Mendonça Sílvia Caldeira, Martins Diogo Máximo Sabino, Durão Cândida, Teixeira Joana Moreira Ferreira, da Silva Rafael Henriques Helga Marília
Lisbon Center for Research, Innovation, and Development in Nursing (CIDNUR-ESEL), Lisboa, Portugal.
Barreiro Montijo Hospitalar Center, R. Machado dos Santos 54, Montijo, Portugal.
Int Nurs Rev. 2025 Mar;72(1):e13062. doi: 10.1111/inr.13062.
To identify sleep-promoting nursing interventions in hospitalized adults and older people.
Sleep is necessary for maintaining good physical and mental health, as well as a high quality of life. Hospitalization can significantly disrupt sleep patterns, which is an often-overlooked issue. Nurses are the main participants in promoting sleep in hospitalized patients.
Systematic literature review based on the question: "What interventions can nurses implement to promote sleep in hospitalized adults and older people?". The research was conducted on April 4, 2023, in CINAHL Complete, MEDLINE, Cochrane, Scopus, and Web of Science, filtering the articles published in the last 10 years. For a study to be included, it must feature adult or older participants, an intervention that aims to enhance sleep, and the research should have been conducted within a hospital setting. We followed the PRISMA flow diagram and analyzed the quality of the articles according to the Joanna Briggs Institute criteria for quality assessment. The results were subjected to a narrative synthesis.
Of the 712 articles found, 13 were selected. The sample encompasses 1975 participants. These selected articles emphasize educational and communicative interventions, dietary and sensory interventions, symptomatic and environmental control, daily activity planning, sleep assessment and documentation, and individualized nursing care.
There is a need for a systematic approach incorporating physical, psychosocial, and relational dimensions within the care context.
It is necessary to raise the nurses' awareness of the factors that affect sleep experience and empower them to promote sleep in partnership with hospitalized patients.
Sleep interventions can be promoted by implementing hospital policies, including environmental modifications in the design and refurbishment of facilities and restricting nighttime patient transfers to reduce noise and disturbances. Encouraging research studies that explore the effectiveness of these interventions will further support the development of evidence-based policies aimed at improving sleep quality in hospitalized patients.
确定针对住院成人及老年人促进睡眠的护理干预措施。
睡眠对于维持良好的身心健康以及高质量生活至关重要。住院会显著扰乱睡眠模式，这是一个常被忽视的问题。护士是促进住院患者睡眠的主要参与者。
基于“护士可实施哪些干预措施来促进住院成人及老年人的睡眠？”这一问题进行系统文献综述。于2023年4月4日在CINAHL Complete、MEDLINE、Cochrane、Scopus和科学网进行检索，筛选过去10年发表的文章。纳入的研究必须以成人或老年人为参与者，有旨在改善睡眠的干预措施，且研究应在医院环境中进行。我们遵循PRISMA流程图，并根据乔安娜·布里格斯研究所的质量评估标准分析文章质量。结果进行叙述性综合分析。
在检索到的712篇文章中，筛选出13篇。样本涵盖1975名参与者。这些入选文章强调教育与沟通干预、饮食与感官干预、症状与环境控制、日常活动规划、睡眠评估与记录以及个性化护理。
在护理背景下，需要一种将身体、心理社会和人际关系维度纳入的系统方法。
有必要提高护士对影响睡眠体验因素的认识，并使他们有能力与住院患者合作促进睡眠。
可通过实施医院政策来推广睡眠干预措施，包括在设施设计和翻新中进行环境改造，以及限制夜间患者转运以减少噪音和干扰。鼓励开展探索这些干预措施有效性的研究，将进一步支持旨在改善住院患者睡眠质量的循证政策的制定。
