Simpson T, Lee E R, Cameron C
University of Washington School of Nursing, Seattle 98195-7266, USA.
Res Nurs Health. 1996 Jun;19(3):213-23. doi: 10.1002/(SICI)1098-240X(199606)19:3<213::AID-NUR5>3.0.CO;2-N.
Factors associated with the attempted length, disturbance, effectiveness, and nap supplementation of sleep were analyzed in 97 patients recovering from cardiac surgery a few days before hospital discharge. Patients rated sleep for the prior night and factors that impaired their sleep after transfer from the critical care unit. The group averaged little sleep, with moderate disturbance and effectiveness and low nap supplementation. The disturbance, effectiveness, and attempted length of sleep were associated with an inability to perform their usual routine before sleep, inability to get comfortable, pain, noises, procedural care, and an unfamiliar bed. Patients encounter difficulties with sleep, even near discharge from the hospital. Interventions should be tested to mitigate specific factors that affect selected dimensions of sleep.
对97例心脏手术后几天即将出院的患者，分析了与睡眠尝试时长、干扰因素、睡眠效果及补觉情况相关的因素。患者对前一晚的睡眠以及从重症监护病房转出后影响其睡眠的因素进行了评分。该组患者平均睡眠较少，睡眠干扰程度中等、睡眠效果一般且补觉情况较少。睡眠干扰、睡眠效果及睡眠尝试时长与睡前无法进行日常活动、无法感到舒适、疼痛、噪音、程序性护理以及陌生的病床有关。患者即使在临近出院时仍存在睡眠困难。应测试相关干预措施，以减轻影响特定睡眠维度的具体因素。
