133名ICU护士对患者睡眠状况的知识、态度、管理行为现况调查

Investigation of 133 ICU nurses' knowledge, attitudes and practice about patient's sleep status

目的:调查重症监护病房(ICU)护士对患者睡眠状况的知识、态度与管理行为现况,为完善ICU专科护士培训体系提供依据。方法:采用方便取样法,用自制的"ICU护士对患者睡眠状况的知信行调查问卷"对133名ICU专科护士培训班学员进行网络调查。结果:82.0%的ICU护士不了解ICU患者睡眠评估的方法,近80%不了解甚至未听说过睡眠评估相关工具;仅12.8%的ICU护士接受过ICU患者睡眠评估与管理相关知识的培训;80%以上的ICU护士认为应每天评估ICU患者的睡眠状况,且60%以上认为评估及管理ICU患者的睡眠状况是护士的责任;90%左右的ICU护士认为科室有责任提供睡眠评估与管理相关知识培训,并建立ICU患者睡眠监测与管理方案;不足40%的ICU护士会记录患者的睡眠状况,不足5%的ICU护士所在科室为患者配备睡眠监测相关设备。结论:ICU护士对患者睡眠状况的关注态度积极,但知识缺乏,行为不足;应积极探索形成解决ICU患者睡眠剥夺的理论,并纳入ICU专科护士培训体系中,从而指导ICU护士采取减轻患者睡眠剥夺的行为,切实改善ICU患者的睡眠质量。

Objective： To investigate ICU nurses＇ knowledge, attitudes and practice about patients＇ sleep status. Methods： Totally 133 ICU nurses from ICU specialist nurse training course were recruited using convenience sampling method and investigated online using self-designed ＂ICU nurses＇ knowledge, attitudes and practice about patients＇ sleep status questionnaire＂. Results： About 82.0% respondents described they didn＇t know how to assess patients＇ sleep status. Nearly 80% nurses had never heard about sleep evaluation tools. Only 12.8% responders had received related training. Over 80% respondents thought ICU nurses have the responsibility to evaluate patients＇ sleep status every day. Nearly 90% respondents thought the ICU should supply some training program about patient＇s sleep status evaluation and made related protocols. Less than 40% respondents recorded patients＇ sleep status and less than 5% respondents described that their units provided some sleeping monitoring equipment. Conclusion： ICU nurses have positive attitude towards managing patients＇ sleep status, but lack related knowledge and behavior. Nursing managers should develop knowledge＇s about solving ICU patients＇ sleeping deprivation and these knowledge should be put into ICU specialist nurse training program, so as to guide ICU nurses＇ practice to relieve ICU patients＇ sleeping deprivation and improve patients＇ sleep quality in ICU.