ICU环境对患者睡眠质量的影响及其相关因素

Sleep Quality and Correlation Factors Analysis among Patients of Intensive Care Unit

目的探讨ICU环境对患者睡眠质量的影响及其相关因素。方法采用匹兹堡睡眠质量指数(PSQI)量表和自制的睡眠质量相关影响因素调查表对我院ICU2003年6月～2004年6月期间住院患者80例进行问卷调查。所有数据输入SAS软件包,运用配对设计t检验、行列表资料的χ2检验及多分类logistic回归分析进行统计学分析。结果患者在ICU病房住院期间的睡眠质量明显低于普通病房,与住院天数、性格、经济状况、APACHEⅡ评分、预感健康受到威胁、周围噪音、病房光线、体位不适相关。结论较之普通病房患者,ICU患者的睡眠质量更差,但可通过改进ICU床旁区域的入睡环境、减少不必的医护干预、加强护理关怀等措施予改善。

Objective To investigate the sleep quality and related factors among patients of intensive care unit （ICU）. Methods With Pittsburgh Sleep Quality Index （PSQI） and self-designed sleeping influence factors questionnaire, 80 patients staying in hospital were investigated. Paired design t test,R×C table Chi-square test and logistic regression analysis had been used to analyze the data. Results Patients＇ sleep quality in ICU is significant worse than general ward. Stage of hospitalization, character,economic status, APACHEⅡ , presentiment of health risk, noise and lightness of ward, malaise of posture had been evaluated to be related to sleep quality. Conclusions Compared with general ward, patients in ICU have a worse sleep quality. But the situations can be improved by improving sleep environment of bed area, simplifying cure intervention, reinforcing nursing.