PDF(Pubmed)
Abstract：
BACKGROUND: Sleep is a basic physiological need and is imperative for healing and rejuvenation. However, the environment of the intensive care unit (ICU), including loud sounds and bright lights, can undermine patients\' sleep quality.
OBJECTIVE: This study was designed to determine the effectiveness of overnight use of earplugs and eye masks to improve sleep quality and potentially influence hemodynamic parameters and mitigate fatigue among nonventilated patients in an ICU.
METHODS: This experimental study was conducted among 84 nonventilated patients in an ICU. The patients were evenly divided between an intervention group (n=42) and a control group (n=42). The intervention group patients received earplugs and eye masks for three consecutive nights from 10:30 pm to 6:30 am, while the control group patients received routine care. Clinical data, responses to the Richards-Campbell sleep questionnaire, and rankings on a numerical fatigue scale were collected before (pretest) and after the intervention each night and the next morning (posttests 1, 2, and 3).
RESULTS: The results revealed a significant reduction in fatigue. At pretest, fatigue scores in the study group were 4.19±1.64. The score was significantly reduced to 3.40±1.39 at posttest 1 and then to 2.21±1.00 at posttest 3 (p<0.0001). The sleep quality for the study group showed a significant improvement from the pretest score of 43.73±8.27 to 60.35±6.85 at posttest 3 (p<0.001), whereas the control group had slightly worse sleep quality, with 40.64±8.67 at pretest and 45.63±6.95 at posttest 3.
CONCLUSIONS: Continuous patient monitoring is an essential nursing care activity in ICUs while ensuring good-quality sleep promotes healing and reduces fatigue. Sleep quality can be supported by devices such as earplugs and eye masks to limit undue disturbances in the ICU settings.
OBJECTIVE: This study was designed to determine the effectiveness of overnight use of earplugs and eye masks to improve sleep quality and potentially influence hemodynamic parameters and mitigate fatigue among nonventilated patients in an ICU.
METHODS: This experimental study was conducted among 84 nonventilated patients in an ICU. The patients were evenly divided between an intervention group (n=42) and a control group (n=42). The intervention group patients received earplugs and eye masks for three consecutive nights from 10:30 pm to 6:30 am, while the control group patients received routine care. Clinical data, responses to the Richards-Campbell sleep questionnaire, and rankings on a numerical fatigue scale were collected before (pretest) and after the intervention each night and the next morning (posttests 1, 2, and 3).
RESULTS: The results revealed a significant reduction in fatigue. At pretest, fatigue scores in the study group were 4.19±1.64. The score was significantly reduced to 3.40±1.39 at posttest 1 and then to 2.21±1.00 at posttest 3 (p<0.0001). The sleep quality for the study group showed a significant improvement from the pretest score of 43.73±8.27 to 60.35±6.85 at posttest 3 (p<0.001), whereas the control group had slightly worse sleep quality, with 40.64±8.67 at pretest and 45.63±6.95 at posttest 3.
CONCLUSIONS: Continuous patient monitoring is an essential nursing care activity in ICUs while ensuring good-quality sleep promotes healing and reduces fatigue. Sleep quality can be supported by devices such as earplugs and eye masks to limit undue disturbances in the ICU settings.
摘要：
背景：睡眠是一种基本的生理需求，是治愈和恢复活力的必要条件。然而,重症监护病房（ICU）的环境，包括响亮的声音和明亮的灯光，会损害患者的睡眠质量。
目的：本研究旨在确定在ICU中使用耳塞和眼罩改善睡眠质量和潜在影响血流动力学参数并减轻疲劳的有效性。
方法：本实验研究是在ICU的84名非通气患者中进行的。将患者平均分为干预组（n=42）和对照组（n=42）。干预组患者于晚上10时30分至6时30分连续三个晚上接受耳塞和眼罩,对照组患者接受常规护理。临床数据,对Richards-Campbell睡眠问卷的回答,并且在每晚干预前(前测)和干预后和第二天早晨(后测1,2和3)收集了数值疲劳量表的排名.
结果：结果显示疲劳程度显著降低。在预测测试中，研究组疲劳评分为4.19±1.64。在后测1时，得分显着降低到3.40±1.39，然后在后测3时降低到2.21±1.00（p<0.0001）。研究组的睡眠质量显着改善，从测试前的43.73±8.27到测试后的60.35±6.85（p<0.001），而对照组睡眠质量稍差，前测40.64±8.67，后测3为45.63±6.95。
结论：连续患者监测是ICU的一项基本护理活动，同时确保良好的睡眠质量可以促进愈合并减少疲劳。睡眠质量可以通过诸如耳塞和眼罩的设备来支持,以限制ICU设置中的过度干扰。
目的：本研究旨在确定在ICU中使用耳塞和眼罩改善睡眠质量和潜在影响血流动力学参数并减轻疲劳的有效性。
方法：本实验研究是在ICU的84名非通气患者中进行的。将患者平均分为干预组（n=42）和对照组（n=42）。干预组患者于晚上10时30分至6时30分连续三个晚上接受耳塞和眼罩,对照组患者接受常规护理。临床数据,对Richards-Campbell睡眠问卷的回答,并且在每晚干预前(前测)和干预后和第二天早晨(后测1,2和3)收集了数值疲劳量表的排名.
结果：结果显示疲劳程度显著降低。在预测测试中，研究组疲劳评分为4.19±1.64。在后测1时，得分显着降低到3.40±1.39，然后在后测3时降低到2.21±1.00（p<0.0001）。研究组的睡眠质量显着改善，从测试前的43.73±8.27到测试后的60.35±6.85（p<0.001），而对照组睡眠质量稍差，前测40.64±8.67，后测3为45.63±6.95。
结论：连续患者监测是ICU的一项基本护理活动，同时确保良好的睡眠质量可以促进愈合并减少疲劳。睡眠质量可以通过诸如耳塞和眼罩的设备来支持,以限制ICU设置中的过度干扰。
