Norske intensivavdelingers praksis rundt søvn og sedasjon

Dahl, Aud Findal; Foss, Helene; Fossum, Mariann

doi:10.1177/0107408315579321

Cited by 3 publications

(6 citation statements)

References 40 publications

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“…Det finnes flere verktøy for å kartlegge intensivpasientens sedasjonsdybde, men søvnkvaliteten ser ut til å vaere dårlig kartlagt ved norske intensivavdelinger (4 At intensivpasienter opplever søvnforstyrrelser er godt dokumentert (9,(11)(12)(13)(14). Pasientene opplever ofte å vaere i en sovende-våken tilstand.…”

Section: Medikamentpåvirkningunclassified

“…Pasienter har beskrevet dette som «å vaere i en limbo» hvor de lengter etter søvn og hvor de har fått minner og mareritt om oppholdet på intensivavdelingen og har en opplevelse av å vaere konstant slitne, ofte deprimerte og ute av stand til å føle seg trygg (15). Dahl et al (4) har sett på sykepleieres vurdering av hvordan intensivpasientene sover. Med registrering på en skala fra 0-10, mente de fleste sykepleiere at intensivpasienter sov moderat.…”

Section: Medikamentpåvirkningunclassified

“…Ved å ikke justere lys i forhold til tiden på døgnet, opprettholdes den forstyrrete døgnrytmen intensivpasienten sliter med. Lys på nattetid forstyrrer søvnkvaliteten til intensivpasienten og ødelegger pasientens normale døgnrytme (4,12). Flere studier har funnet store variasjoner i TST over 24 timer.…”

Section: Forstyrrelser Og Begrensningerunclassified

“…Intensivsykepleieren må huske at det ikke er viktig hvor ryddig det ser ut på rommet som er avgjørende for god sykepleie. Dette støttes av blant annet Dahl et al (4), som viser at sykepleierne velger å forstyrre pasienten for å få sine oppgaver utført og at det er utfordrende å planlegge med å samle opp oppgaver.…”

Section: Bedring Av Søvnunclassified

“…Ritmala-Castren et al (10) og Cooper et al(11) hevder at PSG-måling i seg selv er søvnforstyrrende og tidkrevende. Det er derfor få og små studier som har anvendt dette(3,4).…”

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Søvn på dagsorden

Stene-Nilssen¹,

Bro²,

Reitan³

et al. 2017

Sykepleien

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Section: Medikamentpåvirkningunclassified

Section: Forstyrrelser Og Begrensningerunclassified

Section: Bedring Av Søvnunclassified

“…Ritmala-Castren et al (10) og Cooper et al(11) hevder at PSG-måling i seg selv er søvnforstyrrende og tidkrevende. Det er derfor få og små studier som har anvendt dette(3,4).…”

unclassified

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Søvn på dagsorden

Stene-Nilssen¹,

Bro²,

Reitan³

et al. 2017

Sykepleien

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Practised sedation in mechanically ventilated patients: A survey of nurses’ perceptions

Nystrøm

Olsen

Brekke

2020

Nordic Journal of Nursing Research

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Recent clinical practice guidelines recommend analgosedation in intensive care unit patients, where the patients' pain first is relieved, followed by sedatives only on indication. The aims of the present study was to examine sedation practice today, to evaluate the degree to which there is a difference in sedation practice between units, and to investigate the associations between nurses' demographic characteristics and their perception of sedation practice. A cross sectional survey was conducted to the nurses in three intensive care units in Norway. The results indicated that light sedation was implemented in the three intensive care unit studied. Continuous infusion of propofol and dexmedetomidine were used most frequently, and continuous infusion of midazolam was used occasionally. However, the sedation practices varied significantly between the units. Subjective scoring systems, physician's prescriptions, and prescription follow-up were reported to be most frequently used as guidelines and directives, and Richmond Agitation–Sedation Scale was reported to be the most frequently used sedation assessment tool.

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The Effect of Noise and Light on Sedation in Critical Care Patients. A Cross-Sectional Study of Critical Care Nurses in Three Intensive Care Units in Norway

Nystrøm,

Fosser Olsen

2024

Inspira

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Background: International guidelines for pain, sedation, delirium, immobility, and sleep in critically ill patients recommend the use of noise and light reduction strategies to improve sleep. The aims of this study were: 1) to evaluate critical care nurses’ (CCNs) perceptions regarding sources of noise and light in the intensive care unit (ICU), and 2) to identify factors associated with critical care patients’ need for sedation when their sleep is disturbed by noise or light. Methods: A cross-sectional study was conducted in three Norwegian ICUs (n = 193). Results: A total of 87% of the CCNs stated that critical care patients were exposed to noise, and the most frequent sources were alarms from monitoring equipment (71%) and mechanical ventilators (70%), and nurses talking (65%). The results demonstrated higher odds for critical care patients needing sedation when sleep was disturbed by noise, if the CCNs reported that noise disturbed patients sleep (OR 3.05), and lower odds if the CCN was from ICU C (OR 0.39). Most CCNs (82%) answered that there was a difference in the level of light during day versus night, and that the most frequent source of light at night was from small lamps (46%). It was higher odds that the CCNs perceived that critical care patients needed sedation when sleep was disturbed by light if the light disturbed the patient’s sleep in the unit (OR 4.78). There were lower odds if the CCNs was from ICU A (OR 0.32) or ICU C (OR 0.34). Conclusion: The findings from this study indicate that CCNs use sedatives to induce sleep for critical care patients to compensate for environmental factors such as noise and light. Variations between ICUs indicate different sedation practices between Norwegian ICUs.

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Norske intensivavdelingers praksis rundt søvn og sedasjon

Cited by 3 publications

References 40 publications

Søvn på dagsorden

Søvn på dagsorden

Practised sedation in mechanically ventilated patients: A survey of nurses’ perceptions

The Effect of Noise and Light on Sedation in Critical Care Patients. A Cross-Sectional Study of Critical Care Nurses in Three Intensive Care Units in Norway

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