中华护理杂志 ›› 2023, Vol. 58 ›› Issue (13): 1655-1658.DOI: 10.3761/j.issn.0254-1769.2023.13.019
收稿日期:2022-11-22
出版日期:2023-07-10
发布日期:2023-06-29
*通讯作者:
王宇,E-mail:wangyu823@163.com作者简介:魏松奇:男,本科,护师,E-mail:wepeace@163.com
基金资助:
WEI Songqi(
), WANG Yu(
), YANG Qiaofang, SUN Zhuocheng, MA Lingyan
Received:2022-11-22
Online:2023-07-10
Published:2023-06-29
摘要:
授时因子是指外界环境中的时间信号,ICU环境下患者常因授时因子异常,导致昼夜节律紊乱,出现不良结局。该文从授时因子的类型、与昼夜节律的关系、授时因子异常对ICU患者的影响进行分析,并从光疗法、早期康复运动、视频探视和家属参与式人文护理、间断性肠内喂养模式、集群化护理和设置安静时间方面,介绍了以授时因子为干预核心的护理措施。
魏松奇, 王宇, 杨巧芳, 孙卓铖, 马凌燕. 授时因子对ICU患者昼夜节律影响的研究进展及启示[J]. 中华护理杂志, 2023, 58(13): 1655-1658.
WEI Songqi, WANG Yu, YANG Qiaofang, SUN Zhuocheng, MA Lingyan. Progress and insights on the effect of zeitgebers on circadian rhythm of ICU patients[J]. Chinese Journal of Nursing, 2023, 58(13): 1655-1658.
| [1] | Fishbein AB, Knutson KL, Zee PC. Circadian disruption and hu-man health[J]. J Clin Invest, 2021, 131(19):e148286. |
| [2] |
杨璇, 乔雨晨, 赵洁, 等. 认知障碍患者睡眠障碍评估工具的应用进展[J]. 中华护理杂志, 2020, 55(12):1884-1889.
DOI URL |
| Yang X, Qiao YC, Zhao J, et al. The application of sleep disorder assessment tools in patients with cognitive impairment:a system review[J]. Chin J Nurs, 2020, 55(12):1884-1889. | |
| [3] |
Maas MB, Iwanaszko M, Lizza BD, et al. Circadian gene expression rhythms during critical illness[J]. Crit Care Med, 2020, 48(12):e1294-e1299.
DOI PMID |
| [4] |
Diaz E, Diaz I, Del Busto C, et al. Clock genes disruption in the intensive care unit[J]. J Intensive Care Med, 2020, 35(12):1497-1504.
DOI |
| [5] |
陈瑜, 黄道琼, 李海燕, 等. 肝癌栓塞术后疼痛患者择时给药时间点的改进及效果[J]. 中华护理杂志, 2019, 54(3):393-395.
DOI URL |
|
Chen Y, Huang DQ, Li HY, et al. Improvement in timing of medication administration and its application in relieving pain after liver cancer embolization[J]. Chin J Nurs, 2019, 54(3):393-395.
DOI URL |
|
| [6] | Bozejko M, Tarski I, Maiodobra-Mazur M. Outdoor artificial light at night and human health:a review of epidemiological studies[J]. Environ Res, 2023, 218:115049. |
| [7] |
van Maanen A, Meijer AM, van der Heijden KB, et al. The effects of light therapy on sleep problems:a systematic review and meta-analysis[J]. Sleep Med Rev, 2016, 29:52-62.
DOI URL |
| [8] | Aschoff J, Fatranská M, Giedke H, et al. Human circadian rhy-thms in continuous darkness:entrainment by social cues[J]. Scie-nce, 1971, 171(3967):213-215. |
| [9] | Yamanaka Y, Hashimoto S, Masubuchi S, et al. Differential regulation of circadian melatonin rhythm and sleep-wake cycle by bright lights and nonphotic time cues in humans[J]. Am J Phy-siol Regul Integr Comp Physiol, 2014, 307(5):R546-R557. |
| [10] |
Harfmann BD, Schroder EA, Esser KA. Circadian rhythms,the molecular clock,and skeletal muscle[J]. J Biol Rhythms, 2015, 30(2):84-94.
DOI URL |
| [11] | Patke A, Young MW, Axelrod S. Molecular mechanisms and physiological importance of circadian rhythms[J]. Nat Rev Mol Cell Biol, 2020, 21(2):67-84. |
| [12] |
Chang VA, Owens RL, LaBuzetta JN. Impact of sleep deprivation in the neurological intensive care unit:a narrative review[J]. Neurocrit Care, 2020, 32(2):596-608.
