早期康复对ICU呼吸衰竭合并睡眠障碍患者睡眠质量的影响

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关键词：重症监护室;呼吸衰竭;早期康复护理;睡眠质量;住ICU时间;机械通气时间;住院总时间

The Effct of Early Rehabilitation on Sleep QualityinICU Patients with Respiratory Failure and Sleep Disordel

CHEN Xiaomei

（Jianou Municipal Hospital，Jianou 353ioO，China）

AbstractObjective：ToexploretheefectofearlyrehabilitationonsleepqualityinICUpatients withrespiratoryfailureand sleepdisorders.Methods：Atotalof6OICUpatientswithrespiratoryfailureandsleepdisordersadmitedtotheIntensiveCare Medicine DepartmentofJianou Municipal HospitalinFujianProvince fromJanuary2O21to December2O23 wereselectedas the studysubjects.Theywererandomlydividedintoacontrol groupandanobservationgroup，with3Opatients ineach group，usinga randomnumber table method.Thecontrolgroupreceivedroutine nursingcare，whiletheobservationgroupreceivedearlyrehabilitation nursingintervention.ThePitsburgh Sleep QualityIndex（PSQI）wasused toevaluatechanges insleepqualitybeforeand after nursingcareinbothgroups.TheICUadmisiontime，mechanicalvenilationtime，totalhospitalizationtime，andincidence rate werecomparedbetweenthetwo groups.Results：Aftertheintervention，thePSQIscoresofboth groupsdecreased，andtheobservationgroupwassignificantlylowerthanthecontrol group.Thediferencebetwee the two groups wasstatisticallysignificant （ P<0.05 ）.After he intervention，theobservation group had significantlyshorterICUstays，mechanical ventilation time，and total hospitalizationtimecomparedtothecontrol group.Thetotalincidenceofcomplicationsintheobservationgroupwassignificantly lower than that in the control group，and the diferences between the two groups were statistically significant（ P<0.05 ） . Conclusion：Earlyrehabilitationnursing forICUrespiratoryfailurepatientscanefectivelyimprovesleepquality，shorten timeindicators， and reduce the incidence of complications，which is worthy of clinical promotion and application.

KeywordsIntensivecare unit; Respiratoryfailure;Earlyrehabilitation nursing；Sleepquality；Durationof ICUstay； Mechanical ventilation time；Total length of hospital stay

中图分类号：R563.8;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.08.031

呼吸衰竭是呼吸内科临床上常见的一种疾病，胡言飞等[1]研究显示，气道阻塞性病变、神经肌肉疾病、肺组织病变、心脏疾病或胸膜病变等因素均可能诱发呼吸衰竭。（剩余5390字）