ICU患者睡眠障碍的现况调查及相关因素分析
发布时间：2018-11-23 06:13
【摘要】：目的:本研究旨在通过对ICU患者睡眠质量及其影响因素的调查和分析,为ICU患者睡眠质量的改善和干预策略的制定提供理论依据。方法:本研究为调查性研究,采用方便抽样的方法,用ICU睡眠质量相关因素调查表及理查兹-坎贝尔睡眠问卷量表(Richards-Campbell Sleep Questionnaire,RCSQ),对某三甲医院的急诊监护室、内科监护室及外科监护室共186名患者进行睡眠质量的评估及相关因素的资料收集,采用描述性统计,单因素、多元回归进行统计分析。结果:结果显示,患者的睡眠质量总体评分为55.0～58.9分,睡眠质量不佳。单因素分析显示,ICU患者的睡眠质量与疼痛、呼吸不畅、其他不适(咳嗽、头晕等)以及医疗设备的报警声,工作人员的谈话、电话声,其他患者及走路、转运、抢救等发出的声音成负相关(r:-0.161～-0.257,P0.05);与不同的机械通气模式相关(r:0.175,P0.05)。多元回归分析显示,睡眠深度与疼痛、呼吸不畅、其他不适及走路、转运、抢救发出的噪音相关(P0.05);睡眠潜伏期与疼痛、呼吸不畅相关(P0.05);觉醒与疼痛、呼吸不畅及走路、转运、抢救发出的噪音相关(P0.05);睡眠效率与疼痛、呼吸不畅相关(P0.05);睡眠质量与疼痛、呼吸不畅、其他不适及走路、转运、抢救发出的噪音相关(P0.05)。结论:ICU患者睡眠质量较差,与疼痛、呼吸不畅、其他不适(咳嗽、头晕等)及走路、转运、抢救等发出的声音有关。
[Abstract]:Objective: the purpose of this study was to provide theoretical basis for the improvement of sleep quality and the formulation of intervention strategies in patients with ICU by investigating and analyzing their sleep quality and its influencing factors. Methods: this study was conducted by using ICU sleep quality related factors questionnaire and Richards Campbell Sleep questionnaire (Richards-Campbell Sleep Questionnaire,RCSQ). A total of 186 patients in the Department of Internal Medicine and the Surgical Care Unit were evaluated for sleep quality and collected data of related factors. Descriptive statistics, single factor and multivariate regression were used for statistical analysis. Results: the results showed that the total score of sleep quality was 55.0 ~ 58.9, and the sleep quality was poor. Univariate analysis showed that ICU patients' sleep quality and pain, breathing difficulties, other discomfort (cough, dizziness, etc.) and medical equipment alarm sound, staff talk, phone calls, other patients and walk, transport, The sound of rescue was negatively correlated (r: -0.161- 0.257); It was related to different mechanical ventilation modes (r: 0.175). Multiple regression analysis showed that sleep depth was associated with pain, dyspnea, other discomfort, walking, transport, rescue noise (P0.05), sleep latency and pain, poor breathing (P0.05). Arousal was associated with pain, dyspnea, walking, transport, rescue noise (P0.05), sleep efficiency and pain, breathing difficulty (P0.05). Sleep quality and pain, breathing, other discomfort and walking, transport, rescue of the noise (P0.05). Conclusion: the poor sleep quality of ICU patients is related to pain, dyspnea, other discomfort (cough, dizziness, etc.) and the sound of walking, transporting and rescuing.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473
，
本文编号：2350565
[Abstract]:Objective: the purpose of this study was to provide theoretical basis for the improvement of sleep quality and the formulation of intervention strategies in patients with ICU by investigating and analyzing their sleep quality and its influencing factors. Methods: this study was conducted by using ICU sleep quality related factors questionnaire and Richards Campbell Sleep questionnaire (Richards-Campbell Sleep Questionnaire,RCSQ). A total of 186 patients in the Department of Internal Medicine and the Surgical Care Unit were evaluated for sleep quality and collected data of related factors. Descriptive statistics, single factor and multivariate regression were used for statistical analysis. Results: the results showed that the total score of sleep quality was 55.0 ~ 58.9, and the sleep quality was poor. Univariate analysis showed that ICU patients' sleep quality and pain, breathing difficulties, other discomfort (cough, dizziness, etc.) and medical equipment alarm sound, staff talk, phone calls, other patients and walk, transport, The sound of rescue was negatively correlated (r: -0.161- 0.257); It was related to different mechanical ventilation modes (r: 0.175). Multiple regression analysis showed that sleep depth was associated with pain, dyspnea, other discomfort, walking, transport, rescue noise (P0.05), sleep latency and pain, poor breathing (P0.05). Arousal was associated with pain, dyspnea, walking, transport, rescue noise (P0.05), sleep efficiency and pain, breathing difficulty (P0.05). Sleep quality and pain, breathing, other discomfort and walking, transport, rescue of the noise (P0.05). Conclusion: the poor sleep quality of ICU patients is related to pain, dyspnea, other discomfort (cough, dizziness, etc.) and the sound of walking, transporting and rescuing.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473
，
本文编号：2350565
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