Analysis of factors affecting sleep disorders in inpatients of the respiratory and critical care medicine department and nursing countermeasures
呼吸与危重症医学科住院患者睡眠障碍的影响因素分析及护理对策

摘要

目的 分析呼吸与危重症医学科住院患者睡眠障碍的影响因素，提出针对性护理对策。方法 将2023年1-12月本院呼吸与危重症医学科住院患者66例纳入研究，统计患者睡眠质量情况，分析睡眠障碍的相关影响因素。结果 66例患者中，睡眠障碍发生率为63.64%（42/66）。logistic分析：咳嗽咳痰憋气（OR=5.678，95%CI=2.345~13.789，P＜0.001）、呼吸困难（OR=6.123，95%CI=2.567~14.654，P＜0.001）、病房嘈杂（OR=3.891，95%CI=1.678~9.012，P＜0.001）、焦虑情绪（OR=7.234，95%CI=2.987~17.560，P＜0.001）是呼吸与危重症医学科住院患者发生睡眠障碍的独立危险因素。结论 呼吸与危重症医学科住院患者睡眠障碍发生率较高，咳嗽咳痰憋气、呼吸困难、病房嘈杂、焦虑情绪等病理生理、环境、心理社会多因素共同作用影响睡眠质量，需针对核心影响因素实施综合护理干预以改善患者睡眠状况。

Abstract

Objective To analyze the influencing factors of sleep disorders in inpatients of the respiratory and critical care medicine department, and propose targeted nursing countermeasures.
Methods A total of 66 inpatients of the respiratory and critical care medicine department in our hospital from January to December 2023 were included in the study. The sleep quality of the patients was statistically analyzed, and the related influencing factors of sleep disorders were analyzed.
Results Among the 66 patients, the incidence of sleep disorders was 63.64% (42/66). Logistic analysis: Coughing, expectoration, shortness of breath (OR = 5.678, 95% CI = 2.345 - 13.789, P < 0.001), dyspnea (OR = 6.123, 95% CI = 2.567 - 14.654, P < 0.001), noisy ward (OR = 3.891, 95% CI = 1.678 - 9.012, P < 0.001), and anxiety (OR = 7.234, 95% CI = 2.987 - 17.560, P < 0.001) were independent risk factors for sleep disorders in inpatients of the respiratory and critical care medicine department.
Conclusion   The incidence of sleep disorders in inpatients of the respiratory and critical care medicine department is relatively high. Pathophysiological, environmental, and psychological-social factors such as coughing, expectoration, dyspnea, and anxiety interact to affect sleep quality. Comprehensive nursing intervention targeting the core influencing factors is needed to improve the sleep status of patients.