Delaney Lori J, Van Haren Frank, Lopez Violeta
Clinical Nursing, University of Canberra, Canberra, Australia ; Australian National University, Canberra, Australia.
Department of Intensive Care Medicine, Canberra Hospital, Canberra, Australia ; School of Medicine and Health Sciences, Australian National University, Canberra, Australia.
Ann Intensive Care. 2015 Feb 26;5:3. doi: 10.1186/s13613-015-0043-2. eCollection 2015.
Sleep disturbance is commonly encountered amongst intensive care patients and has significant psychophysiological effects, which protract recovery and increases mortality. Bio-physiological monitoring of intensive care patients reveal alterations in sleep architecture, with reduced sleep quality and continuity. The etiological causes of sleep disturbance are considered to be multifactorial, although environmental stressors namely, noise, light and clinical care interactions have been frequently cited in both subjective and objective studies. As a result, interventions are targeted towards modifiable factors to ameliorate their impact. This paper reviews normal sleep physiology and the impact that sleep disturbance has on patient psychophysiological recovery, and the contribution that the clinical environment has on intensive care patients' sleep.
睡眠障碍在重症监护患者中很常见，并且具有显著的心理生理影响，这会延长康复时间并增加死亡率。对重症监护患者的生物生理监测显示睡眠结构发生改变，睡眠质量和连续性下降。尽管主观和客观研究都经常提到环境应激源，即噪音、光线和临床护理互动，但睡眠障碍的病因被认为是多因素的。因此，干预措施针对可改变的因素，以减轻其影响。本文综述了正常睡眠生理、睡眠障碍对患者心理生理恢复的影响，以及临床环境对重症监护患者睡眠的影响。
