Frisk Ulla, Nordström Gun
South Stockholm General Hospital (Sodersjukhuset), Hospital Management, 9th Floor, 118 83 Stockholm, Sweden.
Intensive Crit Care Nurs. 2003 Dec;19(6):342-9. doi: 10.1016/s0964-3397(03)00076-4.
The main purpose of this study was to describe how patients treated in an intensive care unit (ICU) perceive their sleep and to compare patients' and nurses' perceptions of the patients' sleep. The study also determined the percentage of patients in the ICU who were able to fill in the Richard Campell Sleep Questionnaire (RCSQ). This instrument consists of six items and utilises a visual analogue scale (VAS). The results of five of the RCSQ questions are used to calculate a total sleep score, ranging between 0 and 100 (0=the worst possible sleep, 100=the best sleep).Approximately half of the patients were able to answer the RCSQ (n=31). The patients' rating of their sleep varied widely (total sleep score: range 0-97, mean 45.5). Patients who had received hypnotics or sedatives during the night (n=12) had a significantly lower total sleep score (mean=31.6) than the rest of the patients (mean 54.3; P=0.037). On comparing the patients' and the nurses' perceptions of the patients' sleep, no significant difference between the groups was seen. This indicates that nurses can use the RCSQ to assess the sleep of patients who are unable to report their sleep themselves.
本研究的主要目的是描述在重症监护病房（ICU）接受治疗的患者如何看待自己的睡眠，并比较患者与护士对患者睡眠的看法。该研究还确定了ICU中能够填写理查德·坎贝尔睡眠问卷（RCSQ）的患者百分比。该问卷由六个项目组成，并采用视觉模拟量表（VAS）。RCSQ五个问题的结果用于计算总睡眠得分，范围在0至100之间（0表示可能最差的睡眠，100表示最佳睡眠）。约一半患者能够回答RCSQ（n = 31）。患者对自己睡眠的评分差异很大（总睡眠得分：范围0 - 97，平均45.5）。夜间接受过催眠药或镇静剂治疗的患者（n = 12）的总睡眠得分（平均 = 31.6）显著低于其他患者（平均54.3；P = 0.037）。在比较患者与护士对患者睡眠的看法时，两组之间未发现显著差异。这表明护士可以使用RCSQ来评估无法自行报告睡眠情况的患者的睡眠。
