| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 96 === Sleep disturbance and pain are commonly seen problem in hospitalized burn patients. The longitudinal study was designed to investigate the relationship between sleep quality and pain intensity, and relatant factor in this first week of hospitalization. Forty-six patients were interviewed continue seven days, collect information about demography, post-burned traumatic stress scale, numeric rating scale for sleep quality and pain intensity. Data analyze used SPSS 13.0 statistic computer.
The results present: (1) patients subjective sleep quality average were 5.98±3.43, reported sleeping average 6.47±1.84 hour, with frequent awakenings 2.69 ± 1.87 times per night and the sleep quality, sleeping hours and frequent awakenings were no significantly within week. (2) the sleep influence factor had sex, age, marry status, social-economy status and post-burned traumatic stress.(3) patients background pain average 3.82±1.44, and the pain intensity were higher in the first four days then seven day; the procedure pain average 7.11±1.79, and be no significantly within week. Demoral dosage were 81.88mg per day. (4)the pain intensity influence factor had sex, religious belief, burn surface area, Demoral dosage and post-burned traumatic stress. (5) Relationship between sleep quality and pain intensity presented, sleeping hours were negative correlated with background pain and procedure pain, frequent awakenings were positive correlated with background pain.
The results of this study support pain intensity with burned were influence sleep quality, and sleep quality were influence pain intensity with burned too. This results suggest that building a assessment model for sleep quality and pain intensity ,and increase assessing post-burned traumatic stress. Provide effective management and nursing intervention for burned patients to promote better nursing quality.
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