DOI |
| [13] |
El Jamal N, Lordan R, Teegarden SL, et al. The circadian biology of heart failure[J]. Circ Res, 2023, 132(2):223-237.
DOI PMID |
| [14] |
Gile J, Scott B, Eckle T. The period 2 enhancer nobiletin as novel therapy in murine models of circadian disruption resembling delirium[J]. Crit Care Med, 2018, 46(6):e600-e608.
DOI URL |
| [15] |
Craig T, Mathieu S. CANDLE:The critical analysis of the noc-turnal distribution of light exposure:a prospective pilot study quantifying the nocturnal light intensity on a critical care unit[J]. J Intensive Care Soc, 2018, 19(3):196-200.
DOI URL |
| [16] |
Tipping CJ, Harrold M, Holland A, et al. The effects of active mobilisation and rehabilitation in ICU on mortality and function:a systematic review[J]. Intensive Care Med, 2017, 43(2):171-183.
DOI PMID |
| [17] |
Investigators TTS. Early mobilization and recovery in mechanically ventilated patients in the ICU:a bi-national,multi-centre,prospective cohort study[J]. Crit Care, 2015, 19(1):1-10.
DOI URL |
| [18] |
Bear DE, Hart N, Puthucheary Z. Continuous or intermittent feed-ing:pros and cons[J]. Curr Opin Crit Care, 2018, 24(4):256-261.
DOI URL |
| [19] |
McClave SA, Taylor BE, Martindale RG, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient:society of critical care medi-cine(SCCM) and American society for parenteral and enteral nutrition(A.S.P.E.N.)[J]. JPEN J Parenter Enteral Nutr, 2016, 40(2):159-211.
DOI URL |
| [20] |
Jaiswal SJ, Garcia S, Owens RL. Sound and light levels are similarly disruptive in ICU and non-ICU wards[J]. J Hosp Med, 2017, 12(10):798-804.
DOI PMID |
| [21] | Tainter CR, Levine AR, Quraishi SA, et al. Noise levels in sur-gical ICUs are consistently above recommended standards[J]. Crit Care Med, 2016, 44(1):147-152. |
| [22] |
Parthasarathy S, Tobin MJ. Sleep in the intensive care unit[J]. Intensive Care Med, 2004, 30(2):197-206.
DOI URL |
| [23] | Knauert MP, Pisani M, Redeker N, et al. Pilot study:an intensive care unit sleep promotion protocol[J]. BMJ Open Respir Res, 2019, 6(1):e000411. |
| [24] |
Burgess HJ, Emens JS. Drugs used in circadian sleep-wake rhythm disturbances[J]. Sleep Med Clin, 2020, 15(2):301-310.
DOI PMID |
| [25] |
Schotland H. Artificial bright light therapy for circadian rhy-thm sleep-wake disorders[J]. Am J Respir Crit Care Med, 2019, 200(6):P11-P12.
DOI URL |
| [26] |
Wolff G, Esser KA. Scheduled exercise phase shifts the circadian clock in skeletal muscle[J]. Med Sci Sports Exerc, 2012, 44(9):1663-1670.
DOI URL |
| [27] |
Rosa RG, Falavigna M, da Silva DB, et al. Effect of flexible family visitation on delirium among patients in the intensive care unit:the ICU visits randomized clinical trial[J]. JAMA, 2019, 322(3):216-228.
DOI URL |
| [28] |
Nassar Junior AP, Besen BAMP, Robinson CC, et al. Flexible versus restrictive visiting policies in ICUs:a systematic review and meta-analysis[J]. Crit Care Med, 2018, 46(7):1175-1180.
DOI URL |
| [29] |
Hedges C, Hunt C, Ball P. Quiet time improves the patient expe-rience[J]. J Nurs Care Qual, 2019, 34(3):197-202.
DOI URL |
| [30] |
周丹, 杨青敏, 唐建国, 等. ICU浅镇静患者非药物睡眠干预方案的构建研究[J]. 中华护理杂志, 2020, 55(5):645-651.
DOI URL |
|
Zhou D, Yang QM, Tang JG, et al. Study on construction of non-pharmacological sleep intervention program for patients with shallow sedation in ICU[J]. Chin J Nurs, 2020, 55(5):645-651.
DOI URL |
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