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眼罩对冠状动脉旁路移植术患者睡眠质量和疼痛的影响:一项双盲随机对照试验。

The effect of eye mask on sleep quality and pain in patients undergoing coronary artery bypass graft surgery: A double-blind randomized controlled trial.

机构信息

Faculty of Health Sciences, Kutahya Health Sciences University, Kutahya, Turkey.

Fundamentals of Nursing Department, Nursing Faculty, Dokuz Eylül University, Izmir, Turkey.

出版信息

Nurs Crit Care. 2024 Nov;29(6):1346-1354. doi: 10.1111/nicc.13157. Epub 2024 Sep 16.

DOI:10.1111/nicc.13157
PMID:39284779
Abstract

BACKGROUND

Pain is one of the common postoperative issues that impair recovery and quality of life in patients undergoing coronary artery bypass graft (CABG) surgery. It leads to prolonged recovery and sleep disturbances in patients.

AIM

This study was conducted to examine the effect of eye mask use on sleep quality and pain in patients undergoing CABG surgery.

STUDY DESIGN

A double-blind randomized trial design was employed. The study included 60 patients undergoing CABG surgery. They were divided into intervention and control groups through block randomization. Data were collected using a 'Demographic Characteristics Form', the 'Richards-Campbell Sleep Questionnaire (RCSQ)' and a 'Visual Analogue Scale' (VAS) through face-to-face interviews. While patients in the control group received standard care throughout the night, patients in the intervention group received standard care and used eye mask. All patients were followed up for three nights. The CONSORT was used to report the study.

RESULTS

The main outcome of the study, the RCSQ score, was higher in the intervention group at baseline. The intervention group had higher RCSQ scores than the control group at time 1 and time 2. There were no differences between the groups in the secondary outcome, pain levels. The control group had higher pain scores at time 1 and time 2 than the intervention group.

CONCLUSION

The use of an eye mask after CABG surgery is an effective, safe and simple nursing intervention to improve sleep quality and control pain.

RELEVANCE TO CLINICAL PRACTICE

Because the use of an eye mask is an independent and unique nursing intervention, nurses should be supported and allowed to practise it.

摘要

背景

疼痛是冠心病患者术后常见的问题之一,会影响患者的恢复和生活质量。它会导致患者的恢复时间延长和睡眠障碍。

目的

本研究旨在探讨使用眼罩对冠心病患者术后睡眠质量和疼痛的影响。

研究设计

采用双盲随机试验设计。研究纳入 60 例行冠状动脉旁路移植术(CABG)的患者。他们通过区组随机分组分为干预组和对照组。通过面对面访谈收集数据,使用“人口统计学特征表”、“理查兹-坎贝尔睡眠问卷(RCSQ)”和“视觉模拟量表(VAS)”。对照组患者在整个夜间接受标准护理,干预组患者在接受标准护理的同时使用眼罩。所有患者均随访 3 晚。本研究按照 CONSORT 报告。

结果

研究的主要结局指标,即 RCSQ 评分,在基线时干预组较高。与对照组相比,干预组在第 1 天和第 2 天的 RCSQ 评分更高。在次要结局,即疼痛水平方面,两组之间没有差异。对照组在第 1 天和第 2 天的疼痛评分均高于干预组。

结论

CABG 术后使用眼罩是一种有效、安全、简单的护理干预措施,可改善睡眠质量和控制疼痛。

临床意义

由于使用眼罩是一种独立且独特的护理干预措施,因此应支持和允许护士实施。

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