shanghai Fifth People′s Hospital,Fudan University,Shanghai 200240 China)

机构地区：[1]复旦大学附属上海市第五人民医院,200240

出　　处：《循证护理》2020年第7期609-617,共9页Chinese Evidence-Based Nursing

基　　金：中国社区健康联盟护理中心PSBH课题项目,编号:PSBH2018085。

摘　　要：[目的]通过Meta分析明确ICU病人睡眠剥夺(sleep deprivation,SD)的危险因素。[方法]检索中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据库、维普(VIP)、PubMed、the CochraneLibrary、JBI-Ovid循证保健国际合作中心图书馆,检索时间为建库至2019年9月30日,纳入符合标准的研究,并对检索的文献进行质量评价。采用Stata15.0统计分析软件对资料进行Meta分析。[结果]共纳入17篇文献,经Meta分析结果显示睡眠剥夺的发生率较高[OR=0.78,95%CI(0.70,0.85)]。疼痛[OR=0.35,95%CI(0.18,0.52)]、光线[OR=0.29,95%CI(0.14,0.44)]、噪声[OR=0.49,95%CI(0.36,0.63)]、治疗护理干预[OR=0.37,95%CI(0.21,0.52)]、不舒适[OR=0.42,95%CI(0.24,0.61)]、担心疾病预后[OR=0.61,95%CI(0.38,0.84)]、疾病不确定感[OR=0.07,95%CI(0.03,0.11)]、担忧经济状况[OR=0.38,95%CI(0.21,0.55)]、孤独[OR=0.42,95%CI(0.30,0.54)]是ICU危重病人睡眠剥夺的危险因素。[结论]现有证据表明,ICU病人睡眠剥夺的发生率高,担心疾病预后、噪音、不舒适、孤独感、担心经济状况、疼痛、治疗护理干预、光线为确定的危险因素,疾病不确定感为相关危险因素。Objective:To identify the risk factors of sleep deprivation(SD)in ICU patients by using Meta-analysis.Methods:Databases,CBM,CNKI,WanFang database,VIP,PubMed,the Cochrane Library,JBI Ovid evidence-based health care international cooperation center library,were searched.The retrieval time was from the inception to September 30,2019.The literatures that met quality standards were included.Aimed at retrieval literatures,the quality evaluation was conducted And Meta-analysis was carried out using Stata15.0 statistical analysis software.Results:A total of 17 studies were included.Meta-analysis results showed that the incidence of sleep deprivation[OR=0.78,95%CI(0.78,0.85)],Pain[OR=0.35,95%CI(0.18,0.52)],light[OR=0.29,95%CI(0.14,0.44)],noise[OR=0.49,95%CI(0.36,0.63)],nursing intervention[OR=0.37,95%CI(0.21,0.52)],discomfort[OR=0.42,95%CI(0.24,0.61)],worry about prognosis[OR=0.61,95%CI(0.38,0.84)],uncertainty[OR=0.07,95%CI(0.03,0.11)],worry about economic status[OR=0.38,95%CI(0.21,0.55)]and loneliness[OR=0.42,95%CI(0.30,0.54)]were risk factors of sleep deprivation in ICU critical patients.Conclusion:Current evidence shows that the incidence of sleep deprivation in ICU patients is high.Worry about prognosis,noise,discomfort,loneliness,economic situation,pain,treatment and nursing intervention and light are definite risk factors.And the uncertainty of disease is SD-elated risk factor.

关 键 词：睡眠剥夺 重症监护 危险因素 疼痛 噪声 疾病不确定感 META分析 

分 类 号：R47[医药卫生—护理学]