Objective:To investigate the effects of sleep intervention combined with enteral nutrition time planning on sleep struc-ture of patients in Intensive Care Unit(ICU).Methods:A total of 66 critically ill patients admitted to the School of Clinical On-cology of Fujian Medical University from December 23 to April 24 were selected as the study objects and divided into control group and observation group according to random number table method,with 33 cases in each group.The control group was given routine nursing intervention,and the observation group was given sleep intervention and intestinal nutrition time planning nursing on the basis of routine nursing.The patients in the 2 groups were evaluated with Richmond Agitation-sedation Scale(RASS)dur-ing treatment in ICU,and Artificial Intelligence was used at night.(AI)Sleep quality monitor monitored the night sleep latency and actual sleep duration of patients in the 2 groups,compared the incidence of delirium,ICU treatment time,hospital stay,sleep latency and actual sleep duration of patients in the 2 groups,and compared the nutritional indicators of patients in the 2 groups,in-cluding changes in the levels of hemoglobin,albumin and prealbumin.Results:After intervention,the levels of hemoglobin,albu-min and prealbumin in the observation group were significantly higher than those in the control group,and the differences between the two groups were statistically significant(P＜0.05).After intervention,the incidence of delirium in the observation group was significantly lower than that in the control group,and the duration of ICU treatment and hospitalization in the observation group was significantly shorter than that in the control group,the difference between the two groups was statistically significant(P＜0.05).After the intervention,the RASS score of the observation group was significantly lower than that of the control group,and the sleep latency of the observation group was shorter and the actual sleep duration was longer,the difference between the two groups was statistically significant(P＜0.05).Conclusion:In ICU,increasing sleep intervention and enteral nutrition time plan-ning,on the basis of ensuring the nutritional supply of patients,can not only reduce the risk of delirium,but also improve the sleep structure of patients and accelerate the rehabilitation process of patients,which is worthy of clinical application.
关键词
重症监护室/重症/护理/睡眠干预/肠内营养时间规划/睡眠结构/营养状况/谵妄
Key words
Intensive care unit/Severe case/Nursing/Sleep intervention/Time planning of enteral nutrition/Sleep structure/Nutritional status/Delirium
维普
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