观察综合护理联合夜间噪声管理对ICU病房清醒患者治疗依从性及睡眠质量的影响  

To Observe the Effect of Comprehensive Nursing Combined with Night Noise Management on the Treatment Compliance and Sleep Quality of Conscious Patients in ICU Wards

作　　者：张海燕 ZHANG Haiyan(The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)

机构地区：[1]福建医科大学附属第一医院,福州350005

出　　处：《世界睡眠医学杂志》2022年第10期1993-1996,共4页World Journal of Sleep Medicine

摘　　要：目的:观察综合护理联合夜间噪声管理对ICU病房清醒患者治疗依从性及睡眠质量的影响,进而为ICU病房清醒患者的临床护理提供更丰富的内容。方法:选取2018年1月至2019年12月福建医科大学附属第一医院ICU病房收治的清醒患者126例作为研究对象,按随机数字表法分为观察组和对照组,每组63例。对照组患者给予常规护理干预,观察组患者给予综合护理联合夜间噪声管理,采用ICU病房自制依从性量表比较2组患者治疗的依从性,采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者睡眠质量的变化。结果:护理干预后,观察组治疗依从性显著高于对照组,观察组PSQI各指标评分及总分显著低于对照组,2组比较差异均有统计学意义(P<0.05)。结论:对ICU病房清醒患者应用综合护理联合夜间噪声管理,效果确切,在提高患者依从性及睡眠质量方面具有时效性,值得借鉴推广。Objective:To observe the effect of comprehensive nursing combined with nighttime noise management on the treatment compliance and sleep quality of conscious patients in ICU wards,so as to provide richer content for clinical nursing of conscious patients in ICU wards.Methods:A total of 126 conscious patients admitted to ICU ward of the First Affiliated Hospital of Fujian Medical University from January 2018 to December 2019 were selected as the research objects.A ccording to the radamly table method they were randomly divided into the observation group and the control group,with 63 patients in each group.The patients in the control group were given routine nursing intervention,while the patients in the observation group were given comprehensive nursing combined with night noise management.The compliance of the patients in the 2 groups was compared with the Self-made compliance scale in the ICU ward,and the changes in the sleep quality of patients were compared with the Pittsburgh Sleep Quality Index(PSQI)scale.Results:After nursing intervention,the treatment compliance of the observation group was significantly higher than the control group,and the PSQI score and total score of the observation group were significantly lower than the control group.The difference between the 2 groups was statistically significant(P<0.05).Conclusion:The application of comprehensive nursing combined with nighttime noise management to conscious patients in ICU wards has a definite effect,and has timeliness in improving patient′s compliance and sleep quality,which is worthy of reference and promotion.

关 键 词：ICU病房清醒患者 综合护理 夜间噪声管理 依从性 睡眠质量 

分 类 号：R473.5[医药卫生—护理学] R338.63[医药卫生—临床医学]