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首页> 外文会议>Annual International Conference of the IEEE Engineering in Medicine and Biology Society >Impact of nurse-assisted patient turning at different sleep stages on the quality of subsequent sleep *
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Impact of nurse-assisted patient turning at different sleep stages on the quality of subsequent sleep *

机译： * 护士协助患者在不同的睡眠阶段转向对随后的睡眠质量的影响

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Background: Nursing care performed during sleep, including nurse-assisted patient turning, is one of the factors that deteriorates sleep quality but is necessary for pressure ulcer prevention. Thus, it is important to determine when nurseassisted patient turning has the least impact on sleep quality. Aim: The aim of this study was to clarify the impact of nurseassisted patient turning at different sleep stages and to determine the optimal timing of this aspect during sleep. Methods: The experiment, which consisted of healthy men in their 20s and 30s, was performed over four successive nights per subject. The first night was dedicated to environment adaptation, and the 2nd to the 4th nights were randomly assigned for shallow sleep intervention, deep sleep intervention, and non-intervention. On the intervention day, nurse-assisted patient turning was conducted twice. Overnight sleep conditions were measured by polysomnography (PSG). The PSG waveform transmitted to a tablet was analyzed in real time to determine the stage of sleep. The patient was turned when he entered the planned stage of sleep. Results: The study analyzed fourteen (14) subjects. Shallow sleep time, deep sleep time, and sleep resumption time after nurse-assisted patient turning were compared among the three groups of non-intervention day, shallow sleep intervention day and deep sleep intervention day. There was no significant difference in the shallow and deep sleep time among the three groups. However, sleep resumption time after nurse-assisted patient turning was significantly shorter on the deep sleep intervention day than on the shallow sleep intervention day (p = 0.033). Conclusions: This study has novelty in examining the impact of nurse-assisted patient turning performed at different sleep stages on subsequent sleep using objective indicators. The study suggested that a deep sleep state is the optimal timing of nurseassisted patient turning due to the short time to sleep resumption.
机译：背景：在睡眠期间进行的护理，包括由护士协助的患者翻身，是使睡眠质量下降的因素之一，但对于预防压疮是必不可少的。因此，重要的是确定何时由护士协助患者翻身对睡眠质量的影响最小。目的：本研究的目的是阐明护士协助患者在不同睡眠阶段的转机的影响，并确定睡眠期间这方面的最佳时机。方法：该实验由20多岁和30多岁的健康男性组成，每个受试者连续进行了四个晚上的实验。第一个晚上专门用于环境适应，第2个到第4个晚上被随机分配用于浅睡眠干预，深度睡眠干预和不干预。在干预当天，进行了两次护士协助的患者翻身。通过多导睡眠监测仪（PSG）测量过夜睡眠状况。实时分析传输到平板电脑的PSG波形，以确定睡眠阶段。病人进入计划的睡眠阶段时被转过身。结果：该研究分析了十四（14）位受试者。比较了非干预日，浅睡眠干预日和深睡眠干预日这三组患者的浅睡眠时间，深睡眠时间和护士协助患者转身后的恢复睡眠时间。三组的浅层和深层睡眠时间无显着差异。但是，在深度睡眠干预日，由护士协助患者转身后的恢复睡眠时间明显短于浅度睡眠干预日（p = 0.033）。结论：这项研究具有新颖性，可以使用客观指标来检查在不同睡眠阶段进行的护士辅助患者轮换对随后的睡眠的影响。该研究表明，由于睡眠恢复时间短，因此深度睡眠状态是护士协助患者转机的最佳时机。

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