【摘要】：目的:本研究旨在通過對(duì)ICU患者睡眠質(zhì)量及其影響因素的調(diào)查和分析,為ICU患者睡眠質(zhì)量的改善和干預(yù)策略的制定提供理論依據(jù)。方法:本研究為調(diào)查性研究,采用方便抽樣的方法,用ICU睡眠質(zhì)量相關(guān)因素調(diào)查表及理查茲-坎貝爾睡眠問卷量表(Richards-Campbell Sleep Questionnaire,RCSQ),對(duì)某三甲醫(yī)院的急診監(jiān)護(hù)室、內(nèi)科監(jiān)護(hù)室及外科監(jiān)護(hù)室共186名患者進(jìn)行睡眠質(zhì)量的評(píng)估及相關(guān)因素的資料收集,采用描述性統(tǒng)計(jì),單因素、多元回歸進(jìn)行統(tǒng)計(jì)分析。結(jié)果:結(jié)果顯示,患者的睡眠質(zhì)量總體評(píng)分為55.0～58.9分,睡眠質(zhì)量不佳。單因素分析顯示,ICU患者的睡眠質(zhì)量與疼痛、呼吸不暢、其他不適(咳嗽、頭暈等)以及醫(yī)療設(shè)備的報(bào)警聲,工作人員的談話、電話聲,其他患者及走路、轉(zhuǎn)運(yùn)、搶救等發(fā)出的聲音成負(fù)相關(guān)(r:-0.161～-0.257,P0.05);與不同的機(jī)械通氣模式相關(guān)(r:0.175,P0.05)。多元回歸分析顯示,睡眠深度與疼痛、呼吸不暢、其他不適及走路、轉(zhuǎn)運(yùn)、搶救發(fā)出的噪音相關(guān)(P0.05);睡眠潛伏期與疼痛、呼吸不暢相關(guān)(P0.05);覺醒與疼痛、呼吸不暢及走路、轉(zhuǎn)運(yùn)、搶救發(fā)出的噪音相關(guān)(P0.05);睡眠效率與疼痛、呼吸不暢相關(guān)(P0.05);睡眠質(zhì)量與疼痛、呼吸不暢、其他不適及走路、轉(zhuǎn)運(yùn)、搶救發(fā)出的噪音相關(guān)(P0.05)。結(jié)論:ICU患者睡眠質(zhì)量較差,與疼痛、呼吸不暢、其他不適(咳嗽、頭暈等)及走路、轉(zhuǎn)運(yùn)、搶救等發(fā)出的聲音有關(guān)。
[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.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473
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本文編號(hào)：2350565