Earplugs during the first night after cardiothoracic surgery may improve a fast-track protocol

Menger, Johannes; Urbanek, B; Skhirtladze-Dworschak, Keso; Wolf, Jason; Fischer, Andreas; Rinösl, Harald; Dworschak, Martin

doi:10.23736/s0375-9393.17.11758-x

Cited by 11 publications

(30 citation statements)

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“…When evaluating the effect of interventions, 3 studies also evaluated their effects on sleep/analgesic medication. Le Guen et al [14] and Menger et al [20] observed that the analgesic need of the intervention group decreased. Yazdannik et al [5] found no difference between the groups in their study.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Earplugs and Eye Masks Usage in the Intensive Care Unit on Sleep Quality: Systematic Review

Akyol¹,

Çavdar²,

ŞENGÖR>³

2022

Dubai Med J

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Introduction: Patients in the intensive care unit (ICU) have severe and complex disease characteristics and their sleep problems should not be ignored. Poor-quality sleep is associated with impaired immune function and associated susceptibility to disease and infection, decreased energy levels, delirium, delays in recovery. This study is conducted to examine the results of studies examining sleep quality using earplugs and eye masks in the ICU. Methods: PubMed, Science Direct, Google Scholar, and Medline databases were scanned using “Earplugs, Eye masks, Sleep quality, Intensive care units” as keywords. For the search strategy, a query in a patient-intervention-compare-result (PICO) format was used. P: Patients in intensive care; I: Earplugs and eye mask; C: Noise, Light, and Sleep Quality; O: Using earplugs and eye masks improves sleep quality. Results: We included the 17 most eligible studies meeting defined inclusion/exclusion criteria involving 1,372 participants. Randomized controlled trial was used mostly as study design. The interventions within the scope of the studies were earplugs, eye masks, relaxing music, and quiet time protocol. Richard Campbell Sleep Questionnaire and Verran and Snydern Halpern Sleep Scale were the most used scale. Most of the studies reviewed found that the use of non-pharmacological interventions showed a significant improvement in sleep quality. Earplugs and eye masks were found to have potential positive effects on sleep quality and delirium incidence in ICU patients. Conclusion: The use of earplugs and eye masks is a noninvasive, economical, and effective way to improve sleep quality in adult ICU patients.

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Section: Discussionmentioning

confidence: 99%

The Effect of Earplugs and Eye Masks Usage in the Intensive Care Unit on Sleep Quality: Systematic Review

Akyol¹,

Çavdar²,

ŞENGÖR>³

2022

Dubai Med J

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“…As shown in Table 1, conflicting conclusions were drawn from the three studies that used earplugs alone. Menger et al (2018) showed that the participants of the experimental group slept better than those in the control group. Litton et al (2017) quality of the experimental group was significantly higher than that of the control group.…”

Section: Overall Analysis Of Effectsmentioning

confidence: 96%

Section: Overall Analysis Of Effectsmentioning

confidence: 96%

“…In terms of intervention strategies, three studies (Baghaie Lakeh et al, 2018;Litton et al, 2017;Menger et al, 2018) used earplugs alone, four (Babaii et al, 2015;Daneshmandi et al, 2012;Mahran et al, 2020;Mashayekhi et al, 2013) used eye masks alone, and the remaining six (Bajwa et al, 2015;Dave et al, 2015;Demoule et al, 2017;Hu, Jiang, Hegadoren, et al, 2015;Lin et al, 2016;Yazdannik et al, 2014) used both together. The control groups in these studies only received routine care without wear earplugs or eye masks ( Studies included in quantitative meta-analysis (meta-analysis)(n=13) The intervention duration in these studies ranges from one to three nights, for six to nine hours each night.…”

