世界睡眠医学杂志2024,Vol.11Issue(9) :2112-2114.DOI:10.3969/j.issn.2095-7130.2024.09.058

舒适化浅镇静护理联合机械通气对脑外伤术后患者睡眠质量的影响

Effect of Comfort-oriented Light Sedation Nursing Combined with Mechanical Ventilation on Sleep Quality in Postoperative Patients with Traumatic Brain Injury

马燕珍 李丽莉
世界睡眠医学杂志2024,Vol.11Issue(9) :2112-2114.DOI:10.3969/j.issn.2095-7130.2024.09.058

舒适化浅镇静护理联合机械通气对脑外伤术后患者睡眠质量的影响

Effect of Comfort-oriented Light Sedation Nursing Combined with Mechanical Ventilation on Sleep Quality in Postoperative Patients with Traumatic Brain Injury

马燕珍 1李丽莉1
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作者信息

  • 1. 龙岩人民医院,龙岩,364000
  • 折叠

摘要

目的:观察脑外伤术后患者接受舒适化浅镇静护理联合机械通气对睡眠的改善作用.方法:选取2022年10月至2023年10月龙岩人民医院重症监护室(ICU)收治的脑外伤患者86例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组43例.对照组实施机械通气治疗及常规护理,观察组在此基础上联合舒适化浅镇静护理.从临床相关指标、镇痛镇静药物用量、睡眠质量综合评价2组干预效果.结果:观察组较对照组,其机械通气时长、ICU住院时长有更明显下降(P<0.05).观察组较对照组,其芬太尼、右美托咪定用药量有更明显下降(P<0.05).2组干预后睡眠状况自评量表(SRSS)、匹兹堡睡眠质量指数问卷(PSQI)较干预前均有显著变化(均P<0.05),且观察组SRSS、PSQI得分较对照组有更明显下降(P<0.05).结论:脑外伤患者接受舒适化浅镇静护理联合机械通气可加快病情恢复,减少镇痛镇静药物用量,进一步改善睡眠质量,体现良好推广价值.

Abstract

Objective:To observe the effect of comfort-oriented light sedation nursing combined with mechanical ventilation on the improvement of sleep in postoperative patients with traumatic brain injury(TBI).Methods:A total of 86 TBI patients admitted to the ICU of Longyan People's Hospital from October 2022 to October 2023 were randomly divided into a control group and an ob-servation group,with 43 patients in each group.The control group received mechanical ventilation and routine care,while the ob-servation group received comfort-oriented light sedation nursing in addition to mechanical ventilation.The clinical outcomes,dosa-ges of analgesics and sedatives,and sleep quality were compared between the two groups.Results:The duration of mechanical ventilation and ICU stay were significantly shorter in the observation group compared to the control group(P<0.05).The dosages of fentanyl and dexmedetomidine were significantly lower in the observation group compared to the control group(P<0.05).Both groups showed significant improvement in the Sleep State Self-Rating Scale(SRSS)and Pittsburgh Sleep Quality Index(PSQI)af-ter intervention compared to pre-intervention(P<0.05),with the observation group demonstrating a more pronounced decrease in SRSS and PSQI scores(P<0.05).Conclusion:Comfort-oriented light sedation nursing combined with mechanical ventilation can accelerate recovery in TBI patients,reduce the need for analgesics and sedatives,and significantly improve sleep quality,demon-strating good potential for wider clinical application.

关键词

脑外伤/舒适化浅镇静护理/机械通气/睡眠质量/手术后患者/匹兹堡睡眠质量指数/其芬太尼/右美托咪定

Key words

Traumatic brain injury/Comfort-oriented light sedation nursing/Mechanical ventilation/Sleep quality/Postopera-tive patients/Pittsburgh Sleep Quality Index/Fentanyl/Dexmedetomidine

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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