重症监护病房睡眠质量的影响因素：韩国的一项描述性试点研究。
Factors influencing sleep quality in the intensive care unit: a descriptive pilot study in Korea.
作者信息
Ahn Yoon Hae, Lee Hong Yeul, Lee Sang-Min, Lee Jinwoo
机构信息
Department of Critical Care Medicine, Seoul National University Hospital, Seoul, Korea.
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
出版信息
Acute Crit Care. 2023 Aug;38(3):278-285. doi: 10.4266/acc.2023.00514. Epub 2023 Aug 11.
BACKGROUND
As sleep disturbances are common in the intensive care unit (ICU), this study assessed the sleep quality in the ICU and identified barriers to sleep.
METHODS
Patients admitted to the ICUs of a tertiary hospital between June 2022 and December 2022 who were not mechanically ventilated at enrollment were included. The quality of sleep (QoS) at home was assessed on a visual analog scale as part of an eight-item survey, while the QoS in the ICU was evaluated using the Korean version of the Richards-Campbell Sleep Questionnaire (K-RCSQ). Good QoS was defined by a score of ≥50.
RESULTS
Of the 30 patients in the study, 19 reported a QoS score <50. The Spearman correlation coefficient showed no meaningful relationship between the QoS at home and the overall K-RCSQ QoS score in the ICU (r=0.16, P=0.40). The most common barriers to sleep were physical discomfort (43%), being awoken for procedures (43%), and feeling unwell (37%); environmental factors including noise (30%) and light (13%) were also identified sources of sleep disruption. Physical discomfort (median [interquartile range]: 32 [28.0-38.0] vs. 69 [42.0-80.0], P=0.004), being awoken for procedures (36 [20.0-48.0] vs. 54 [36.0-80.0], P=0.04), and feeling unwell (31 [18.0-42.0] vs. 54 [40.0-76.0], P=0.01) were associated with lower K-RCSQ scores.
CONCLUSIONS
In the ICU, physical discomfort, patient care interactions, and feeling unwell were identified as barriers to sleep.
背景
由于睡眠障碍在重症监护病房（ICU）中很常见，本研究评估了ICU中的睡眠质量并确定了睡眠障碍因素。
方法
纳入2022年6月至2022年12月期间入住一家三级医院ICU且入院时未接受机械通气的患者。作为一项八项调查的一部分，在家中的睡眠质量（QoS）通过视觉模拟量表进行评估，而ICU中的QoS则使用韩国版的理查兹-坎贝尔睡眠问卷（K-RCSQ）进行评估。QoS良好的定义为得分≥50。
结果
在该研究的30名患者中，19名报告QoS得分<50。斯皮尔曼相关系数显示，家中的QoS与ICU中K-RCSQ总体QoS得分之间无显著关系（r=0.16，P=0.40）。最常见的睡眠障碍因素是身体不适（43%）、因操作被唤醒（43%）和感觉不适（37%）；包括噪音（30%）和光线（13%）在内的环境因素也是睡眠干扰的来源。身体不适（中位数[四分位间距]：32[28.0 - 38.0] vs. 69[42.0 - 80.0]，P=0.004）、因操作被唤醒（36[20.0 - 48.0] vs. 54[36.0 - 80.0]，P=0.04）和感觉不适（31[18.0 - 42.0] vs. 54[40.0 - 76.0]，P=0.01）与较低的K-RCSQ得分相关。
结论
在ICU中，身体不适、患者护理互动和感觉不适被确定为睡眠障碍因素。
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