夜间使用眼罩耳塞对ICU患者谵妄及睡眠障碍的疗效观察

摘要

目的 探讨初期入住ICU的患者在夜间使用眼罩及耳塞对ICU谵妄发生率及睡眠障碍的影响.方法 对128例入选患者随机分组,用中文版护理谵妄筛查量表(Nu-DESC-SCV)筛查谵妄,匹兹堡睡眠质量指数量表(PSQI)测试两组患者睡眠障碍情况,通过对视听隔离组及对照组观察结果进行统计学处理.结果 视听隔离组谵妄发生率及发生时间低于对照组(HR=0.47,95％ CI 0.27～0.82),且两组间睡眠时间、睡眠质量有统计学差异(P＜0.01).结论 在夜间使用遮光眼罩及隔音耳塞能有效降低ICU谵妄的发病率.%Objective To investigate the efficacy of eyeshades and earplugs application during the night on the onset of delirium and sleep disorder in intensive care patients.Methods A total of 128 cases of patients were selected and randomly divided into audio-visual isolated group and control group.Nursing delirium scale of simplified chinese version(Nu-DESC-SCV) and pittsburgh sleep quality index scal(PSQI)was applied to evaluate the sleep disorders.Statistics analysis was performed based on the observation.Results Audio-visual isolated group lowered the incidence and the time of occurrence compared with the control group with a Hazard Ratio of 0.47 (95％ confidence interval 0.27 to 0.82).Patients sleeping with eyeshades and earplugs developed confusion later than the control group.Also,there was a significant difference of the sleep quality and sleep time between the two groups(P ＜ 0.01).Conclusion Application of eyeshades and earplugs at night is useful in the prevention of confusion or delirium.