白噪声降噪耳塞联合眼罩对ICU患者睡眠质量的影响  

Effect of white noise reduction earplugs combined with eye mask on sleep quality of ICU patients

作　　者：位新红 张倩[1] 赵静[2] 王静[1] Wei Xinhong;Zhang Qian;Zhao Jing;Wang Jing(Department of Intensive Care Unit,the Second People′s Hospital of Liaocheng,Liaocheng 252600,China;Department of Nursing,the Second People′s Hospital of Liaocheng,Liaocheng 252600,China)

机构地区：[1]聊城市第二人民医院重症医学科,聊城252600 [2]聊城市第二人民医院护理部,聊城252600

出　　处：《中国实用护理杂志》2022年第10期747-752,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨白噪声降噪耳塞联合眼罩对ICU患者睡眠质量的改善作用。方法选择2019年4—11月在聊城市第二人民医院ICU病房住院的患者136例,依照随机数字表法分为3组,第1组为3M耳塞+眼罩45例,第2组为白噪声降噪耳塞+眼罩46例,第3组为对照组45例。入组后第1天晚上,所有患者仅给予常规护理;第2天和第3天晚上,第1组佩戴3M耳塞和眼罩,第2组佩戴白噪声降噪耳塞和眼罩,第3组仅采用常规护理,不佩戴眼罩和耳塞。第2天和第4天上午评估患者基线期理查兹-坎贝尔睡眠量表(RCSQ),Zung焦虑自评量表(SAS)和Zung抑郁自评量表(SDS)评分。结果干预后,第1组RCSQ中睡眠深度、睡眠潜伏期、夜间觉醒、重回睡眠、睡眠质量、夜间主观噪声感受和总分评分分别为(55.98±19.65)、(57.66±19.56)、(55.68±16.25)、(58.17±11.32)、(60.54±16.33)、(60.65±12.58)和(57.60±17.21)分,第2组分别为(56.65±18.36)、(61.33±20.33)、(65.35±23.22)、(60.36±19.35)、(63.78±20.36)、(66.56±10.21)和(61.49±17.52)分,第3组分别为(45.96±17.79)、(48.36±13.65)、(48.21±13.49)、(51.36±13.65)、(51.33±16.45)、(43.06±17.15)和(49.04±15.32)分,3组间各维度及其总分比较差异有统计学意义(F值为4.33~8.35,均P<0.05);第1组和第2组各维度及其总分均高于第3组,差异有统计学意义(t值为2.37~7.96,均P<0.05)。干预后,第2组SAS评分为(43.32±21.68)分,低于第1组的(57.75±22.68)分和第3组的(60.65±19.88)分,差异有统计学意义(t=3.09、3.99,均P<0.05)。结论白噪声降噪耳塞或3M耳塞配合眼罩可有效改善ICU患者的睡眠质量,白噪声降噪耳塞配合眼罩还可以缓解患者的焦虑情绪。Objective To investigate the effect of white noise reduction earplugs combined with eye mask on the sleep quality of ICU patients.Methods A total of 136 patients who were hospitalized in the ICU ward of the Second People′s Hospital of Liaocheng from April to November 2019 were selected and divided into 3 groups according to the random number table method.Group 1(3M earplug+eye mask,45 cases),group 2(white noise reduction earplug+eye mask,46 cases),and group 3(control group,45 cases).On the first night after enrollment,all patients were given routine care only.On the second and third nights,group 1 was given 3M ear plugs and eye masks,group 2 was given white noise reduction earplugs and eye masks,and group 3 was given routine care only.On the morning of the second and fourth day,patients′baseline Richards Campbell Sleep Questionnaire(RCSQ),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores were assessed.Results After the intervention,the sleep depth,sleep latency,wake at night,return to sleep,sleep quality,nocturnal subjective noise perception and total score in RCSQ in group 1 were(55.98±19.65),(57.66±19.56),(55.68±16.25),(58.17±11.32),(60.54±16.33),(60.65±12.58),(57.60±17.21)respectively,in group 2 were(56.65±18.36),(61.33±20.33),(65.35±23.22),(60.36±19.35),(63.78±20.36),(66.56±10.21)and(61.49±17.52),in group 3 were(45.96±17.79),(48.36±13.65),(48.21±13.49),(51.36±13.65),(51.33±16.45),(43.06±17.15)and(49.04±15.32).There were statistically significant differences in each dimension and its total scores among the three groups(F values were 4.33-8.35,all P<0.05).Compared with group 3,each dimension and total scores of groups 1 and group 2 were higher than those of group 3,and the differences were statistically significant(t values were 2.37-7.96,all P<0.05).After the intervention,the SAS score of group 2 was(43.32±21.68),which was lower than that of group 1(57.75±22.68)and group 3(60.65±19.88),and the difference were statistically significant(t=3.09,3.99,both P<0.05)

关 键 词：白噪声 降噪耳塞 眼罩 睡眠障碍 

分 类 号：R473[医药卫生—护理学]