Impact of ICU environmental stressors on sleep quality in conscious patients
10.3760/cma.j.cn115682-20240311-01266
- VernacularTitle:ICU环境压力源对清醒患者睡眠质量的影响
- Author:
Yujiao ZOU
1
;
Shining CAI
;
Wenyan PAN
;
Jingjing LI
;
Xiao LIU
Author Information
1. 复旦大学护理学院，上海 200032
- Publication Type:Journal Article
- Keywords:
Intensive Care Unit;
Patient;
Environmental stressor;
Sleep quality
- From:
Chinese Journal of Modern Nursing
2025;31(9):1195-1200
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the sleep status of conscious patients in the ICU, their perception of ICU environmental stressors, and the correlation between the two, providing a basis for nursing interventions.Methods:A convenience sampling method was used to recruit 120 conscious patients admitted to Zhongshan Hospital, Fudan University for the first time to the ICU from August 2022 to January 2023 for the study. Data were collected using a general information questionnaire, the Intensive Care Unit Environmental Stressor Scale (ICUESS), and the Richards-Campbell Sleep Questionnaire (RCSQ). Multiple linear regression analysis was performed to identify factors influencing sleep quality in conscious ICU patients.Results:The total RCSQ and ICUESS scores of 120 conscious ICU patients were 36.0 (12.3, 60.8) and 76.0 (69.0±84.0), respectively. The primary stressors identified by patients were "inability to fall asleep" "thirst" and "restraint by medical tubing". Multiple linear regression analysis showed that the treatment environment, one's own experience and noise were significant factors affecting sleep quality in conscious ICU patients ( P<0.05) . Conclusions:The overall sleep quality of conscious ICU patients was poor and closely related to their perceived level of ICU environmental stressors. ICU medical staff should focus on optimizing the treatment environment, noise and patients' own experience to improve their sleep quality.
