摘要 目的：探讨综合睡眠护理干预在ICU脑卒中睡眠障碍患者中的应用效果。方法：选取2017年9月至2019年9月广州中医药大学第一附属医院收治的ICU脑卒中伴睡眠障碍患者94例作为研究对象，随机分为对照组与观察组，每组47例。对照组采用常规护理，观察组采用综合睡眠护理。比较2组患者的睡眠质量评分[匹兹堡睡眠质量指数(PSQI)]及睡眠障碍改善效果。结果：出院时观察组的PSQI评分显著低于对照组，观察组的睡眠障碍改善总有效率显著高于对照组，差异有统计学意义(P<0.05)。结论：综合睡眠护理干预可显著改善ICU脑卒中睡眠障碍患者的睡眠障碍症状，提高睡眠质量。

    关键词 综合睡眠护理干预;ICU;脑卒中;睡眠障碍

    Abstract Objective：To explore the application effect of comprehensive sleep nursing intervention in patients with stroke complicated with sleep disorder in ICU.Methods：A total of 94 patients with stroke with sleep disorder in ICU of First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from September 2017 to September 2019 were randomly divided into control group(routine nursing intervention group)and intervention group(comprehensive sleep nursing intervention group)with 47 cases in each group.Then the sleep quality[Pittsburgh sleep quality index(PSQI scale)]and sleep disorder improvement effect of two groups were compared.Results：The PSQI score of intervention group at discharge was significantly lower than that of control group ......