Calidad del sueño en pacientes ingresados en una unidad de cuidados intermedios

IF 1.1 Q4 NURSING

Enfermeria Clinica Pub Date : 2025-05-01 DOI:10.1016/j.enfcli.2024.10.009

Paula Itxaso Sirera-Pérez , Adriana Martín-Sanjoaquín , Beatriz Juandeaburre-Pedroarena , Itziar Luquin-Iturmendi , Rosana Goñi-Viguria

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引用次数: 0

Abstract

Introduction

Patients admitted to critical care units (ICU) are subject to develop sleep disturbances, caused by multiple factors that are present in this type of units.

Objetive

Describe patients’ perceptions of night rest, to relate them to sociodemographic variables, and determine factors that interfere with their sleep quality.

Methodology

Descriptive, prospective, observational study in an ICU of a tertiary level university hospital. Sleep perception was assessed with the five-item Richards-Campbell Sleep Questionnaire (RCSQ). Sociodemographic and clinical variables were collected. A self-developed questionnaire with 9 questions addressing the main factors mentioned in the literature that influence sleep was utilized. Descriptive and inferential statistics were performed, being considered statistically significant p< 0,05.

Results

The sleep of 75 patients was studied, for 146 nights.

The sleep perception was rated as fair, with moderate ease in falling asleep, average awakenings, and moderate ease in returning to sleep. The mean RCSQ score was 60.22 (SD: 24.81).

It was observed that concern (p< 0.001), noise (p = 0.016), pain (p = 0.008), discomfort (p = 0.001), ambient light (p = 0.026), and the presence of nearby patients (p = 0.027) significantly influenced in the sleep.

Conclusions

Patients’ perception of night sleep was fair. Keeping patients informed, minimizing ambient light and noise, optimizing analgesic guidelines, and promoting a comfortable position could facilitate night rest.

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中间护理病房患者的睡眠质量

重症监护病房（ICU）的患者容易出现睡眠障碍，这是由多种因素引起的，这些因素存在于这类病房中。目的描述患者对夜间休息的感知，将其与社会人口学变量联系起来，并确定干扰其睡眠质量的因素。方法：在某三级大学医院ICU进行描述性、前瞻性、观察性研究。睡眠感知通过五项理查兹-坎贝尔睡眠问卷（RCSQ）进行评估。收集社会人口学和临床变量。使用了一份自行开发的问卷，其中包含9个问题，解决了文献中提到的影响睡眠的主要因素。进行描述性和推断性统计，认为统计显著p<；0 05。结果对75例患者进行了为期146晚的睡眠研究。睡眠感知被评为公平，入睡适度，醒来平均，恢复睡眠适度。RCSQ平均评分为60.22 （SD: 24.81）。有人指出，关切(p<；0.001)、噪音（p = 0.016）、疼痛（p = 0.008）、不适（p = 0.001）、环境光（p = 0.026）和附近患者的存在（p = 0.027）对睡眠有显著影响。结论患者对夜间睡眠的感知较好。让患者了解情况，减少环境光和噪音，优化镇痛指南，促进舒适的体位可以促进夜间休息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.