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[影响住院患者的睡眠障碍]

[Sleep disturbances affecting hospital patients].

作者信息

Kuivalainen L, Ryhänen A, Isola A, Meriläinen P

出版信息

Hoitotiede. 1998;10(3):134-43.

PMID:10437442
Abstract

The purpose of this article is to describe patients' sleep in hospital. The article is based on a study of patients' sleep in a hospital's medical or surgical ward and to clarify the disturbance factors relating to their sleep. The patients of the Central Hospital of Northern Carelia's two medical and two surgical wards took part in the research. The data were collected by a structured questionnaire and a follow-up questionnaire in May-June 1996. Of the replies of 181 patients, the results of 177 were taken to the final analysis. The data were analysed by statistical methods. The data and the results are presented in frequency and percent distributions, and the background variables of those patients sleeping well and those sleeping poorly are analysed and compared. The results indicated that 65% of the researched patients slept badly in the hospital. Environmental factors were found to be related to most of the patients' sleep disturbances: 80% of them regarded those factors as the cause for their disturbed sleep. Other patients, noise, and the nurses' work were regarded as the most disturbing of the environmental factors. The internal factors had disturbed patients' sleep in the hospital less than the environmental factors. Pain was regarded as the most sleep disturbing internal factor: over half of the researched patients felt disturbed by it. During their stay in the hospital the patients experienced more positive (trust, contentment, safety) than negative feelings (fear, anxiety, depression, distrust), and those who experienced negative feelings had more difficulties in sleeping.

摘要

本文旨在描述患者在医院的睡眠情况。本文基于一项对某医院内科或外科病房患者睡眠情况的研究,以阐明与其睡眠相关的干扰因素。北卡累利阿中心医院两个内科病房和两个外科病房的患者参与了该研究。数据通过结构化问卷和随访问卷于1996年5月至6月收集。在181名患者的回复中,177名患者的结果被纳入最终分析。数据采用统计方法进行分析。数据和结果以频率和百分比分布呈现,并对睡眠良好和睡眠不佳患者的背景变量进行分析和比较。结果表明,65%的被研究患者在医院睡眠质量差。环境因素被发现与大多数患者的睡眠干扰有关:80%的患者认为这些因素是其睡眠受扰的原因。其他患者、噪音和护士的工作被认为是最干扰睡眠的环境因素。内部因素对患者在医院睡眠的干扰小于环境因素。疼痛被认为是最干扰睡眠的内部因素:超过一半的被研究患者受其影响。在住院期间,患者体验到的积极情绪(信任、满足、安全)多于消极情绪(恐惧、焦虑、抑郁、不信任),而体验到消极情绪的患者睡眠困难更多。

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