头颈肿瘤患者重症监护期间睡眠促进方案的构建与评价  

Construction and evaluation of sleep promotion protocol for patients with head and neck tumor during intensive care unit

作　　者：李燕[1] 黄瑶[1] 倪莹[1] 杨悦来 殷琦[2] LI Yan;HUANG Yao;NI Ying;YANG Yue-lai;YIN Qi(Department of Anesthesiology,Shanghai Jiao Tong University School of Medicine.Shanghai 200011,China;Department of Nursing,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院麻醉科,上海200011 [2]上海交通大学医学院附属第九人民医院护理部,上海200011

出　　处：《中国口腔颌面外科杂志》2022年第1期68-71,共4页China Journal of Oral and Maxillofacial Surgery

基　　金：上海交通大学医学院附属第九人民医院护理院级基金(JYHL20182105、JYHZ1912、JYHL20182102)。

摘　　要：目的:构建基于循证的头颈肿瘤重症监护(ICU)患者睡眠促进方案。方法:运用循证方法筛选最佳证据,结合临床情况,根据奥哈马干预系统,构建头颈肿瘤患者ICU睡眠促进方案;运用德尔菲法征询10名头颈肿瘤和ICU护理专家进行2轮函询。采用SPSS 23.0软件包进行数据处理。结果:纳入29项高质量证据,包括健康教育、指导和咨询、治疗和程序、个案管理和监测4方面,构建头颈肿瘤患者ICU期间睡眠促进方案。结论:该方案基于循证医学,构建过程严谨,结果可信,对头颈肿瘤患者在ICU期间的睡眠促进具有一定意义。PURPOSE:To build an evidence-based sleep promotion protocol for head and neck tumor patients in intensive care unit(ICU).METHODS:According to the clinical situation and Omaha system,evidence-based method was used to screen the best evidence to build the sleep promotion protocol for head and neck tumor patients in ICU.Delphi's method was used to consult 10 medical care experts in the field of head and neck tumor and ICU for 2 rounds.SPSS 23.0 software package was used for data analysis.RESULTS:Twenty-nine high-quality evidences were included to build the sleep promotion protocol for head and neck tumor patients in ICU,including health education,guidance and consultation,treatment and procedure,case management and monitoring.CONCLUSIONS:The sleep promotion protocol for head and neck tumor patients in ICU is based on evidence-based medicine rigorously and the result is reliable,which is of great significance to promote sleep of head and neck tumor patients in ICU.

关 键 词：头颈肿瘤患者 ICU 睡眠障碍 睡眠剥夺 睡眠促进 循证医学 德尔菲法 

分 类 号：R739.8[医药卫生—肿瘤]