Chinese Journal of Nursing ›› 2023, Vol. 58 ›› Issue (6): 743-750.DOI: 10.3761/j.issn.0254-1769.2023.06.015

• Evidence Synthesis Research • Previous Articles     Next Articles

Prevalence of sleep disorders in post-ICU patients: a systematic review

SONG Xiuxiu, WU Juan, WANG Yinan   

  • Online:2023-03-20 Published:2023-03-23

ICU转出患者睡眠障碍发生率的系统评价

宋秀秀, 吴娟, 王逸楠   

  1. 226001 南通市 南通大学医学院护理学院(宋秀秀,王逸楠);南通大学附属医院重症医学科(吴娟)

Abstract:

Objective To systematically evaluate the prevalence of sleep disorders and provide evidence for early prevention of sleep disorders in post-ICU patients. Methods PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,CBM,CNKI,WanFang Data and VIP were searched from inception to June 2022. There were 2 researchers who independently screened the literature and assessed the quality of included studies using Critical Appraisal Tools published by Newcastle-Ottawa Quality Scale(NOS). The meta-analysis was performed by StataSE.12 software. Results A total of 28 studies were included in this study with a total of 3 170 patients. The prevalence of subjective sleep disorders by random effects model was 51.84%[95%CI(45.17%~58.51%)]. The results of subgroup analysis showed that the prevalence of subjective sleep disorders within 1 month,1~3 months,>3~6 months and >6 months after ICU discharge was 50.51%[95%CI(40.97%~60.05%)]、53.34%[95%CI(44.86%~61.82%)]、49.44%[95%CI(32.71%~66.16%)]、29.55%[95%CI(13.28%~45.82%)],respectively. Meta regression results of single covariate showed that sample size and country were related to heterogeneity(P<0.05). Conclusion The prevalence of sleep disorders in post-ICU patients is high. Nursing staff should take relevant interventions,strengthen sleep health education and guidance for patients,and reduce the incidence.

Key words: Sleep Disorders, Post-ICU Patient, Prevalence, Systematic Review, Nursing Care

摘要:

目的 系统评价ICU转出患者睡眠障碍的发生率,为早期预防ICU转出患者发生睡眠障碍提供理论依据。方法 计算机检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL、中国生物医学文献数据库、中国知网、万方数据库和维普数据库,检索时限为建库至2022年6月,由2名研究者独立根据纳入和排除标准筛选文献,采用纽尔卡斯-渥太华量表(Newcastle-Ottawa Quality Scale,NOS)对纳入文献进行质量评价,采用Stata SE.12软件进行数据分析。 结果 共纳入28篇文献,共3 170例患者。ICU转出患者主观睡眠障碍总体发生率为51.84%[95%CI(45.17%~58.51%)]。亚组分析结果显示,ICU转出1个月内、1~3个月、>3~6个月和>6个月,主观睡眠障碍发生率分别为50.51%[95%CI(40.97%~60.05%)]、53.34%[95%CI(44.86%~61.82%)]、49.44%[95%CI(32.71%~66.16%)]、29.55% [95%CI(13.28%~45.82%)]。单个协变量Meta回归分析结果显示,样本量、国家与该研究的异质性有关(P<0.05)。结=论 ICU转出患者睡眠障碍发生率较高,护理人员应尽早采取相关预防措施,加强对患者睡眠教育的指导,降低睡眠障碍发生率。

关键词: 睡眠障碍, ICU转出患者, 发生率, 系统评价, 护理