Babaii Atye, Adib-Hajbaghery Mohsen, Hajibagheri Ali
Department of Nursing, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, IR Iran.
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, IR Iran.
Nurs Midwifery Stud. 2015 Dec;4(4):e28332. doi: 10.17795/nmsjournal28332. Epub 2015 Dec 1.
Patients in coronary care unit are at risk of sleep deprivation. Sleep deprivation can be associated with increased blood pressure and heart rate, raising the risk of developing cardiovascular problems among patients hospitalized in coronary care unit.
This study was carried out to examine the effect of eye mask on sleep quality in cardiac patients.
In this randomized controlled trial, 60 patients who met the inclusion criteria were selected using a convenient sampling method and randomly allocated into the experimental and control groups. Patients in the control group received routine care. However, in the experimental group, patients received routine care and eye mask for three subsequent nights. In the both groups, the sleep quality was assessed using the Pittsburgh sleep quality index. Data were analyzed by the chi-square test, independent samples t-test, Mann-Whitney U, and Wilcoxon signed-rank tests.
After the study, the median scores of the subjective sleep quality, the sleep latency, the sleep duration, the habitual sleep efficiency, and the sleep disturbances domains, as well as the median score of overall Pittsburgh sleep quality index in the experimental group were significantly lower than those in the control group (P < 0.05). However, no significant differences were observed between the two groups in terms of the use of sleep medications and the daytime dysfunction domains (P > 0.05).
Using eye mask can significantly improve the sleep quality in cardiac patients. Therefore, nurses are recommended to use eye mask in combination with current treatments for improving patients' sleep quality.
冠心病监护病房的患者存在睡眠剥夺风险。睡眠剥夺可能与血压和心率升高有关，增加了冠心病监护病房住院患者发生心血管问题的风险。
本研究旨在探讨眼罩对心脏病患者睡眠质量的影响。
在这项随机对照试验中，采用便利抽样法选取60例符合纳入标准的患者，并随机分为实验组和对照组。对照组患者接受常规护理。然而，实验组患者在随后三个晚上接受常规护理并佩戴眼罩。两组均采用匹兹堡睡眠质量指数评估睡眠质量。数据采用卡方检验、独立样本t检验、曼-惠特尼U检验和威尔科克森符号秩检验进行分析。
研究结束后，实验组主观睡眠质量、入睡潜伏期、睡眠时间、习惯性睡眠效率和睡眠障碍领域的中位数得分，以及匹兹堡睡眠质量指数总分的中位数得分均显著低于对照组（P<0.05）。然而，两组在使用助眠药物和日间功能障碍领域方面未观察到显著差异（P>0.05）。
使用眼罩可显著改善心脏病患者的睡眠质量。因此，建议护士将眼罩与当前治疗方法结合使用，以改善患者的睡眠质量。
