Uğraş Gülay Altun, Babayigit Sultan, Tosun Keziban, Aksoy Güler, Turan Yüksel
Sultan Babayigit, RN, is a Registered Nurse, Istanbul Cerrahpaşa Medical Faculty, Neurosurgery Intensive Care Unit, Istanbul University, Istanbul, Turkey. Keziban Tosun, RN, is Head Nurse, Cerrahpaşa Medical Faculty, Neurosurgery Department, Istanbul University, Istanbul, Turkey. Güler Aksoy, PhD, is Professor, Nursing High School, Department of Surgical Nursing, Halic University, Istanbul, Turkey. Yüksel Turan, RN, is a Registered Nurse, Istanbul Cerrahpaşa Medical Faculty, Neurosurgery Intensive Care Unit, Istanbul University, Istanbul, Turkey.
J Neurosci Nurs. 2015 Apr;47(2):104-12. doi: 10.1097/JNN.0000000000000122.
Sleep disturbance in an intensive care unit is a common problem. One of the main factors causing sleep disturbances in an intensive care unit is nocturnal patient care interventions.
This study aims to determine the impact of patient care interventions performed at night in a neurosurgical intensive care unit on patients' sleep and their nursing care satisfaction.
The descriptive study was conducted on 82 patients in a neurosurgical intensive care unit between January 2009 and March 2010. The data were collected by data collection instruments and Newcastle Satisfaction with Nursing Scales. The data were statistically analyzed by frequency, mean, standard deviation, chi-square, and Mann-Whitney U test.
The study showed that 53.7% of the patients experienced sleep disturbances in the neurosurgical intensive care unit. Because of nursing interventions at night, 39.1% of these patients had their sleep affected, but this problem did not cause any negative impact on the patients' satisfaction (Newcastle Satisfaction with Nursing Scales score = 88.21 ± 9.83). The patients received, on average, 42.21 ± 7.45 times patient care interventions at night; however, the frequency of patient care interventions at night showed no effect on sleep disturbances in this study (p > .05). The most frequently given patient care interventions were, respectively, vital signs monitoring, neurological assessment, and repositioning in bed. These interventions were performed commonly at 6 a.m., 12 a.m., and 7 p.m.
In this study, despite the patients reporting sleep disturbances in the neurosurgical intensive care unit because of nocturnal patient care interventions that prevented them from sleeping, the patients' satisfaction on the given nursing care was not negatively impacted. To reduce sleep disturbances because of nursing care initiatives and promote uninterrupted sleep in the intensive care unit, it can be useful to develop new protocols regulating night care activities.
重症监护病房中的睡眠障碍是一个常见问题。导致重症监护病房睡眠障碍的主要因素之一是夜间患者护理干预。
本研究旨在确定神经外科重症监护病房夜间进行的患者护理干预对患者睡眠及其护理满意度的影响。
2009年1月至2010年3月期间，对神经外科重症监护病房的82例患者进行了描述性研究。通过数据收集工具和纽卡斯尔护理满意度量表收集数据。数据采用频率、均值、标准差、卡方检验和曼-惠特尼U检验进行统计学分析。
研究表明，53.7%的患者在神经外科重症监护病房经历过睡眠障碍。由于夜间护理干预，其中39.1%的患者睡眠受到影响，但这一问题并未对患者满意度产生任何负面影响（纽卡斯尔护理满意度量表得分=88.21±9.83）。患者夜间平均接受42.21±7.45次患者护理干预；然而，本研究中夜间患者护理干预的频率对睡眠障碍没有影响（p>.05）。最常进行的患者护理干预分别是生命体征监测、神经学评估和床上翻身。这些干预通常在上午6点、午夜12点和晚上7点进行。
在本研究中，尽管患者报告因夜间患者护理干预导致神经外科重症监护病房的睡眠障碍，使他们无法入睡，但患者对所提供护理的满意度并未受到负面影响。为了减少因护理措施导致的睡眠障碍并促进重症监护病房的不间断睡眠，制定规范夜间护理活动的新方案可能会有所帮助。
