摘要 目的：研究罗伊适应模式(RAM)在心外ICU睡眠障碍患者中应用效果。方法：选取2018年12月至2019年11月福建医科大学附属协和医院心外ICU的睡眠障碍患者40例作为研究对象，随机分为对照组和观察组，每组20例。对照组进行常规护理干预，观察组应用RAM促进睡眠。比较2组患者的睡眠质量[睡眠状况自评量表(SRSS)]、睡眠障碍及睡眠剥夺发生率。结果：观察组的SRSS评分及睡眠障碍发生率均显著低于对照组，差异有统计学意义(P<0.05);2组的睡眠剥夺发生率比较，差异无统计学意义(P>0.05)。结论：RAM在心外ICU睡眠障碍患者护理中应用的临床效果较好，值得在临床上推广应用。

    关键词 心外;睡眠障碍;罗伊适应模式;护理效果

    Abstract Objective：To study the clinical application effect of Roy adaptation mode(RAM)in patients with sleep disorders in ICU of cardiac surgery.Methods：A total of 40 patients with sleep disorders in ICU of cardiac surgery in Union Hospital Affiliated to Fujian Medical University from December 2018 to November 2019 were randomly divided into control group and observation group with 40 cases in each group.Then the control group were with routine nursing intervention ......