RICU高龄患者机械通气初期睡眠障碍原因分析

A cause analysis of severe sleep disorders in elderly patients of Mechanical ventilation

目的:了解呼吸重症监护病房(RICU)高龄患者机械通气初期睡眠情况及影响因素。方法:采用匹兹堡睡眠质量指数对2010.1～2011.6收治RICU的50例高龄患者机械通气初期睡眠情况进行评估,用自编调查表研究睡眠质量的影响因素。结果:50例患者PSQl评分7.86±4.28分,其中有睡眠问题的占64%;引起的原因有年龄、环境陌生、医源性干扰、生理和心理不适。结论:RICU高龄患者机械通气初期睡眠差,其影响因素多,护士可根据实际情况采取个体化护理对策,改善患者睡眠质量,促进患者康复。

Objective To analyze the causes of severe sleep disorders in the elderly patients with mechanical ventilation in RICU Method 50 elderly patients with severe RICU mechanical ventilation form January 2010 to June 2011 were retrospectively studied, using the PSQI to factors with self- prepared questionnaire survey of sleep affect the quality of patient. Results The average PSQ1 score was 7.86：4.28;the PSQI of 32 patients was above 7 minutes.64% of patients had abnormal sleep quality.The causes included age ,incision pain, cough and sputum, breathing patterns change by the impact and the external environment. Conclusions RICU of elderly patients with mechanical ventilation during sleep is poor, affecting factors, nurses according to the actual situation may take individual nursing care, patients improved sleep quality, promote the recovery of the patients with.