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首页> 外文期刊>The joint commission journal on quality and patient safety >A Sleep Hygiene Intervention to Improve Sleep Quality for Hospitalized Patients
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A Sleep Hygiene Intervention to Improve Sleep Quality for Hospitalized Patients

机译：睡眠卫生干预，以提高住院患者的睡眠质量

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Introduction: Poor sleep is a pervasive problem for hospitalized patients and can contribute to adverse health outcomes.Methods: We aimed to improve self-reported sleep for patients on a general medicine ward as measured by the Richards-Campbell Sleep Questionnaire (RCSQ) as well as the Hospital Consumer Assessment of Healthcare Providers and Systems(HCAHPS) question addressing quietness at night. We utilized a non-pharmacologic sleep hygiene bundle composed of ashort script with sleep hygiene prompts, such as whether patients would like the shades closed or the lights turned off, as wellas a sleep package including an eye mask, earplugs, lavender scent pad, and non-caffeinated tea. Relaxing music was playedat bedtime and signs promoting the importance of quietness at night were placed around the unit. Front-line championswere identified to aid with implementation.Results: A total of 931 patients received the intervention. In a sample of surveyed patients, we observed an increase in theRCSQ global score from 6.0 (IQR 3.0-7.0) to 6.2 (IQR 4.0-7.8) from the pre- to post- intervention periods (p = 0.041),as well as increases in three of the five individual survey components. Additionally, HCAHPS “quietness at night”scoreincreased on the unit from 34.1% pre-intervention to 42.5% post-intervention.Conclusion: A nonpharmacologic sleep hygiene protocol paired with provider education and use of champions was associatedwith modest improvements in patients’ perceived sleep and unit HCAHPS scores.
机译：介绍：睡眠不良是住院患者的普遍问题，可以有助于不利的健康结果。方法：我们的旨在改善由理查兹衡量的一般医学病房患者的自我报告的睡眠 - Campbell睡眠问卷（RCSQ）以及医院消费者评估医疗保健提供者和系统（hcahps）问题在晚上解决安静。我们利用由A组成的非药理学睡眠卫生束睡眠卫生提示的短脚本，如患者是否希望闭合或灯关闭，也是如此作为睡眠包，包括眼罩，耳塞，薰衣草气味垫和非含咖啡因茶。放松的音乐被播放在睡觉时和迹象促进晚上安静的重要性被放置在本机周围。前线冠军被确定为援助实施。结果：共有931名患者接受干预。在调查患者的样本中，我们观察到增加了RCSQ全球评分从6.0（IQR 3.0-7.0）到6.2（IQR 4.0-7.8）从后期后期（P = 0.041），除了五种个人调查组件中的三个中，还增加了三个。另外，HCAHPS“晚上安静”得分在介入后34.1％的34.1％的介入后增加42.5％。结论：与提供商教育和冠军使用的非药物睡眠卫生协议相关患者感知睡眠和单位肝脏分数有适度的改善。

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