Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.
Intensive Crit Care Nurs. 2011 Feb;27(1):37-45. doi: 10.1016/j.iccn.2010.11.001. Epub 2010 Dec 15.
The aim of this study was to describe factors affecting the sleep of parents of critically ill children and to determine strategies used to improve their sleep. One hundred and eighteen parents of 91 children recruited during their child's paediatric intensive care unit stay responded in writing to open-ended questions assessing their experiences with sleep and eliciting ideas for strategies to promote sleep to be used by parents and provided by hospital staff. Patterns and concepts were coded and organised into themes using a qualitative descriptive approach. Seven themes emerged related to influences on and strategies to improve sleep: (1) the child's condition; (2) being at the bedside or not; (3) difficult thoughts and feelings; (4) changes to usual sleep; (5) caring for self and family; (6) the hospital environment and (7) access to sleep locations. Parents described multiple, often competing, demands that affected their ability to achieve sleep, regardless of location. Many more factors that influenced sleep were described than strategies to improve sleep, highlighting the need for nurses to explore with parents the unique barriers and facilitators to sleep they encounter and to develop and rigorously test interventions to improve sleep.
本研究旨在描述影响危重症患儿父母睡眠的因素，并确定改善其睡眠的策略。在患儿入住儿科重症监护病房期间，118 名 91 名患儿的父母通过书面形式回答了开放式问题，评估了他们的睡眠体验，并提出了促进父母和医院工作人员使用的睡眠策略的想法。使用定性描述方法对模式和概念进行编码和组织成主题。有 7 个主题与影响睡眠的因素和改善睡眠的策略有关：（1）孩子的病情；（2）是否在床边；（3）困难的想法和感受；（4）改变通常的睡眠；（5）照顾自己和家人；（6）医院环境；（7）获得睡眠地点。父母描述了多种、经常相互竞争的需求，这些需求影响了他们入睡的能力，无论他们身在何处。描述的影响睡眠的因素比改善睡眠的策略多，这突出表明护士需要与父母一起探讨他们在睡眠方面遇到的独特障碍和促进因素，并制定和严格测试改善睡眠的干预措施。
