头颈肿瘤患者重症监护期间睡眠促进方案的构建与评价

doi:10.19438/j.cjoms.2022.01.013

中国口腔颌面外科杂志 ›› 2022, Vol. 20 ›› Issue (1): 68-71.doi: 10.19438/j.cjoms.2022.01.013

头颈肿瘤患者重症监护期间睡眠促进方案的构建与评价

李燕¹, 黄瑶¹, 倪莹¹, 杨悦来^2,*, 殷琦^2,*

1.上海交通大学医学院附属第九人民医院麻醉科,2.护理部,上海 200011

收稿日期:2021-03-25 修回日期:2021-05-26 出版日期:2022-01-20 发布日期:2022-01-20
通讯作者: 殷琦, E-mail：yinq920@163.com; 杨悦来,E-mail：yangyuelai@163.com。^*共同通信作者
作者简介:李燕（1983-）,女,硕士,护师,E-mail:oct_lotus@163.com
基金资助:
上海交通大学医学院附属第九人民医院护理院级基金（JYHL20182105、JYHZ1912、JYHL20182102）

Construction and evaluation of sleep promotion protocol for patients with head and neck tumor during intensive care unit

LI Yan¹, HUANG Yao¹, NI Ying¹, YANG Yue-lai², YIN Qi²

1. Department of Anesthesiology, 2. Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2021-03-25 Revised:2021-05-26 Online:2022-01-20 Published:2022-01-20

摘要/Abstract

摘要： 目的: 构建基于循证的头颈肿瘤重症监护（ICU）患者睡眠促进方案。方法: 运用循证方法筛选最佳证据,结合临床情况,根据奥哈马干预系统,构建头颈肿瘤患者ICU睡眠促进方案;运用德尔菲法征询10名头颈肿瘤和ICU护理专家进行2轮函询。采用SPSS 23.0软件包进行数据处理。结果: 纳入29项高质量证据,包括健康教育、指导和咨询、治疗和程序、个案管理和监测4方面,构建头颈肿瘤患者ICU期间睡眠促进方案。结论: 该方案基于循证医学,构建过程严谨,结果可信,对头颈肿瘤患者在ICU期间的睡眠促进具有一定意义。

关键词: 头颈肿瘤患者, ICU, 睡眠障碍, 睡眠剥夺, 睡眠促进, 循证医学, 德尔菲法

Abstract: PURPOSE: To build an evidence-based sleep promotion protocol for head and neck tumor patients in intensive care unit(ICU). METHODS: According to the clinical situation and Omaha system, evidence-based method was used to screen the best evidence to build the sleep promotion protocol for head and neck tumor patients in ICU. Delphi's method was used to consult 10 medical care experts in the field of head and neck tumor and ICU for 2 rounds. SPSS 23.0 software package was used for data analysis. RESULTS: Twenty-nine high-quality evidences were included to build the sleep promotion protocol for head and neck tumor patients in ICU, including health education, guidance and consultation, treatment and procedure, case management and monitoring. CONCLUSIONS: The sleep promotion protocol for head and neck tumor patients in ICU is based on evidence-based medicine rigorously and the result is reliable, which is of great significance to promote sleep of head and neck tumor patients in ICU.

Key words: Head and neck tumor patients, ICU, Sleep disturbances, Sleep deprivation, Sleep promotion, Evidence-based medicine, Delphi

中图分类号:

R739.8

李燕, 黄瑶, 倪莹, 杨悦来, 殷琦. 头颈肿瘤患者重症监护期间睡眠促进方案的构建与评价[J]. 中国口腔颌面外科杂志, 2022, 20(1): 68-71.

LI Yan, HUANG Yao, NI Ying, YANG Yue-lai, YIN Qi. Construction and evaluation of sleep promotion protocol for patients with head and neck tumor during intensive care unit[J]. China J Oral Maxillofac Surg, 2022, 20(1): 68-71.

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头颈肿瘤患者重症监护期间睡眠促进方案的构建与评价

Construction and evaluation of sleep promotion protocol for patients with head and neck tumor during intensive care unit

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