Section: Design Characteristics Of the Selected Studiesmentioning

confidence: 99%

“…The control groups in these studies only received routine care without wear earplugs or eye masks ( Studies included in quantitative meta-analysis (meta-analysis)(n=13) The intervention duration in these studies ranges from one to three nights, for six to nine hours each night. Nine of the studies (Baghaie Lakeh et al, 2018;Daneshmandi et al, 2012;Dave et al, 2015;Lin et al, 2016;Litton et al, 2017;Mashayekhi et al, 2013;Mahran et al, 2020;Menger et al, 2018;Yazdannik et al, 2014) presented data from one night of intervention, three studies (Bajwa et al, 2015;Hu, Jiang, Hegadoren, et al, 2015;Mahran et al, 2020) presented data from two nights of intervention and the remaining three studies (Babaii et al, 2015;Demoule et al, 2017;Mahran et al, 2020) presented data from three nights of intervention.…”

Section: Design Characteristics Of the Selected Studiesmentioning

confidence: 99%

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Effect of earplugs and eye masks on the sleep quality of intensive care unit patients: A systematic review and meta‐analysis

Fang

Wang

et al. 2021

Journal of Advanced Nursing

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Aims:To evaluate the effect of earplugs and eye masks on the sleep quality of patients in intensive care unit (ICU).Design: Systematic review and meta-analysis.Data Sources: Randomized controlled trial studies conducted before May 5, 2020 were searched for in Embase, MEDLINE, Cochrane Library, CINAHL and Index to Taiwan Periodical Literature System databases.Review Methods: Analyses in this study were according to the PRISMA statement.The heterogeneity of the data was investigated through sub-group analysis while a meta-analysis was performed using the Review Manager 5.3 software.Results: A total of 797 patients from 13 studies were included in this study. Without considering alone or combined use of earplugs and eye masks, the meta-analysis supported that there was a significant effect on self-reported sleep quality. The overall standardized mean difference of the effect size was 1.44 (95% confidence interval [CI]: [0.80, 2.09]). Sub-group analysis indicated that the use of earplugs alone had no significant effect on sleep quality (effect size: 0.07, 95% [CI]: [−0.50, 0.64]). The use of eye masks alone had a significant effect on sleep quality (effect size: 1.56, 95% [CI]:[1.08, 2.05]). The use of both earplugs and eye masks proved to have the largest effect size on sleep quality (effect size: 2.08, 95% [CI]: [0.95, 3.21]). Conclusion:The combined use of earplugs and eye masks or the standalone use of eye masks is a non-invasive, economical and effective way to promote sleep quality in adult ICU patients.Impact: Clinical nurses could use this meta-analysis as it recommends that nurses provide adult ICU patients with either one or both earplugs and eye masks to improve the patients' sleep quality. Study Registration:The review protocol was registered a priori and published online in the PROSPERO database of systematic reviews (www.crd.York.ac.uk/Prospero with the registration number # CRD42021221185).

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Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

Inoue

Hatakeyama

Kondo

et al. 2019

Acute Medicine & Surgery

356

365

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Expanding elderly populations are a major social challenge in advanced countries worldwide and have led to a rapid increase in the number of elderly patients in intensive care units (ICUs). Innovative advances in medical technology have enabled lifesaving of patients in ICUs, but there remain various problems to improve their long‐term prognoses. Post‐intensive care syndrome (PICS) refers to physical, cognition, and mental impairments that occur during ICU stay, after ICU discharge or hospital discharge, as well as the long‐term prognosis of ICU patients. Its concept also applies to pediatric patients (PICS‐p) and the mental status of their family (PICS‐F). Intensive care unit‐acquired weakness, a syndrome characterized by acute symmetrical limb muscle weakness after ICU admission, belongs to physical impairments in three domains of PICS. Prevention of PICS requires performance of the ABCDEFGH bundle, which incorporates the prevention of delirium, early rehabilitation, family intervention, and follow‐up from the time of ICU admission to the time of discharge. Diary, nutrition, nursing care, and environmental management for healing are also important in the prevention of PICS. This review outlines the pathophysiology, prevention, and future directions of PICS.

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Earplugs during the first night after cardiothoracic surgery may improve a fast-track protocol

Cited by 11 publications

References 0 publications

The Effect of Earplugs and Eye Masks Usage in the Intensive Care Unit on Sleep Quality: Systematic Review

The Effect of Earplugs and Eye Masks Usage in the Intensive Care Unit on Sleep Quality: Systematic Review

Effect of earplugs and eye masks on the sleep quality of intensive care unit patients: A systematic review and meta‐analysis

Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

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