心脏外科手术患者转出ICU前后睡眠轨迹潜在类别及影响研究OA

Objective:To identify the potential classes of sleep trajectories and their influencing factors in patients transferred out of the ICU.Methods:A total of 210 hospitalized patients admitted to Qilu Hospital of Shandong University from March to Septem-ber 2024 were selected as the research subjects.Using a general information questionnaires,Richards Campbell Sleep Question-naire(RCSQ),Social Support Evaluation Scale,the preoperative Sleep Quality PSQI Score Scale,ICU Environmental Stressors Scale,Mini Mental State Exam(MMSE),and Numerical Rating Scale(NRS)were collected at one day before surgery,and at one week and one month after discharge.A growth mixture model was used to assess the potential types of patients' sleep trajecto-ries.Multivariate logistic regression analysis of its influencing factors.Results:According to the sleep characteristics,it was divid-ed into three categories:severe injury recovery(28.1％),severe injury persistence(21.4％),and mild injury remission(50.5％).Logistic regression found that factors such as average monthly income,length of hospital stay,objective social support,pain,noise,ICU environmental stress,and psychological status have a significant impact on sleep trajectory types(P＜0.05).Conclusion:The characteristics of sleep trajectory changes vary among patients transferred out of the ICU.Nurses should pay at-tention to sleep changes at different time points in patients with prolonged hospital stays,persistent pain,high environmental stress,psychological distress,and lack of social support,and provide targeted interventions.Patients with longer hospital stays,per-sistent pain,high ICU environmental stress,psychological distress,and lack of social support are more likely to experience a per-sistently deteriorating sleep trajectory.This underscores the need for medical staff to systematically evaluate high-risk groups,give them focused attention,and implement targeted interventions.