非药物睡眠干预对重症监护成人患者谵妄和睡眠质量的影响

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AbstractObjective：Toexploretheefectsofnon-pharmacologicalsleepinterventionondeliriumandslepqualityincriticaly illadult patients.Methods：Atotalof1OadultpatientsadmitedtotheintensivecareunitofQuanzhouFirstHospitalfromJanuary024to February 2O25 wereselectedas the studysubjects.Theywererandomlydivided intoacontrol groupandanobservationgroupusingarandomnumber tablemethod，with-55patients ineach group.Thecontrolgroupreceivedroutinesleepinterventionforcriticallyillpatientshiletheobsevationgoupreceivedon-pharmacologicalslpintervention.ThePitsburghSleep QualityIndex（PSQI）wasusedtocompare thediferences in sleepqualitybetweentwo groupsof patientsbeforeandafterintervention.Apolysomnographymonitorwasused torecordawakening frequencyandnightimeslepduration.TheConfusionAssessment Methodfor theICU（CAM-ICU）wasused toasess delirium improvement.Diffrences indelirium incidence，durationof delirium，anddaysof mechanical ventilationwere alsocompared.Results：Aftertheintervention，theobservationgroupshowedsignificantlylowerPSQIscores，significantlyfewerawakeningsandsignificantlylongernightimesleepdurationcomparedtoheontrol group，with statistically significant differences（ P<0.05 ）.Additionally，the observation group had significantly fewer days of delirium，fewerdaysofmechanicalventilation，andasignificantlylowerdeliiumincidenceratecomparedtothecontrolgroupith statistically significant differences （ P<0.05 ）. Conclusion： Non-pharmacological sleep interventions can effectively improve sleep quality，reduceteicidenceofeliumandpromoteaceleratedrecoveryiniticallilladultpatients，akingtworyf clinical promotion and application.

KeywordsIntensivecare；Adult; Delirium；Eye mask；Earplugs；Awakening frequency;Sleepquality；Mechanical ventilation

中图分类号：R248.1;R338.63 文献标识码：A doi：10.3969/j. issn. 2095 -7130.2025.05.005

在重症监护室中，患者出现谵妄的情况较为普遍，通常表现为感知、意识和注意力的不稳定[1]。（剩余5744字）