Orthopaedic patients' experiences of their sleep during hospitalisation and suggestions for improvements

Pia Søe Jensen , Kirsten Specht , Hanne Mainz
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Abstract

Purpose

To describe orthopaedic patients' perspectives on their sleep quality and their suggestions for improvement initiatives to achieve better sleep quality during hospitalisation.

Methods

In a qualitative design, 265 (50%) of 533 patients from a questionnaire survey responded to two free-text questions. Data were analysed based on a phenomenological-hermeneutic approach inspired by Paul Ricoeur's theory of narrative and interpretation.

Results

Three themes emerged: 1) Sleeping environment and preferences tailored to the individual patient, 2) The link between orthopaedic surgery care and sleeping, and 3) Noise challenged a good night’s sleep. Good sleep was related to nurses' professional behaviour and the physical environment, such as quality beds and sleeping aids. Single and shared rooms, room lighting, and fresh air all influenced sleep quality. Unfamiliar and uncomfortable sleeping positions posed a challenge for orthopaedic patients but aids such as pillows, and duvets could provide more comfort at night. Offset circadian rhythms could affect sleep quality, as could nausea and vomiting. Pain and lack of pain relief were associated with poor sleep quality. Noise from both nurses and other patients affected sleep quality. Therefore, unnecessary care activities should be kept to a minimum, and a “night noise level” was suggested.

Conclusion

Patients' sleep disturbance following orthopaedic surgery needs to be addressed by both nurses and hospital management. Patients’ involvement is essential to create a sleep environment tailored to individual needs and to provide strategies patients use at home for addressing sleeping problems.

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骨科患者在住院期间的睡眠体验和改善建议。
目的描述骨科患者对其睡眠质量的看法,以及他们为改善住院期间的睡眠质量而提出的建议。方法在一项定性设计的问卷调查中,533 名患者中有 265 人(50%)回答了两个自由文本问题。受保罗-呂科爾(Paul Ricoeur)的敘述和詮釋理論啟發,我們採用現象學和詮釋學的方法對數據進行了分析。結果出現了三個主題:1)睡眠環境和針對個別病人的偏好;2)骨科手術護理與睡眠之間的關係;3)噪音對良好睡眠的挑戰。良好的睡眠与护士的职业行为和物理环境有关,例如优质的床铺和助眠工具。单人间和共用房间、房间照明和新鲜空气都会影响睡眠质量。不熟悉和不舒适的睡姿对骨科病人来说是一个挑战,但枕头和羽绒被等辅助工具可以在夜间提供更多的舒适感。昼夜节律失调会影响睡眠质量,恶心和呕吐也会影响睡眠质量。疼痛和疼痛缓解不足与睡眠质量差有关。护士和其他病人发出的噪音都会影响睡眠质量。因此,应尽量减少不必要的护理活动,并建议设定 "夜间噪音水平"。患者的参与对于创造符合个人需求的睡眠环境和提供患者在家解决睡眠问题的策略至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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