护士夜查房对老年患者睡眠的影响及护理对策

The Impact of Nurses’ Night Rounds on Sleep of Elderly Patients and Nursing Strategy

摘要: 目的：调查研究护士夜间工作对住院老年患者睡眠状况的影响，针对性实施个体化护理服务，最大限度降低护士夜查房对住院老年患者睡眠干扰，提高住院老年患者的睡眠质量。方法：对石家庄某三甲医院110名住院老年患者进行问卷调查及访谈，了解患者睡眠状况及影响因素。结果：42例住院后睡眠质量高于家庭占42.00%。23例睡眠质量无明显差异占23.00%。35例睡眠质量低于家庭占35.00%，其中12例需要服用安眠药解决入睡困难(9例是住院3天后首次开始服用)。依照得分中位数，对老年患者睡眠影响由大到小排序为：护士夜间操作治疗、医护人员谈话声、巡视病房、心理因素、身体不适、翻身拍背、床位不适、护士对其他病人的操作治疗、缺乏常规睡前安排。结论：护士夜查房是影响老年患者睡眠的重要因素，通过合理的护理管理、恰当的护理措施、完善的工作方针可以提高老年患者睡眠质量。

Abstract: Objective: To research the impact of nurses’ night work on the sleep of elderly patients, targeting on the implementation of individualized care, decreasing the disturbance of nurses’ night rounds on hospitalized elderly patients to the largest extent and improving sleep quality of hospitalized elderly patients. Methods: Make questionnaires and interviews on 110 hospitalized elderly patients of a top three hospital in Shijiazhuang, to understand the patients’ sleep and its influence factors.Results: 42 patients show higher sleep quality in hospital than at home, accounting for 42.00%; 23 patients show no significant difference in sleep quality, accounting for 23.00%; 35 patients show lower sleep quality, accounting for 35.00%, of which 12 cases need to take sleeping pills to solve sleep problems (9 patients start to take pills after 3 days in hospital). In accordance with the average score, with descending order, the impacts on elderly patients are ranked as: the treatment of nurses at night, medical staff talking, visiting the wards, psychological factors, physical complaints, turning and patting back, uncomfortable beds, nurses’ operating on other patients and lack of regular bedtime arrangements. Conclusion: Nurses’ night round is an important influencing factor on sleep in elderly patients. Through reasonable care management, appropriate care measures and great working guideline, the sleep quality of elderly patients can be improved.