The Mediating Effects of Sleep Quality and Fatigue on Post-Intensive Care Syndrome Among Intensive Care Unit Survivors

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-09-02 DOI:10.1111/ijn.70047

Hui-Fang Yeh, Tzu-Yu Tseng, Ling-Hua Wang, Chia-Lun Lo, Jun-Yih Chen, Hui-Ju Cheng, Yu-Hua Lin

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引用次数: 0

Abstract

Aims

This study examines the impact of sleep quality in patients during the first week after transfer from the intensive care unit on post-intensive care syndrome, as well as the mediating role of fatigue levels.

Design

A cross-sectional design was employed in a hospital in southern Taiwan.

Methods

One hundred twenty-six intensive care unit survivors were included in the analysis. The outcome measures included a post-intensive care syndrome scale, the Brief Fatigue Inventory-Taiwan, and a 10-point analogue scale for sleep quality. Statistical and hierarchical linear regression methods were used.

Results

The mean score for post-intensive care syndrome was 19.9 (SD = 7.6). The mean score for fatigue levels was 40.4 (SD = 15.5), with 93.7% of participants reporting severe fatigue and significant life interference. The mean score for sleep quality was 5.1 (SD = 3.3). The findings indicated that fatigue was a significant predictor of post-intensive care syndrome, accounting for 78.4% of the variances. Furthermore, fatigue served as a complete mediator in the primary relationship examined in this study.

Conclusion

Study results demonstrate that intensive care survivors experience post-intensive care syndrome, which is negatively correlated with sleep quality and positively correlated with fatigue.

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睡眠质量和疲劳对重症监护室幸存者重症监护后综合征的中介作用

目的本研究探讨重症监护室患者转院后第一周睡眠质量对重症监护后综合征的影响，以及疲劳水平的中介作用。设计台湾南部某医院采用横断面设计。方法对126例重症监护室幸存者进行分析。结果测量包括重症监护后综合症量表、台湾简易疲劳量表和睡眠质量10分模拟量表。采用统计和层次线性回归方法。结果重症监护后综合征平均评分为19.9分（SD = 7.6）。疲劳水平的平均得分为40.4 (SD = 15.5)， 93.7%的参与者报告严重疲劳和显著的生活干扰。睡眠质量平均得分为5.1 （SD = 3.3）。研究结果表明，疲劳是重症监护后综合征的显著预测因子，占方差的78.4%。此外，疲劳在本研究中检验的主要关系中起着完全的中介作用。结论重症监护幸存者经历重症监护后综合征与睡眠质量负相关，与疲劳正相关。

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

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.