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冠心病监护病房患者睡眠质量量表(SQ-CC)的研制。

Development of the sleep quality scale for coronary care patients (SQ-CC).

作者信息

Pelin Meryem, Sert Havva

机构信息

Sakarya University, Institute of Health Sciences, Sakarya, Turkey.

Sakarya University, Faculty of Health Sciences, Internal Medicine Nursing Department, Sakarya, Turkey.

出版信息

Intensive Crit Care Nurs. 2023 Dec;79:103485. doi: 10.1016/j.iccn.2023.103485. Epub 2023 Jul 11.

DOI:10.1016/j.iccn.2023.103485
PMID:37441815
Abstract

OBJECTIVES

In this study, it was aimed to develop a valid and reliable measurement instrument to measure sleep quality in coronary care patients.

RESEARCH METHODOLOGY/DESIGN: This is a methodological study that was carried out with 201 patients at the coronary care unit of a university hospital. The validity and reliability of the scale were tested using exploratory and confirmatory factor analyses, Cronbach's alpha analysis, and Pearson's correlation analysis.

RESULTS

The scale's Cronbach's alpha coefficient was found to be 0.816. There were significant positive relationships between the overall scale and its dimensions. The Pearson's correlation analysis showed a significant negative relationship between the Sleep Quality Scale for Coronary Care Patients and the Richards-Campbell Sleep Questionnaire.

CONCLUSION

The Sleep Quality Scale for Coronary Care Patients was determined to be a valid and reliable measurement instrument for assessing the sleep quality of patients who are receiving care in coronary care units.

IMPLICATIONS FOR CLINICAL PRACTICE

The scale that was developed in this study can be applied to coronary care patients because it is easy to implement and specific to intensive care settings. This way, the sleep quality levels of patients can be assessed quickly, and nursing interventions for potential problems can be defined. Hence, the emergence of sleep-related health problems can be prevented. Although RCSQ is the most commonly used scale to evaluate the sleep quality of patients treated in the intensive care unit, SQ-CC is thought to be more inclusive in considering noise-, environment-, and patient-related subjective factors. The evaluation of environmental factors can also provide objective data for improvements to be made to eliminate these factors in clinics. Furthermore, the use of this scale in national and international scientific studies where the sleep quality of coronary care patients is evaluated will contribute to not only our colleagues but also the relevant scientific field.

摘要

目的

本研究旨在开发一种有效且可靠的测量工具,用于评估冠心病监护病房患者的睡眠质量。

研究方法/设计:这是一项方法学研究,在一所大学医院的冠心病监护病房对201名患者进行。通过探索性和验证性因素分析、克朗巴赫α分析以及皮尔逊相关分析来检验该量表的有效性和可靠性。

结果

该量表的克朗巴赫α系数为0.816。总量表与其各维度之间存在显著的正相关关系。皮尔逊相关分析显示,冠心病监护病房患者睡眠质量量表与理查兹 - 坎贝尔睡眠问卷之间存在显著的负相关关系。

结论

冠心病监护病房患者睡眠质量量表被确定为一种有效且可靠的测量工具,可用于评估冠心病监护病房接受治疗患者的睡眠质量。

对临床实践的意义

本研究开发的量表可应用于冠心病监护病房患者,因为它易于实施且针对重症监护环境。通过这种方式,可以快速评估患者的睡眠质量水平,并确定针对潜在问题的护理干预措施。因此,可以预防与睡眠相关的健康问题的出现。尽管理查兹 - 坎贝尔睡眠问卷是评估重症监护病房患者睡眠质量最常用的量表,但冠心病监护病房患者睡眠质量量表在考虑噪音、环境和患者相关主观因素方面被认为更具包容性。对环境因素的评估还可为在临床中消除这些因素而进行的改进提供客观数据。此外,在评估冠心病监护病房患者睡眠质量的国内和国际科学研究中使用该量表,不仅将有助于我们的同行,也将为相关科学领域做出贡献。

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The effect of nursing care provided to coronary intensive care patients according to their circadian rhythms on sleep quality, pain, anxiety, and delirium: a randomised controlled trial.根据昼夜节律为冠心病重症监护患者提供护理对睡眠质量、疼痛、焦虑和谵妄的影响:一项随机对照试验。
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Different nursing interventions on sleep quality among critically ill patients: A systematic review and network meta-analysis.
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