Factors determining sleep in patients hospitalised in ICUs in a hospital in Northern Poland

Abstract

Evaluation of sleep quality and sleep-disturbing factors in patients in an Intensive Care Unit (ICU). Over 8 months, 83 persons were examined as part of the recruitment of patients hospitalised in the ICU. The interviewer conducted interviews with the patients on the third day following their discharge from the ICU. Patients had to successfully complete the Short Portable Mental Status Questionnaire. The patients whose results reflected their normal mental status were administered the Richards-Campbell Sleep Questionnaire to evaluate the quality of sleep. A modified Freedman questionnaire was then administered. It was discovered that factors which disturb sleep most include the measurement of vital signs (3.28/10) and light (3.18/10) (1 = no disturbance, 10 = significant disturbance). It was also determined that the higher the VAS reported during the first day in the ICU, the higher the importance of pain in sleep disturbance in the ICU, Z = − 2.65; p < 0.05. The study results indicate that sleep disturbance in an ICU results from many factors. A comprehensive approach to a patient's night rest is required. A reduction of sleep-disturbing factors could result in an improvement of the quality of sleep in an ICU. What remains to be done is to turn the attention of the medical staff working in an ICU to the importance of sleep and raise their awareness of the factors which may affect it.Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Sleep Promotion among Critically Ill Patients: Earplugs/Eye Mask versus Ocean Sound—A Randomized Controlled Trial Study

“…More than 50% of critically ill patients have shown sleep disturbances [ 6 ]. Various environmental [ 7 , 8 ] and nonenvironmental factors [ 4 , 7 ] effect sleep in the ICU. Major environmental factors reported by Lewandowska et al were the measurement of vital signs, light, blood collection, diagnostic tests, and noise, respectively [ 8 ].…”

“…Various environmental [ 7 , 8 ] and nonenvironmental factors [ 4 , 7 ] effect sleep in the ICU. Major environmental factors reported by Lewandowska et al were the measurement of vital signs, light, blood collection, diagnostic tests, and noise, respectively [ 8 ]. Likewise, Lori J Delaney et al reported noise, light, and clinical care interactions [ 9 ], whereas Ding et al reported that psychological factors outweigh the environmental factors in contributing to poor sleep [ 10 ].…”

Occurrence of Cortical Arousal at Recovery from Respiratory Disturbances during Deep Propofol Sedation

“…Pharmacological sedation is becoming frequently used in various clinical situations such as invasive endoscopy, minor surgery, radiological examinations for children, and mechanical ventilation in ICU [10,25,26,27]. Apneas and hypopneas during sedation were spontaneously terminated either with or without cortical arousal in our patients.…”

Sleep disturbances and functional independence improvement in a population of individuals hospitalized in intensive rehabilitation units: observational study

“…It is therefore evident that medical awareness of the impact of sleep disorders on hospitalized patients is of vital importance, and that knowledge of the major factors that disturb sleep during hospitalization will allow both researchers and hospital staff to systematically evaluate and treat sleep issues. Although inadequate sleep has a demonstrated negative association with health care outcomes, to date, few studies have examined sleep in intensive rehabilitation units or its association with functional independence outcomes [13][14][15].…”