Sömn och vila inom intensivvården : Faktorer som påverkar patientens möjlighet till sömn och vila
Sammanfattning: Background: Sleep and rest is a problem that is constantly reported as a lack of patients in intensive care. Consequences to this involve problems involving immunological, neurological, respiratory and cardiovascular problems. It also leads to prolonged care times related to increased mortality and morbidity, difficulty in mobilization and increased risk of developing delirium. Aim: The aim of this study was to investigate the disturbances of intensive care patients and their duration. Method: The study is a non-experimental non-participation observation study with mixed method when quantitative data is obtained and explained using qualitative data. The data collected was interference that could affect the rest and sleep of patients by means of a structured observational schedule. In addition to the observational schedule, field notes were taken, which among others included reflections on the care environment. Results: The observations showed that the patients were disturbed ⅖ of the time of observations, including everything from sound, relatives, and nursing measures. The longest duration without interference was one hour and 23 minutes. However, there were other disturbing moments during this time, among others several alarms from both the surveillance and the port phone. The total number of alarms was 972. Conclusion: Although many previous studies indicate that critically ill patients need a good rest and sleep to recover faster and not suffer from IVA-delirium, this is still a commonly reported problem in the intensive care. The result suggests that nurses in the intensive care can re-prioritize and combine various nursing measures to reduce the time with patient disturbances.
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