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引文資料
題名:
鬆弛療法介入對加護病房病人睡眠品質之影響
書刊名:
健康與建築雜誌
作者:
汪素敏
/
盧淑敏
作者(外文):
Wang, Shu-min
/
Lu, Shu-min
出版日期:
2014
卷期:
1:4
頁次:
頁42-51
主題關鍵詞:
鬆弛療法
;
睡眠品質
;
加護病房病人
;
Relaxation therapy
;
Quality of sleep
;
Intensive care unit patients
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
2
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
2
共同引用:
7
點閱:2
背景:好的睡眠品質對身體、健康、精神及情緒有很大影響,更能促進健康。加護病房個案面臨外在環境及個人身體因素導致失眠或睡眠剝奪,引發急性混亂因而導致住院日數延長、死亡率增加及醫院花費。目的:本研究目的在藉由鬆弛療法改善加護病房個案睡眠品質。方法:研究設計採單組前後側設計的類實驗研究法,以北部某區域教學醫院內外科加護病房個案為研究對象,共收案50人,分肌肉按摩及音樂療法二組介入措施。本研究測量採維辛式睡眠量表為評量介入成效工具。結果:肌肉按摩療法能有效改善個案睡眠品質(67±29.43 vs. 86.96±22.98, p<.01)另外,音樂療法亦能明顯提升睡眠品質效果(74.8±28.96 vs. 101.08±24.14, p<.01),兩種介入措施對加護病房個案的睡眠品質具顯著差異。前三項排名,在肌肉按摩為:昨天下午傍晚都沒睡覺(p<.01)、睡醒後覺得精神飽滿(p<.01)、整夜未曾醒來過(p<.05);在音樂療法為:睡眠中不怕攪擾(p<.01)、睡得非常安穩(p<.01)、睡醒後覺得精神飽滿(p<.01)。結論/實務應用:研究結果可提供加護病房在安排護理照護活動時重要的參考依據,有效促進加護病房個案恢復健康,同時亦提升護理照護品質。
以文找文
Background: Quality of sleep affects prognosis directly, however critically ill patient often experience insomnia or sleep deprivation caused by ICU environment. Specially, staying on sleep deprivation may contribute to the acute confusion, may increase length of stay, mortality and use of more medical and nursing manpower. Purpose: The purpose of this study was to investigate the effect of relaxation therapy has held by a nursing intervention on improving sleep quality for intensive care unit patients. Methods: The study used Quasi-Experimental of one single group pretest-posttest design The sample selected from a regional Teaching hospital in northern Taiwan, comprising 50 patients in Intensive Care Unit, divided into muscle massage therapy and music therapy. Quality of sleep was measured by VHS sleep scale and analyzed. Results: Study results show Massage therapy and music therapy effect Quality of Sleep (67±29.43 vs. 86.96±22.98, p <.01) and (74.8±28.96 vs. 101.08±24.14, p <.01). Intervention effect are significant. Significantly improve the quality of sleep after the test the first three items, massage therapy: did not sleep yesterday afternoon, the evening (p <.01), woke up, I felt full of energy ( p <. 01) and followed by all night never woke up( p <.05). Music therapy: not afraid to disturb sleep ( p <.01), sleep is very stable" (p <.01), and woke up, I felt full of energy ( p <.01). Conclusions/Implications for practice: Study findings provide information to guide clinical practice and the development of interventions, to promote the health and the profession of hospital service for intensive care unit patients.
以文找文
期刊論文
1.
Celik, S.、Oztekin, D.、Akyolcu, N.、Issever, H.(2005)。Sleep disturbance: The patient care activities applied at the night shift in the intensive care unit。Journal of Clinical Nursing,14(1),102-106。
2.
Edell-Gustafsson, U. M.、Hetta, J. E.、Aren, C. B.(1999)。Sleep and quality of life assessment in patients undergoing coronary artery bypass grafting。Journal of Advanced Nursing,29(5),1213-1220。
3.
Freedman, N. S.、Kotzer, N.、Schwab, R. J.(1999)。Patient perception of sleep quality and etiology of sleep disruption in the intensive care unit。American Journal of Respiratory and Critical Care Medicine,159(4),1155-1162。
4.
Simini, B.(1999)。Patients' perceptions of intensive care。The Lancet,354(9178),571-572。
5.
