運用多元策略提升肝臟移植病人手術後睡眠品質

Using Multiple Strategies to Improve Sleep Quality in Patients With Liver Transplant After Surgery

背景單位每月平均有52%病人反應睡眠不佳，若未提供協助可能造成術後復原時間延長、定向感紊亂、焦慮、合併症及延長住院天數。
目的建立肝臟移植病人手術後睡眠品質照護流程，並評估其成效。
解決方案以睡前放鬆操、助眠飲食紅綠燈卡、睡眠百寶箱、夜間護你好眠及睡眠衛教指導，提升病人睡眠品質；並舉辦睡眠品質醫護人員照護教育訓練。
結果病人接受睡眠品質照護流程介入後，睡眠評估加總後平均計分由51.1 mm（睡眠不佳）提升至81.2mm（睡眠良好）；而護理師維護病人睡眠品質執行率與對睡眠照護認知正確率，亦分別提升至100 %及90.5%。
結論肝臟移植病人手術後睡眠品質照護流程提供多元化的輔助睡眠照護策略，有效提升肝臟移植病人睡眠品質，可做為肝臟移植病人手術後睡眠照護之參考。

Background & Problems: An average of 52% of patients in our unit report poor sleep every month. Poor sleep is a factor associated with prolonged postoperative recovery time, disorientation, anxiety, comorbidities, and prolonged hospitalization.
Purpose: This project was implemented to establish a sleep quality care intervention for patients after liver transplant surgery and then to evaluate its effectiveness.
Resolutions: Intervention items included doing relaxation exercises before bed, using traffic light cards as sleep aids, using sleep treasure boxes, implementing nighttime sleep protection, and offering sleep hygiene guidance. Also, sleep quality care education and training were provided to medical staff.
Results: Average sleep assessment scores for patients in our ward increased from 51.1 mm (indicative of poor sleep) pretest to 81.2 mm (indicative of good sleep) posttest. Also, the nursing staffs’implementation rates in terms of sleep quality care and correct cognitive sleep care increased to 100% and 90.5%, respectively, posttest.
Conclusion: The post-operative sleep quality care intervention for patients with liver transplant includes various auxiliary sleep care strategies to effectively improve patient sleep quality and may be incorporated into the post-operative sleep care provided to patients recovering from liver transplantation surgery.