ICU病人在住院期间睡眠质量处于中等水平，住院中期睡眠质量最好。在不同阶段，影响病人睡眠的主要因素不同。因此，应加强对医护人员的睡眠相关知识及管理能力的培训，促进行为修正，采取相应干预措施，制定睡眠管理方案。本研究也存在一定的局限性，调查样本来源于同一家医院的重症监护单元，后续可开展大样本多中心调研，进一步探索病人各阶段的睡眠特点及有效的干预措施。

[1] 中华医学会重症医学分会.中国成人ICU镇痛和镇静治疗指南[J].中华危重病急救医学,2018(6):497-514.

[2] 陈丽霞,纪代红,王良,等.ICU患者睡眠障碍及其干预策略的研究进展[J].中华护理杂志,2016,51(6):721-724.

[3] BOYKO Y,JENNUM P,TOFT P.Sleep quality and circadian rhythm disruption in the intensive care unit:a review[J].Nat Sci Sleep,2017,9:277-284.

[4] AITKEN L M,ELLIOTT R,MITCHELL M, assessment by patients and nurses in the intensive care:an exploratory descriptive study[J].Aust Crit Care,2017,30(2):59-66.

[5] 陈丽霞,纪代红,赵巧玉,等.中文版理查兹-坎贝尔睡眠量表的信效度研究[J].中华护理杂志,2016,51(9):1141-1144.

[6] 陈丽霞,王秀锋,裴菊红.ICU患者睡眠质量及影响因素的研究[J].护理学报,2016,23(22):5-8.

[7] MENEAR A,ELLIOTT R,M AITKEN L, sleep-quality assessment and use of sleep-promoting interventions in ICU[J].Nurs Crit Care,2017,22(6)：348-354.

[8] AITKEN L M,MITCHELL M,ELLIOTT R, and delirium in the intensive care:a prospective cohort study of nurses documentation and patients insights[J].Aust Crit Care,2016,29(2):111.

[9] NICOLS A,AIZPITARTE E,IRUARRIZAGA A, of night-time sleep by surgical patients in an intensive care unit[J].Nurs Crit Care,2008,13(1):25-33.

[10] 邵乐文,黄夏薇,黄丽华.理查兹-坎贝尔睡眠量表护患一致性评价研究[J].护理与康复,2017,16(11):1149-1155.

[11] KAMDAR B B,SHAH P A,KING L M, interrater reliability and agreement of the richards-campbell sleep questionnaire[J].Am J Crit Care,2012,21(4):261-269.

[12] STEWART J A,GREEN C,STEWART J, influencing quality of sleep among non-mechanically ventilated patients in the intensive care unit[J].Aust Crit Care,2017,30(2):85-90.

[13] LE A,FRIESE R S,HSU C H, disruptions and nocturnal nursing interactions in the intensive care unit.[J].J Surg Res,2012,177(2):310-314.

[14] HOFHUIS J G M,ROSE L,BLACKWOOD B, practices to promote sleep in the ICU:a multinational survey[J].Int J Nurs Stud,2018,5(81):107-114.

[15] DUBE J A,BARTH M M,CMIEL C A, noise sources and interventions to minimize them:a tale of 2 hospitals.[J].J Nurs Care Qual,2008,23(3):216-224.

[16] TAYLOR-FORD R,CATLIN A,LAPLANTE M, of a noise reduction program on a medical-surgical unit[J].Clin Nurs Res,2008,17(2):74-88.

[17] VOIGT L P,REYNOLDS K,MEHRYAR M, sound and light continuously in an intensive care unit patient room:a pilot study[J].J Crit Care,2017,39:36-39.

[18] LITTON E,CARNEGIE V,ELLIOTT R,etal.The efficacy of earplugs as a sleep hygiene strategy for reducing delirium in the ICU:a systematic review and meta-analysis[J].Crit Care Med,2016,44(5):992.

[19] HU R F,JIANG X Y,CHEN J M,etal.Non‐pharmacological interventions for sleep promotion in the intensive care unit[M].Cochrane Database Syst Rev,2010.

[20] LEWIS S R,ALDERSON P,SMITH A for the promotion of sleep in the intensive care unit[M].Cochrane Database Syst Rev,2018.

[21] 复旦大学循证护理中心.促进ICU患者的睡眠：降低噪声和行为修正[EB/OL]. 3D%3D&chksm,2018-11-20.

[22] 陈林,郑静.133名ICU护士对患者睡眠状况的知识、态度、管理行为现况调查[J].中国护理管理,2017,17(8):1145-1148.

文章来源：《世界睡眠医学杂志》 网址: http://www.sjsmyxzz.cn/qikandaodu/2021/0622/1575.html