Williamson, S. N.(2002)。Sleep deprivation in patients in critical care unit。Nursing Journal of India,93(12),267-270。
6.
Roberts, B. L.(2001)。Managing delirium in adult intensive care patients。Critical Care Nurse,21(1),48-55。
7.
Hewitt, J.(2002)。Psycho-affective disorder in intensive care units: a review。Clinical Nursing,11(5),575-584。
8.
方楸淑、王瑞霞(20070300)。外科加護病房病患睡眠品質及其相關因素探討。實證護理,3(1),54-63。
延伸查詢
9.
Parthasarathy, S.、Tobin, M. J.(2004)。Sleep in the intensive care unit。Intensive Care Medicine,30(2),197-206。
10.
Richards, K. C.(1998)。Effect of a back massage and relaxation intervention on sleep in critically ill patients。American Journal of Critical Care,7(4),288-299。
11.
蕭淑貞、鄧蓮修、楊麗敏(19930300)。睡前放鬆活動在急性精神科病房應用之探討。護理研究,1(1),16-21。
延伸查詢
12.
Hahn, B. Y.、Ro, J. Y.、Song, H. H.、Kim, C. N.、Kim, S. H.、Yoo, S. Y.(1993)。The effect of thermal biofeedback and progressive muscle relaxation training in reducing blood pressure of patient with essential hypertension。Journal of Nursing Scholarsche,25(3),204-207。
13.
(1996)。NIH release statement on behavioral and relaxation approaches for chronic pain and insomnia。American Family Physician,53(5),1877-1880。
14.
邱艶芬、盧淑芬、葉美欣、陳季涵(20090900)。纈草精油穴位按摩對重症病人睡眠成效探討。榮總護理,26(3),282-290。
延伸查詢
15.
林小玲、蔡欣玲(2003)。「維辛式睡眠量表」 中文版之信效度。榮總護理,20(1),105-106。
延伸查詢
16.
Arena, G. J.、Bruno, M. G.、Hannah, L. S.、Meaddor, J. K.(1995)。A comparison of frontal electromyography biofeedback training, trapeziums electromyography biofeedback training, and progressive muscle relaxation therapy in the treatment of tension headache。Headache,35(7),411-419。
17.
Bonnet, M. H.(2005)。Hyper arousal as the basis for insomnia: Effect size and significance。Sleep,28(12),1500-1501。
18.
Cacchione, P. Z.(2002)。Four acute confusion assessment instruments : reliadility and validity for use in long-term care facilities。Journal of Gerontological Nursing,28(1),12-19。
19.
Elizabeth, B.、Peter, J.、Rick, D.、Judith, E.(2009)。The intensive care unit family meeting: Making it happen。Journal of Critical Care,24(4),629。
20.
Hata, R. K.、Han, L.、Slade, J.、Miyahira, A.、Passion, C.、Ghows, M.、Izumi, K.、Yu, M.(2014)。Promoting Sleep in the Adult Surgical Intensive Care Unit Patients to Prevent Delirium。Nursing Clinical North American,49(3),383-397。
21.
Olson, D. M.、Borel, C. O.、Laskowitz, D. T.、Moore, D. T.、McConnell, E. S.(2001)。Quite time: A nursing intervention to promote sleep in neural critical care units。American Journal of Critical care,10(2),74-78。
22.
Redwine, L.、Hauger, R. L.、Gillin, J. C.、Irwin, M.(2000)。Effects of sleep and sleep deprivation on interleukin-6, growth hormone, cortical, and melatonin levels in humans。The Journal of Clinical Endocrinology and Metabolism,85(10),3597-3603。
23.
Tranmer, J, E.、Fox, L. A.、Rebelo, L.(2003)。The sleep experience medical and surgical patients。Clinical Nursing Research,12(2),159-173。
24.
Truman, B.、Ely, E. W.(2003)。Monitoring delirium in critically ill patients: using the confusion assessment method for the intensive care unit。Critical care Nurse,23(2),25-36。
25.
Vgontzas, A. N.、Zoumakis, E.、Bixler, E. O.、Lin, H. M.、Follett, H.、Kales, A.(2004)。Adverse effects of modest sleep restriction on sleepiness, performance, and inflammatory cytokines。The Journal Clinical Endocrinology and Metabolism,89(5),2119-2126。
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