Non-pharmacological sleep interventions for adult patients in intensive care Units: A systematic review

Jun, Jeehye; Kapella, Mary C.; Hershberger, Patricia E.

doi:10.1016/j.iccn.2021.103124

Cited by 19 publications

(47 citation statements)

References 44 publications

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“…It is possible that light exposure in the hour preceding sleep may not be harmful for sleep. In a within-person experimental study (Heath et al, 2014), adolescents used technology 1 hr before bed on three separate nights, and each sure by blocking out light with window curtains or using eye masks (Babaii et al, 2015;Jun et al, 2021). However, the majority of the work regarding eye mask interventions has been conducted in hospital settings (Brito et al, 2020), and it is unclear whether this intervention would be effective in the home environment.…”

Section: Resultsmentioning

confidence: 99%

“…At the individual level, interventions that aim to reduce light exposure during the sleep period could improve sleep health. For example, sleep interventions could motivate participants to reduce light exposure by blocking out light with window curtains or using eye masks (Babaii et al, 2015; Jun et al, 2021). However, the majority of the work regarding eye mask interventions has been conducted in hospital settings (Brito et al, 2020), and it is unclear whether this intervention would be effective in the home environment.…”

Section: Discussionmentioning

confidence: 99%

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Night‐to‐night associations between light exposure and sleep health

Mead

Reid

Knutson

2022

Journal of Sleep Research

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Previous research has demonstrated that exposure to light preceding and during sleep is associated with poor sleep, but most research to date has utilized either experimental or cross-sectional designs. The current study expands upon prior studies by using a microlongitudinal design that examines the night-to-night associations between light and sleep health in a diverse sample of adults (pre-registered at osf.io/ k5zgv). US adults aged 18-87 years from two parent studies (N = 124) wore an actiwatch for up to 10 nights. Light variables estimated from actigraphy include both average exposure and time above light threshold of 10 (TALT 10 ) and 40 (TALT 40 ) lux both during sleep and for the 1-hr preceding sleep. Actigraphy-based sleep variables included sleep offset, duration, percentage and fragmentation index. Higher average light exposure during sleep was associated with a later sleep-offset time, lower sleep percentage and higher fragmentation index (all p < 0.01). More minutes of TALT 10 during sleep was associated with later sleep timing, lower sleep percentage and higher fragmentation index (all p < 0.01), and greater TALT 40 during sleep was associated with lower sleep percentage. Light exposure was not related to sleep duration. In summary, greater light exposure during sleep was related to poorer sleep continuity and later wake time. The lack of association between light and sleep duration may be the result of compensating for sleep disruption by delaying wake time. Multi-level interventions to consistently reduce light levels during sleep should be considered.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Night‐to‐night associations between light exposure and sleep health

Mead

Reid

Knutson

2022

Journal of Sleep Research

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“…Le caratteristiche delle ICU sono associate a una riduzione della qualità di sonno percepita dei pazienti. Queste condizioni sono in parte inevitabili ma potrebbero essere minimizzate grazie a una maggiore consapevolezza del problema e alla collaborazione di tutti gli operatori [14] .…”

Section: Fattori Ambientaliunclassified

“…Questa situazione è comune alla maggioranza delle ICU, confermata anche da altri studi; ad esempio Miranda et al riportano valori medi costantemente attorno ai 62,45 dB [12] . Il rumore è indubbiamente il primo fattore di rischio per i disturbi del sonno poiché deriva da numerose fonti, come le conversazioni degli operatori sanitari [5] , l'apertura e chiusura delle porte, le visite familiari, lo squillo dei telefoni, il rumore di apparecchi elettronici come le pompe infusionali, gli allarmi dei monitor, i ventilatori [2] , gli impianti di riscaldamento e i sistemi di aria condizionata [14] e la struttura architettonica del reparto. • Illuminazione: una buona illuminazione nei reparti intensivi è fondamentale per il sicuro svolgimento delle attività; è tuttavia necessario evitare un uso eccessivamente protratto nel tempo della luce artificiale.…”

Section: Fattori Ambientaliunclassified

Monitoraggio e miglioramento della qualità del sonno in terapia intensiva: una revisione della letteratura

Piombini¹,

Imbrìaco²

2023

Scenario

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La maggioranza dei pazienti ricoverati in terapia intensiva riferisce una riduzione della qualità del sonno durante il periodo di degenza. La carenza di sonno comporta gravi ripercussioni sull'outcome clinico della persona, ritardando i tempi di dimissione e aumentando il rischio di complicanze. Nonostante la problematica sia ampiamente diffusa nei reparti di area critica, la consapevolezza al riguardo è ancora minima.

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“…Environmental, physiological, care-related and disease severity factors can compromise ICU rest [1][2][3][4], potentially increasing risk of cognitive impairment, delirium, difficulty weaning from mechanical ventilation, immune dysfunction, lasting psychological sequelae, and death [5]. Pharmacological [6] and non-pharmacological strategies [7] that promote sleep in the ICU should be implemented by the assistance team whenever possible.…”

Section: Introductionmentioning

confidence: 99%

Bed Bath and Sleep in Critically Ill Patients - An Observational Study

Pedrão¹,

Riella²,

Valderramas³

2022

Recent Adv Clin Trials

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Purpose: Critically ill patients are at risk of sleep deprivation. Sleep promotion should be routinely implemented. Passive body heating has the potential to promote sleep. It is not known whether it can be obtained with a bed bath in the intensive care unit. Methods: In this cross-sectional observational study, we compared the sleep of 30 adult critically ill patients in two sequential nights – without and with bed bath, recording potential intervening environmental and clinical factors. Additionally, we monitored the impact of baths on participants' body temperature, checking for correlations between changes triggered by bath and sleep parameters. Sleep was assessed with bispectral index and with Richards-Campbell Sleep Questionnaire. Environmental noise and luminance were measured with decibel and lux meters. Temperature was measured with iButtons sensors. Results: Patients had reduced total sleep time in both nights of observation (medians of 170 and 177 minutes), without reaching deep sleep. There was no difference in sleep between both nights of observation. We recorded high noise levels in both nights of observation (57dB) and bathing nights were associated with greater exposure to light. There was moderate correlation between epigastric temperature oscillation with bathing and sleep volume, but epigastric temperature predicts neither total sleep volume nor continuous sleep volume. Conclusion: In critically ill adult patients, nighttime bed baths do not correlate with sleep, but are associated with increased exposure to light. Post-bath epigastric skin temperature correlates with sleep volume but does not predict it.

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Non-pharmacological sleep interventions for adult patients in intensive care Units: A systematic review

Cited by 19 publications

References 44 publications

Night‐to‐night associations between light exposure and sleep health

Night‐to‐night associations between light exposure and sleep health

Monitoraggio e miglioramento della qualità del sonno in terapia intensiva: una revisione della letteratura

Bed Bath and Sleep in Critically Ill Patients - An Observational Study

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