術後ICU入室患者の睡眠・休息障害 : 心臓・血管手術患者の3日間の観察を通して

概要

論文の詳細を見る
An existing state of sleep and rest disturbances caused by medical and nursing interventions, considered a primary cause of psychiatric disturbance in ICU patients, was examined at Gunma University Hospital. The examination was carried out on 5. postoperative patients who had received cardiovascular surgery. The survey started immediately after admission to the unit, and ended at the time of discharge from the environment (up to 3 days). In 3 of 5 cases, sleep and rest were interrupted by hourly therapy and procedures. Physical and psychiatric burdens increased in proportion to the duration of time in the ICU. Most of the patients expressed their fear and anxiety saying they had been on the verge of mad because each day in the ICU had been too long for them to stay calm. Sleep and rest disturbances caused by medical and nursing interventions were frequently observed during the time between 5 A.M. and 9 P.M. Sixty percent of all causes of disturbances were caused by respiratory care such as suctioning, frequent position change and gargling, cardiovascular monitoring, and conversations with visitors or ICU staff.
群馬大学の論文
1992-03-31