PDF(Pubmed)
Abstract：
Sleep disruptions in the hospital setting can have adverse effects on patient safety and well-being, leading to complications like delirium and prolonged recovery. This study aimed to comprehensively assess the factors influencing sleep disturbances in hospital wards, with a comparison of the sleep quality of patients staying in single rooms to those in shared rooms. A mixed-methods approach was used to examine patient-reported sleep quality and sleep disruption factors, in conjunction with objective noise measurements, across seven inpatient wards at an acute tertiary public hospital in Sydney, Australia. The most disruptive factor to sleep in the hospital was noise, ranked as \'very disruptive\' by 20% of patients, followed by acute health conditions (11%) and nursing interventions (10%). Patients in shared rooms experienced the most disturbed sleep, with 51% reporting \'poor\' or \'very poor\' sleep quality. In contrast, only 17% of the patients in single rooms reported the same. Notably, sound levels in shared rooms surpassed 100 dB, highlighting the potential for significant sleep disturbances in shared patient accommodation settings. The results of this study provide a comprehensive overview of the sleep-related challenges faced by patients in hospital, particularly those staying in shared rooms. The insights from this study offer guidance for targeted healthcare improvements to minimize disruptions and enhance the quality of sleep for hospitalized patients.
摘要：
背景：医院环境中的睡眠中断会对患者的安全和健康产生不利影响，导致谵妄等并发症和恢复时间延长。本研究旨在全面评估影响非急性住院病房睡眠障碍的因素。比较住在单人房间和共用房间的患者的睡眠质量。
方法：使用混合方法方法检查患者报告的睡眠质量和睡眠中断因素，结合客观噪声测量，在悉尼一家三级公立医院的七个住院病房中，澳大利亚。
结果：在医院里对睡眠最具破坏性的因素是噪音，被20%的患者评为“非常破坏性”，其次是急性健康状况(11%)和护理干预(10%).共用房间的患者报告睡眠最不安，51%的人报告“睡眠质量很差”或“睡眠质量很差”。相比之下,只有17％的单间患者报告相同。值得注意的是,共享房间的声音水平超过100分贝，强调了在共享患者住宿环境中严重睡眠障碍的可能性。
结论：这项研究的结果全面概述了住院患者面临的睡眠相关挑战，特别是那些住在共用房间的人。对患者睡眠最具破坏性的因素是噪音，其次是急性医疗条件和护理干预。这项研究的见解为有针对性的医疗保健改进提供了指导，以最大程度地减少中断并提高住院患者的睡眠质量。
方法：使用混合方法方法检查患者报告的睡眠质量和睡眠中断因素，结合客观噪声测量，在悉尼一家三级公立医院的七个住院病房中，澳大利亚。
结果：在医院里对睡眠最具破坏性的因素是噪音，被20%的患者评为“非常破坏性”，其次是急性健康状况(11%)和护理干预(10%).共用房间的患者报告睡眠最不安，51%的人报告“睡眠质量很差”或“睡眠质量很差”。相比之下,只有17％的单间患者报告相同。值得注意的是,共享房间的声音水平超过100分贝，强调了在共享患者住宿环境中严重睡眠障碍的可能性。
结论：这项研究的结果全面概述了住院患者面临的睡眠相关挑战，特别是那些住在共用房间的人。对患者睡眠最具破坏性的因素是噪音，其次是急性医疗条件和护理干预。这项研究的见解为有针对性的医疗保健改进提供了指导，以最大程度地减少中断并提高住院患者的睡眠质量。
