住院患者睡眠不良是一个长期被忽视的重要问题，主要表现为睡眠时间缩短、睡眠质量下降。影响患者睡眠的因 素是多方面的，主要为噪音、医疗护理行为及灯光，而疼痛是影响手术后患者睡眠的主要因素。住院患者睡眠不良绝大多数情 况下可防可治。解决住院患者睡眠不良问题需要多管齐下，包括提高对睡眠问题的认识、强化睡眠诊断、常规评估睡眠情况、 营造良好睡眠环境、降低医院中位声级水平、优化病房护理管理、减少医疗护理行为对睡眠的干扰以及增加必要的非药物和药 物干预。住院患者睡眠不良事关医疗质量和患者安全，需要全社会、卫生行政管理部门、医院管理部门，尤其是医护人员的高 度重视。

Poor sleep in hospitalized patients is a significant problem that has been ignored for a long time, mainly manifested as shortened sleep duration and decreased sleep quality. There are many factors that affect the sleep of patients, primarily noise, nursing care, and lighting. Pain is the main factor that affects the sleep of patients after surgery. In most cases, poor sleep in hospitalized patients can be prevented and treated. In order to solve the problem of poor sleep in hospitalized patients, it will need multiple measures which include improving the awareness of sleep problems, strengthening sleep diagnosis, routine evaluation of sleep, creating a good sleep environment, reducing the median sound level in hospital, optimizing ward nursing management, reducing the interference of nursing care on sleep and increasing necessary non⁃drug and drug intervention. Poor sleep in hospitalized patients is related to medical quality and patient safety, which needs the attention of the whole society, health management leaders, hospital management departments, and especially the whole medical care team.