首页|期刊导航|世界睡眠医学杂志|早期康复对ICU呼吸衰竭合并睡眠障碍患者睡眠质量的影响

早期康复对ICU呼吸衰竭合并睡眠障碍患者睡眠质量的影响OA

Impact of Early Rehabilitation on Sleep Quality in ICU Patients with Respiratory Failure Complicated by Sleep Disorders

中文摘要英文摘要

目的:观察早期康复对重症监护病房(ICU)呼吸衰竭合并睡眠障碍患者睡眠质量的影响.方法:选取2024年12月至2025年12月福建省龙岩市第二医院ICU收治的呼吸衰竭合并睡眠障碍患者62例作为研究对象,采用随机信封法分为对照组和观察组,每组31例.对照组进行常规护理干预,观察组在对照组基础上开展早期康复.比较2组睡眠质量、肺功能指标及并发症发生情况.结果:与本组干预前比较,干预后2组匹兹堡睡眠质量指数(PSQI)评分均下降(P<0.05),且观察组较对照组更低(P<0.05).与本组干预前比较,干预后2组最大呼气流量、第1秒用力呼气容积与用力肺活量比值、用力肺活量均升高(P<0.05),且观察组较对照组更高(P<0.05).观察组并发症总发生率为9.68%,对照组为32.26%,观察组并发症总发生率低于对照组(P<0.05).结论:早期康复可改善ICU呼吸衰竭合并睡眠障碍患者睡眠质量,提高其肺功能,降低并发症.

Objective:This artical aims to observe the impact of early rehabilitation on sleep quality in intensive care unit(ICU)patients with respiratory failure combined with sleep disorders.Methods:A total of 62 patients with respiratory failure complicated by sleep disorders admitted to the ICU of Longyan Second Hospital,Fujian Province from December 2024 to December 2025 were enrolled.The patients were divided into two groups using the random envelope method,with 31 cases in each group.The control group received conventional nursing,while the observation group underwent early rehabilitation intervention in addition to routine nursing.The sleep quality,pulmonary function indicators,and the incidence of complications of the two groups were compared.Results:Compared with pre-intervention levels within the same group,both groups showed a decrease in Pittsburgh Sleep Quality Index(PSQI)scores(P<0.05),with the observation group scoring lower(P<0.05).Compared with pre-interven-tion levels,peak expiratory flow,forced expiratory volume in the first second to forced vital capacity ratio,and forced vital capacity increased significantly in both groups after intervention(P<0.05),with greater improvements in the observation group than in the control group(P<0.05).The difference in complication rates between the two groups was significant,with the observation group experiencing a lower rate(P<0.05).Conclusion:Early rehabilitation can improve sleep quality,enhance pulmonary function,and reduce the incidence of complications in ICU patients with respiratory failure complicated by sleep disorders.

熊琼芬;黄菲;张雪玲

福建省龙岩市第二医院重症医学科,龙岩,364000福建省龙岩市第二医院重症医学科,龙岩,364000福建省龙岩市第二医院头颈乳腺外科,龙岩,364000

医药卫生

重症监护病房呼吸衰竭早期康复睡眠障碍睡眠质量肺功能

ICURespiratory failureSleep disorderSleep qualityPulmonary function

《世界睡眠医学杂志》 2026 (3)

475-477,481,4

10.3969/j.issn.2095-7130.2026.03.005

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