摘要
目的:评价非药物睡眠干预措施对重症监护(ICU)成人患者谵妄、睡眠质量的影响。方法:计算机检索中国知网、万方、中国生物医学文献服务系统、维普、PubMed、Cochrane Library、CINAHL、Embase、Web of Science数据库中关于非药物睡眠干预对ICU成人患者谵妄和睡眠质量影响的文献,检索时间从建库至2022年7月31日。采用RevMan 5.3软件进行Meta分析。结果:共纳入13篇文献,总样本量1866例,文献质量均为B级。眼罩耳塞可以减少ICU成人患者谵妄发生(RR=0.56,95%CI 0.33~0.95,P=0.03)。大部分研究结果表明非药物睡眠干预措施可以改善ICU成人患者的主观睡眠质量。结论:联合运用眼罩耳塞可能降低ICU成人患者谵妄的发生风险,但未来需进行高质量研究加强该证据。
Objective:To evaluate the effects of non-pharmacological sleep interventions on delirium and sleep quality in patients in intensive care units(ICU).Methods:We searched the databases of CNKI,Wanfang Data,SinoMed,VIP,PubMed,Cochrane Library,CINAHL,Embase and Web of Science from inception to July 31,2022 for randomized controlled trials on the effects of non-pharmacological interventions on delirium and sleep quality in adults patients in ICU.Meta-analysis was performed using RevMan 5.3 software.Results:A total of 13 articles were included,with a total sample size of 1866 cases,all of which were B-grade.Eye patch and earplugs can reduce the incidence of delirium in ICU patients(RR=0.56,95%CI 0.33-0.95,P=0.03).Most studies have shown that non-pharmacological sleep interventions can improve the subjective sleep quality in ICU adults patients.Conclusion:The combination of eye patch and earplugs may reduce the risk of delirium of ICU adults patients,but high-quality researches are needed to strengthen this evidence in the future.
作者
唐凯华
王高华
陈秋香
吴慧玲
李想
TANG Kaihua;WANG Gaohua;CHEN Qiuxiang;WU Huilin;LI Xiang(RenMin Hospital of Wuhan University,Wuhan 430000,China)
出处
《现代医学》
2023年第6期802-810,共9页
Modern Medical Journal
基金
武汉大学腾飞计划(TFLC2018001)。
作者简介
唐凯华(1993-),女,湖北武汉人,主管护师,在读硕士研究生。E-mail:tkhwhdx@163.com;通信作者:王高华,E-mail:wgh6402@163.com。
