神经重症监护病房患者家属睡眠质量及其影响因素分析

Status and influencing factors of sleep quality for family caregivers to neurological intensive care unit survivors

目的 调查神经重症监护病房（NICU）患者家属睡眠质量,分析其影响因素,为构建有针对性的睡眠护理干预措施提供理论依据.方法 采取方便抽样法选取180名我院神经重症监护病房的患者家属为研究对象,利用匹兹堡睡眠质量指数量表及自制睡眠影响因素调查表进行调查.结果 NICU患者家属睡眠质量得分为（8.81±3.25）分,55.68%（98/167）的家属存在睡眠质量不佳的状况.Logistic回归分析表明,医疗保险（OR=2.025,P〈0.01）、总住院时间（OR=2.235,P〈0.01）、家属是否在职（OR=0.583,P〈0.05）、家属睡处（OR=2.341,P〈0.01）、患者是否插管或脑室引流（OR=5.857,P〈0.01）是影响家属睡眠质量的重要因素.结论 NICU患者家属的睡眠质量欠佳.医护人员应关注NICU患者家属睡眠问题,在考虑其身心特点的基础上进行睡眠护理干预,以提高其睡眠质量与生命质量.

Objective To investigate the level and influence factors of sleep quality in caregivers to neurological intensive care unit （NICU） survivors. Methods The Pittsburgh Sleep Quality Index （PQSI） and the sleep quality influence factor scale were administered on 167 family caregivers to NICU survivors. Results The score of PQSI was 8.81 ± 3.25,and 55.68%（98/167） of caregivers reported poor sleep quality. Logistic regression analysis showed that medical insurance（OR=2.025, P〈0.01）, hospital stay （OR==2.235, P〈0.01）, whether caregivers in service （OR=0.583, P〈0.05）, resisdence（OR=2.341, P〈0.01）, and tracheal tubes/ventricular drainage （OR=5.857, P〈0.01） were influencing factors of sleep quality. Conclusions It proved that our intervention should focus on family caregivers to NICU survivors social and psychological characteristics may help to enhance their sleep quality and quality of life.