翟鲁彦

【摘 要】目的：分析急诊监护室中白噪声对患者睡眠质量的影响。方法：以2016年9月-2019年5月我院急诊监护室收入的240例患者为研究对象，在患者完全知情并自愿参与研究的基础上，在患者进入急诊监护室的第一晚实施常规护理，第二晚在常规护理的基础上播放白噪声，之后分别以干预前患者的睡眠质量评分与干预后患者的睡眠质量评分进行对比，明确急诊监护室中白噪声对患者睡眠质量的影响。结果：在实施护理干预前240例患者的睡眠质量评分低于实施护理干预后的评分，差异具备统计学意义，说明白噪声能够在一定程度上对患者的睡眠质量进行改善，同时干预前与干预后的差异具备统计学价值。结论：在急诊监护室中患者往往会因为各种原因影响睡眠质量，而白噪声的播放则能够在一定程度上对患者的睡眠质量进行改善，应在临床实践中对其进行推广。

【关键词】急诊监护室;睡眠质量

【中图分类号】R740 【文献识别码】B 【文章编号】1002-8714（2019）11-0014-01

【Abstract】Objective： To analyze the influence of white noise on sleep quality of patients in emergency intensive care unit. Methods： 240 patients with income from the emergency intensive care unit of our hospital from September 2016 to May 2019 were studied. On the basis of full knowledge and voluntary participation of patients， routine nursing was carried out on the first night of patients entering the emergency intensive care unit， and white noise was broadcast on the basis of routine nursing on the second night. After that， patients before intervention were treated separately. The sleep quality score was compared with the sleep quality score of patients after intervention， and the effect of white noise on the sleep quality of patients in emergency intensive care unit was clarified. Results： The sleep quality score of 240 patients before nursing intervention was lower than that after nursing intervention. The difference had statistical significance. It showed that white noise could improve the sleep quality of patients to a certain extent， and the difference between before and after nursing intervention had statistical value. Conclusion： Patients in the emergency intensive care unit often suffer from various factors affecting sleep quality， while white noise can improve the sleep quality of patients to a certain extent， which should be promoted in clinical practice.

【Key words】 Emergency Care Unit; Sleep Quality

急診监护室患者的睡眠质量普遍不高，之所以会如此，主要是因为急诊监护室或多或少存在噪音，再加上患者对急诊监护室不适应、对疾病治疗过程存在担忧、恐惧心理等等，这些因素都直接影响了患者的睡眠质量，不利于治疗行为的实施。而白噪声主要是一种连续的单调声音，其能够通过共振的形式对来自外部环境的干扰声音进行抑制，同时可能产生一定的舒缓作用。根据国内外相关研究的显示，通过对白噪声进行播放可以对急诊监护室的噪音进行抑制，但由于国内对这一问题进行研究的情况不多，因此白噪声对急诊监护室患者睡眠质量的改善效果还有待进一步验证。……