内科住院病人睡眠质量的调查及护理

阜新煤炭职工医学院毕业论文

论文题目：内科住院病人睡眠质量及影响因素

的调查及护理

学生姓名李扬扬

学号

指导教师张瑶

专业护理学

班级 13 级

2014年6月

内科住院病人睡眠质量及影响因素的调查及护理

学生姓名：李扬扬指导教师：张瑶

[摘要] 目的：描述内科住院病人的睡眠质量现状，分析影响内科住院病人睡眠质量的因素，提出针对临床护理管理与服务工作的一些意见或建议，以期改善内科住院病人的睡眠质量。方法：采用匹兹堡睡眠质量指数（PSQI）量表和自编影响睡眠因素调查表，对内科104例住院病人进行问卷调查，数据采取SPSS软件包进行统计分析。组间比较采用方差分析、t检验、2χ检验。结果：住院病人PSQI总分为9.38±4.84，63.6%的病人有睡眠质量问题。主要影响因素依次为病房陌生感、护士站说话声、病床枕头不适、医院周围环境噪音、身体不适、经济负担、夜间起夜。结论：内科住院病人的睡眠质量处于中下等水平，有待于加强，其影响因素包括病房陌生感、护士站讲话声、病床、枕头不适、医院周围环境噪音、经济负担、身体不适、夜间起夜等多个方面，内科病房的管理者及工作人员应着重从这几方面加强管理和改善，以提高内科住院病人的睡眠质量及生活质量。

[关键词] 睡眠质量；内科住院病人；影响因素；匹兹堡睡眠质号指数

The Research on Status and Impact Factors of Sleep Quality in the inpatient in Internal Medicine Department and The Nursing

[Abstract] Objective In order to give some suggestions for the works of Internal Medicine Department to improve sleep quality and life quality, the status of sleep quality of the in-patient lived in Internal Medicine Department was described, and the influential factors of sleep quality in patients were analyzed. Methods The Pittsburgh Sleep Quality Index and the self-made questionnaire of influential factors of sleep quality were used to investigate the in-patient in Internal Medicine Department. We conducted a survey of 104 in-patients in Hospital. The statistic analysis was accomplished with SPSS (statistical package for the social science) software.Groups were compared using analysis of variance, t test, 2 test . Results Among the 104 in-patients , 41 people have high quality sleep , but other 63 people have trouble with sleep, about 63. 6% of the total. After single-factor analysis, sickroom strangeness nurse station voices,bed -ward and pillow uncomfort,noises environment around the hospital ,financial condition, suffering from disease, early awakening, all above are related to sleep quality of the in-patients, making the main influential factors of sleep quality.

Conclusion The sleep quality of in-patients in the Internal Medicine Department is below ordinary needs to he enhanced. The influential factors of sleep quality in in-patients include several aspects ,such as financial situation, living habits, medication, environment, psychology. The staff in the Internal Medicine Department should focus on improving the management in above several aspects for better sleep quality and life quality of in-patient.

[Key words]sleep quality;inpatients;influential factors;PSQI

内科住院病人睡眠质量及影响因素的调查及护理

1.引言

睡眠是人类生命活动的重要组成部分，是生理活动所必须的过程。睡眠可以消除疲劳、

积蓄精力、修复损伤、调节机体机能状态。住院病人作为特定的人群更需要有充足的睡眠。

睡眠对于维持人类的健康，特别是促进病人的早日康复，具有十分重要的意义[1]。睡眠不

足可延长病人住院时间，增加感染的可能性，甚至使病死率升高[2]。可见对住院病人进行

睡眠质量的评估，采取针对性的护理措施，满足住院病人体息与睡眠的要求，提高睡眠质

量将更能体现整体护理促进健康、减轻病痛、恢复健康的宗旨[3]。因此，了解住院病人睡

眠质量，分析影响睡眠的因素对临床护理工作具有重要意义。目前国内有关睡眠质量的研

究多集中于院外人群和诊断为精神障碍的失眠病人，而关于住院环境中的一般病人睡眠质