Edwards G B, Schuring L M
W.A. Foote Hospital, Jackson, Mich.
Am J Crit Care. 1993 Mar;2(2):125-31.
Effective management of sleep pattern disturbance begins with accurate assessment of the patient's sleep and wake states.
The purpose of this study was to validate staff nurses' observations of sleep and wake states among critically ill adult patients, using polysomnography.
The sample consisted of 21 adult patients with multisystem diagnoses in a 10-bed medical intensive care unit in a 540-bed acute care teaching hospital.
Each staff nurse caregiver observed a single patient for the entire data collection period of 4 hours, with a total of 15 nurses participating in the study. A total of 340 observations were made, with the possibility of 17 observations per patient. Nursing observations were made every 15 minutes on each patient and compared to the actual patient state as measured by polysomnography.
Nurses' assessments were correct 81.9% of the time.
There is some basis for using staff nurses as observers of sleep and wake states. Increased credence can be placed on nursing assessments and diagnosis of sleep pattern disturbance, resulting in more timely and effective management of the problem.
有效的睡眠模式紊乱管理始于对患者睡眠和清醒状态的准确评估。
本研究旨在通过多导睡眠图验证注册护士对危重症成年患者睡眠和清醒状态的观察。
样本包括一所拥有540张床位的急性护理教学医院中，一间设有10张床位的医疗重症监护病房里的21名患有多系统疾病的成年患者。
在整个4小时的数据收集期间，每位注册护士护理人员观察一名患者，共有15名护士参与该研究。总共进行了340次观察，每位患者可能进行17次观察。对每位患者每15分钟进行一次护理观察，并与通过多导睡眠图测量的患者实际状态进行比较。
护士评估的正确率为81.9%。
将注册护士作为睡眠和清醒状态的观察者有一定依据。可以更加信任护理评估和对睡眠模式紊乱的诊断，从而更及时有效地处理该问题。
