摘要
目的:调查ICU患者睡眠障碍的情况,分析造成患者睡眠障碍的危险因素。方法:选取2024年3月至2025年1月晋江市医院ICU收治的患者108例作为研究对象,按照是否发生睡眠障碍分为对照组和观察组,每组54例。比较2组性别、年龄、文化背景、婚姻状态、ICU住院时间、机械通气、气管切开、噪声、(S-TAI)评分、ICDSC评分、镇静药物应用、手术信息资料,以Logistic回归分析调查睡眠障碍发生的危险因素。结果:选取的108例患者中,54例出现睡眠障碍,发生率为50%;2组年龄、ICU住院时间、机械通气、气管切开、噪声、S-TAI评分、ICDSC评分、镇静药物应用、手术比较,差异均有统计学意义(均P<0.05);经Logistic回归分析显示噪声、负性情绪、谵妄等为ICU睡眠障碍发生的主要危险因素,差异有统计学意义(P<0.05)。结论:噪声≥35 dB、S-TAI评分≥80分、ICDSC评分≥4分为ICU患者发生睡眠障碍的独立危险因素,临床应针对上述因素发生的根本原因,采取预防控制措施,降低睡眠障碍的发生率。
Objective:To investigate sleep disorders in ICU patients and analyze the risk factors that cause sleep disorders.Methods:A total of 108 patients admitted to the ICU in Jinjiang Municipal Hospital from March 2024 to January 2025 were selected as the research subjects.They were divided into a control group and an observation group based on the occurrence of sleep disorders,with 54 patients in each group.Differences in gender,age,cultural background,marital status,days in ICU,mechanical ventilation,tracheotomy,noise,S-TAI score,ICDSC score,use of sedatives,and surgery data of the two groups were compared and the risk factors for sleep disorders between the two groups were analyzed by logistic regression analysis.Results:Among the 108 selected patients,54 patients had sleep disorders,with an incidence rate of 50%and there were statistically significant differences in age,days in ICU,mechanical ventilation,tracheotomy,noise,S-TAI score,ICDSC score,use of sedatives,and surgery data between the two groups(P<0.05).Logistic regression analysis showed that noise,negative emotions,delirium and other factors were the main risk factors for sleep disorders in ICU patients,with statistically significant differences(P<0.05).Conclusion:Noise above 35 dB,S-TAI scores over 80 points,and ICDSC scores above 4 points are independent risk factors for sleep disorders in ICU patients.Clinically,measures should be taken to identify the root causes of these factors for prevention and control and thus to reduce the incidence of sleep disorders.
作者
方爱梅
蔡婷茹
FANG Aimei;CAI Tingru(Jinjiang Municipal Hospital/Fujian Hospital of Shanghai Sixth People′s Hospital,Quanzhou 362200,China)
出处
《世界睡眠医学杂志》
2025年第5期1016-1019,共4页
World Journal of Sleep Medicine
