护士夜查房对老年患者睡眠的影响及护理对策
The Impact of Nurses’ Night Rounds on Sleep of Elderly Patients and Nursing Strategy
作者: 赵林远 , 杨 晗 ：河北医科大学第二医院，石家庄;
关键词: 护士夜查房； 老年患者； 睡眠障碍； 护理对策； Nurses’ Night Rounds； Elderly Patients； Sleep Disorders； Nursing Strategy
摘要:Abstract: Objective: To research the impact of nurses’ night work on the sleep of elderly patients, targeting on the implementation of individualized care, decreasing the disturbance of nurses’ night rounds on hospitalized elderly patients to the largest extent and improving sleep quality of hospitalized elderly patients. Methods: Make questionnaires and interviews on 110 hospitalized elderly patients of a top three hospital in Shijiazhuang, to understand the patients’ sleep and its influence factors.Results: 42 patients show higher sleep quality in hospital than at home, accounting for 42.00%; 23 patients show no significant difference in sleep quality, accounting for 23.00%; 35 patients show lower sleep quality, accounting for 35.00%, of which 12 cases need to take sleeping pills to solve sleep problems (9 patients start to take pills after 3 days in hospital). In accordance with the average score, with descending order, the impacts on elderly patients are ranked as: the treatment of nurses at night, medical staff talking, visiting the wards, psychological factors, physical complaints, turning and patting back, uncomfortable beds, nurses’ operating on other patients and lack of regular bedtime arrangements. Conclusion: Nurses’ night round is an important influencing factor on sleep in elderly patients. Through reasonable care management, appropriate care measures and great working guideline, the sleep quality of elderly patients can be improved.
文章引用: 赵林远 , 杨 晗 (2014) 护士夜查房对老年患者睡眠的影响及护理对策。 护理学， 3， 19-26. doi: 10.12677/NS.2014.32005
参考文献
[1] 杨亚娟, 蒋珍珍 (2007) 老年人睡眠障碍的原因及护理进展. 中华护理杂志, 1, 75-77.
[2] 赖文娟, 刘雪琴 (2007) 老年病人睡眠状况及护理干预研究进展. 护理研究, 22, 1987-1989.
[3] 戴付敏, 孔莎, 张俊红 (2005) 护士夜查房对老年患者睡眠的影响及措施. 中国实用护理杂志, 11, 54.
[4] 孙盛芬, 王泽敏, 李明秋 (2006) 老年住院患者的失眠因素调查分析及护理对策. 中国初级卫生保健, 5, 58-59.
[5] 王燕红, 叶岚岚 (2008) 护士夜查房引发老年患者睡眠障碍的护理对策. 黑龙江医药, 6, 121-122.
[6] 张晓燕, 张玉兰 (2012) 降低夜查房中老年人睡眠干扰因素的对策. 中国基层医药, 19, 1102-1103.
[7] Koch, S., Haesler, E., Tiziani, A. and Wilson, J. (2006) Effectiveness of Sleep Management Strategies for Residents of Aged Care Facilities: Findings of a Systematic Review. Journal of Clinical Nursing, 15, 1267-1275.
[8] 黄晶 (2009) 浅谈新型三级护理查房. 吉林医学, 8, 751.
[9] O’Rourke, D.J., Klaasen, K.S. and Sloan, J.A. (2001) Redesigning Nighttime Care for Personal Care Residents. Journal of Gerontological Nursing, 27, 30-37.
[10] Nilsson, K., Campbell, A.-M. and Andersson, E.P. (2008) Night Nursing-Staff’s Working Experiences. BMC Nursing, 7, 13.