关键词: 重症监护病房, 儿科, 睡眠, 非药物干预, 循证护理学, 儿科护理学

Abstract:

Objective To retrieve，appraise and integrate the relevant evidence of non-pharmacological sleep management measures in critically ill children. Methods We conducted a systematical search on the topic of non-pharmacological sleep management measures in critically ill children across multiple databases，including BMJ best practice，UpToDate，International Guidelines International Network，National Institute for Health and Care Excellence，Scottish Intercollegiate Guidelines Network，Registered Nurses’ Association of Ontario，Joanna Briggs Institute Library，the American Academy of Sleep Medicine，International Pediatric Sleep Association，CNKI，WanFang database，VIP database，SinoMed，Cochrane Library，PubMed，Web of Science，and CINAHL. The literature retrieval time limit was from the establishment of the database to February 2023. The study design includes clinical practice guideline，evidence summary，clinical decision-making，expert consensus，and systematic review. The evidence was extracted and summarized according to the subject after the independent literature quality evaluation by 2 researchers. Results 10 relevant pieces of literature were identified，including 2 guidelines，1 consensus statement，4 systematic reviews，2 evidence summaries，and 1 top clinical decision. These sources provided a total of 28 pieces of evidence across 5 key themes，including sleep assessment，management principles and education，environmental management and sleep promotion. Conclusion This study summarizes the best available evidence on non-pharmacological sleep management measures in critically ill children. It is recommended that healthcare professionals should consider the clinical context when implementing evidence-based interventions，aiming to reduce nocturnal awakenings，extend sleep duration，and improve sleep quality in critically ill children.

Key words: Intensive Care Units, Pediatric, Sleep, Non-Pharmacological Intervention, Evidence-Based Nursing, Pediatric Nursing