ICU环境压力源对清醒患者睡眠质量的影响  

Impact of ICU environmental stressors on sleep quality in conscious patients

作　　者：邹玉娇 蔡诗凝 潘文彦 李菁菁 刘霄 Zou Yujiao;Cai Shining;Pan Wenyan;Li Jingjing;Liu Xiao(School of Nursing,Fudan University,Shanghai,200032,China;Department of Nursing,Zhongshan Hospital,Fudan University,Shanghai,200032,China)

机构地区：[1]复旦大学护理学院,上海200032 [2]复旦大学附属中山医院护理部,上海200032

出　　处：《中华现代护理杂志》2025年第9期1195-1200,共6页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金青年项目(72204052)。

摘　　要：目的调查ICU清醒患者的睡眠现状及其对ICU环境压力源的感知情况,并分析两者的相关性,为制订相关的护理干预提供依据。方法采用便利抽样法,选取2022年8月-2023年1月复旦大学附属中山医院收治的首次入住ICU的120例清醒患者为研究对象,采用一般资料调查表、ICU环境压力源量表(ICUESS)、理查兹-坎贝尔睡眠量表(RCSQ)对患者进行调查。采用多重线性回归分析探讨ICU清醒患者睡眠质量的影响因素。结果120例ICU清醒患者RCSQ、ICUESS总分分别为36.0(12.3,60.8)、76.0(69.0,84.0)分,其中"不能入睡""口渴""被管道束缚"是患者感知到的主要压力源。多重线性回归分析结果显示,治疗环境、自身感受及噪声是ICU清醒患者睡眠质量的影响因素(P<0.05)。结论ICU清醒患者的总体睡眠质量较差,与患者感知到的ICU环境压力源水平密切相关。ICU医护人员应关注ICU的治疗环境、噪声及患者的自身感受,采取措施改善ICU清醒患者的睡眠质量。ObjectiveTo investigate the sleep status of conscious patients in the ICU,their perception of ICU environmental stressors,and the correlation between the two,providing a basis for nursing interventions.MethodsA convenience sampling method was used to recruit 120 conscious patients admitted to Zhongshan Hospital,Fudan University for the first time to the ICU from August 2022 to January 2023 for the study.Data were collected using a general information questionnaire,the Intensive Care Unit Environmental Stressor Scale(ICUESS),and the Richards-Campbell Sleep Questionnaire(RCSQ).Multiple linear regression analysis was performed to identify factors influencing sleep quality in conscious ICU patients.ResultsThe total RCSQ and ICUESS scores of 120 conscious ICU patients were 36.0(12.3,60.8)and 76.0(69.0±84.0),respectively.The primary stressors identified by patients were"inability to fall asleep""thirst"and"restraint by medical tubing".Multiple linear regression analysis showed that the treatment environment,one's own experience and noise were significant factors affecting sleep quality in conscious ICU patients(P<0.05).ConclusionsThe overall sleep quality of conscious ICU patients was poor and closely related to their perceived level of ICU environmental stressors.ICU medical staff should focus on optimizing the treatment environment,noise and patients'own experience to improve their sleep quality.

关 键 词：重症监护病房 患者 环境压力源 睡眠质量 

分 类 号：R47[医药卫生—护理学]