佘克蓉

[摘要] 目的 探讨护理干预对ICU患者睡眠质量的影响。 方法 随机选择2011年1月～2014年1月在本院诊治的ICU危重患者62例，按照随机数字表方法分成两组，每组31例，对照组给予常规护理，研究组给予护理干预，分析两组干预前后的情绪、睡眠质量变化、ICU综合征和护理满意度情况。 结果 两组干预后SAS和SDS评分均比干预前低（P<0.05）；干预后研究组SAS和SDS评分，均比对照组低（P<0.05）；且两组干预后入睡时间、睡眠质量、睡眠效率、睡眠时间、催眠药物、睡眠障碍、日间的功能障碍和总分，均比干预前低，研究组睡眠相关指标评分，均比对照组低（P<0.05）；同时研究组发生ICU综合征为2例（6.45%），比对照组的10例（32.26%）少（P<0.05）；研究组护理的满意度为96.77%，比对照组的80.65%高，差异有统计学意义（P<0.05）。 结论 对ICU重症患者给予护理干预，可显著改善患者的情绪和睡眠质量，具有一定的临床应用和研究价值。

[关键词] 护理干预；ICU；睡眠质量

[中图分类号] R473[文献标识码] B[文章编号] 1674-4721（2014）05（b）-0136-03

Influence of nursing intervention on sleep quality of ICU patients

SHE Ke-rong

People′s Hospital of Xinyi City of Jiangsu Province，Xinyi 221400，China

[Abstract] Objective To explore the influence of nursing intervention on sleep quality of ICU patients. Methods 62 ICU patients treated in our hospital from January 2011 to January 2014 were randomly selected ，they were divided into two groups according to the random number table method，each group of 31 cases.The control group received conventional nursing，and the research group received nursing intervention.The emotion，sleep quality，ICU syndrome and nursing satisfaction of two groups after intervention were analyzed. Results SAS and SDS score of two groups after intervention were lower than that before intervention （P<0.05）. After intervention，SAS and SDS score of the research group were lower than that of the control group （P<0.05）.And sleeping time，sleep quality，sleep efficiency，hypnotic agents，sleep disorders and dysfunction in the day after intervention of two groups were lower than that before intervention，the sleeping indicator scores of the research group were lower than that of the control group （P<0.05）.There were 2 cases （6.45%） with ICU syndrome in the research group，and 10 cases （32.26%） in the control group （P<0.05）.The nursing satisfaction degree of the research group was 96.77%，and that of the control group was 80.65%，the difference was statistically significant （P<0.05）. Conclusion Implementing nursing intervention on ICU patients can improve the emotion and sleep quality of patients，which has great clinical application and research value.

[Key words] Nursing intervention；ICU；Sleep quality

临床ICU重症患者由于具有急、危、重等特点，患者受到疾病折磨及侵入性的治疗与护理的综合影响，严重影响睡眠质量。根据大量临床实践发现，良好的睡眠质量可维持机体正常稳定的生命活动，还可提高患者治疗与康复的效果[1]。加强并重视ICU患者护理干预能够有效提升患者的睡眠质量和延长睡眠时间，进而提高患者治疗和预后康复的效果。本研究主要对2011年1月～2014年1月在本院诊治的31例ICU危重患者给予护理干预，以探讨护理干预对ICU患者睡眠质量的影响。

1 资料与方法

1.1 一般资料

随机选择在本院诊治的62例ICU危重患者为研究对象，按照随机数字表方法分成对照组和研究组，每组31例。对照组男性18例，女性13例；年龄30～72岁，平均（51.00±7.23）岁；重症胰腺炎3例，农药中毒11例，肺心病5例，多发伤12例。研究组男性19例，女性12例；年龄30～73岁，平均（52.00±7.53）岁；重症胰腺炎2例，农药中毒10例，肺心病6例，多发伤13例。两组患者的年龄、性别、疾病种类等基线资料差异无统计学意义（P>0.05），具有可比性。

1.2 纳入和排除标准

纳入标准：均确诊为ICU重症者；均睡眠质量不佳；……