摘要
目的了解住院患者夜间睡眠状况及其影响因素,并比较护理人员和患者关于住院患者夜间睡眠状况和影响因素的不同看法。方法采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)量表和自行设计的住院患者夜间睡眠状况调查表(患者卷和护士卷)分别对397例患者(内科254例,外科143例)和101位夜班护士进行调查。结果在397例患者中,45.6%的住院患者存在睡眠质量问题。单因素分析结果显示:护士护理别的患者发出的声响、夜间治疗护理、电话铃声、空调发出的声音、护士交谈声、治疗仪器发出的声音、护士脚步声是干扰住院患者夜间睡眠的环境因素;疾病本身带来的不适、夜间起来上厕所、药物的夜间服用是生理及病理生理方面的影响因素;对病情的担心、情绪厌烦、想念亲人、难以自控等心理因素导致患者难以入睡。Logistic回归分析结果显示:影响住院患者夜间睡眠的因素包括对病情的担心、疾病本身带来的不舒适、夜间起来上厕所和护士的脚步声等。91.1%的护士能够意识到大部分住院患者的夜间睡眠状况较正常人差;患者和护士认为睡眠影响因素的排序在总体上比较一致,但在各自总体中所占的比例仍有较多项目存在统计学差异。结论大部分住院患者存在睡眠质量问题,其影响因素是多方面的;护理人员应从患者角度出发,系统了解住院患者的睡眠状况,采取个体化护理对策,改善住院患者的睡眠质量,促进其身心早日康复。
Objective To study the nocturnal sleep quality and its affecting factors of the inpatients and compare the perceptions of the sleep-disturbing factors between the patients and the nurses. Methods PSQI and a self-designed questionnaire （one for inpatients and one for nurses） were used to conduct the survey in 397 inpatients （including 254 patients in the internal medicine department and 143 surgical patients） and 101 nurses in Xiangya Hospital. Results The records of the inpatients showed that 45.6% （95%CI： 40. 7%-50. 5 %） of the 397 patients had sleep disturbances. Univariate analysis revealed that the noises of nurses tending to other patients,nursing at night, telephone rings, sounds of air-conditionings, sounds of machines,conversation between nurses, and nurses＇ footsteps were common sources of disturbances;discomfort associated with the diseases, using toilet and taking drugs at night were the physiologically and pathophysiologically disturbing factors;concerns of the disease, emotional stress, missing relatives, and difficulty of self-control were the psychological factors that affected the sleep. Logistic regression analysis indicated that worries, discomfort due to the disease, using toilet and nurse＇s footsteps constituted the direct sleep disturbing factors of the inpatients. There were sharp discrepancies between the nurses and inpatients in the perceptions of sleep disturbing factors of inpatients. Conclusion Most of the inpatients have poor sleep quality, and sleep-disturbing factors involve different aspects. The nurses should view this problem through patients＇ perspective and devise individualized nursing to improve the patients＂ sleep quality for their early recovery.
出处
《解放军护理杂志》
2008年第4期21-24,共4页
Nursing Journal of Chinese People's Liberation Army
关键词
住院患者
睡眠质量
影响因素
护理
inpatients
sleep quality
sleep disturbing factors
nursing
作者简介
袁琼婧（1984-），女，湖南长沙人，硕士在读，主要从事肾病内科学的研究
通讯作者：王苟思义，E-mail：zokygwong@gmail．com
