Patients’ sleep in an intensive care unit—patients’ and nurses’ perception

Frisk, Ulla; Nordström, Gun

doi:10.1016/s0964-3397(03)00076-4

Cited by 127 publications

(179 citation statements)

References 19 publications

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“…In sleep studies of ICU patients conducted by Frisk and Nordström, (2003) the RCSQ descriptive mean scores were 51.42 in the experimental group and 45.5 in the control group. The study findings in the experimental group, which are consistent with those mentioned in the research, indicates that the lavender oil used in this study positively affected the quality of the participants' sleep.…”

Section: Discussionmentioning

confidence: 94%

“…Movement and restriction in body posture as well as social isolation lead to sensory deprivation in critically ill patients, while human voices and intubation may represent painful interference caused by sensory overload. Both sensory inputs in intensive care unit patients may result in problems such as decreased cognitive function, irritability, aggression, disruptions in the sleep-wake cycle, which are associated with symptoms of disorientation and are reported to lead to the development of ICU syndrome (Dedeli & Akyol, 2005;Frisk & Nordström, 2003;Hweidi, 2007).…”

Section: Introductionmentioning

confidence: 99%

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Effects of Aromatherapy Massage on the Sleep Quality and Physiological Parameters of Patients in a Surgical Intensive Care Unit

Özlü¹,

Bilican²

2017

Afr J Tradit Complement Altern Med

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Background: Surgical pain is experienced by inpatients with clinical, disease-related concerns, unknown encounters after surgery, quality of sleep, restrictions in position after surgery is known to be serious. The study was conducted to determine the effect of aromatherapy massage on quality of sleep and physiological parameters in surgical intensive care patients. Materials and Methods: This is an experimental study. The sample of this study consisted of 60 patients who were divided into two groups as experimental group and control group including 30 patients in each one. The participants were postoperative patients, absent complications, who were unconscious and extubated. A data collection form on personal characteristics of the patients, a registration form on their physical parameters and the Richards-Campbell Sleep Scale (RCSQ) were used to collect the data of the study. Results: The Richards-Campbell Sleep Scale indicated that while the experimental group had a mean score of 53.80 ± 13.20, the control group had a mean score of 29.08 ± 9.71 and there was a statistically significant difference between mean scores of the groups. In a comparison of physiologic parameters, only diastolic blood pressure measuring between parameters in favor of an assembly as a statistically significant difference was detected. Conclusions: Results of the study showed that aromatherapy massage enhanced the sleep quality of patients in a surgical intensive care unit and resulted in some positive changes in their physiological parameters.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Effects of Aromatherapy Massage on the Sleep Quality and Physiological Parameters of Patients in a Surgical Intensive Care Unit

Özlü¹,

Bilican²

2017

Afr J Tradit Complement Altern Med

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“…Sleep problems in ICU patients are very common (Goodemote 1991;Krachman et al 1995;Fontaine 1998;Puntillo and Casella 1998;Urban 1998;Freedman et al 1999;Redeker 2000; 22.7 * More than one factor could be chosen in answer to the question to determine factors affecting sleep in the NSICU. Freedman et al 2001;Olson et al 2001;Frisk and Nordstrom 2003;Parthasarathy and Tobin 2004;Lusk and Lash 2005;Peruzzi 2005;Stockert 2005). In a study by Bohrer et al (2002) to determine problems experienced by surgical patients in an ICU, 67% of the patients were unable to sleep in their regular schedule.…”

Section: Discussionmentioning

confidence: 99%

“…Although there are many studies (Krachman et al 1995;Freedman et al 1999;Calvete et al 2000;Freedman et al 2001;Olson et al 2001;Bohrer et al 2002;Gabor et al 2003;Frisk and Nordstrom 2003;Richardson 2003;Parthasarathy and Tobin 2004) reported in the literature studying sleep issue in ICUs, there is only one study capturing the factors that affect sleep in the neurosurgery intensive care unit (NSICU) (Monsėn and Edėll-Gustafsson 2005). In their study, only eight general and ten specific nursing care interventions were investigated.…”

mentioning

confidence: 99%

Patient Perception of Environmental and Nursing Factors Contributing to Sleep Disturbances in a Neurosurgical Intensive Care Unit

Uğraş

Öztekin

2007

Tohoku J. Exp. Med.

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Many factors may affect sleep in the neurosurgery intensive care unit (NSICU), including therapeutic and diagnostic procedures, medications, the underlying disease process, and noise generated in NSICU. This study was aimed to determine the factors and nursing interventions, which affect the patients' sleep in NSICU, and to ascertain future descriptive research studies in nursing. The sample consisted of 84 voluntary patients hospitalized at a university hospital. They were consecutively asked to fill out a questionnaire in face-to-face interviews, and on the same day they were transferred out of the NSICU to a neurosurgical ward. Sixty-six patients (78.6%) experienced sleep disturbances. In those patients, being kept immobile (63.6%) and being in a noisy environment (57.6%) were the factors, which most frequently disturbed sleep. Likewise, the nursing interventions were found to have profound influences on patients' sleep; namely, being asked to move an arm/leg or to keep them in the same position for neurological diagnostic reasons (43.9%), and being asked questions to determine the level of consciousness (40.9%) were identified as the common sleep disturbance factors. In conclusion, immobility, environmental noise factors, and the disturbances from implementing the nursing interventions should not be ignored. Sleep disturbance in NSICU should be addressed on the multidisciplinary care plan and in health team conference, and care should be planned to assure good quality of patients' sleep. Nurses, physicians, nursing and medical students should establish and evaluate the combined interventions required for neurological assessment to decrease the negative effects of various factors on patients' sleep.sleep; neurosurgery; intensive care unit

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“…Increased use of medications such as sedatives, hypnotics, and analgesics in patients receiving mechanical ventilation may actually lead to decreased quality of sleep, a finding that may be counterintuitive. 18,22,27 Other medications, stress, anxiety, altered circadian rhythms, and altered melatonin secretion may also affect sleep. 16,22 In addition, among patients receiving mechanical ventilation, difficulty in resolving ventilator dyssynchrony may be an important cause of inability to sleep.…”

Section: Promotion Of Sleepmentioning

confidence: 99%

Nonpharmacological Interventions to Manage Common Symptoms in Patients Receiving Mechanical Ventilation

Tracy

Chlan

2011

Critical Care Nurse

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Patients receiving mechanical ventilation can experience symptoms such as pain, anxiety, agitation, and lack of sleep while in the intensive care unit, all of which can affect healing. Nonpharmacological complementary therapies can be used as adjuncts to sedatives and analgesics. By incorporating appropriate use of complementary therapies in conjunction with mainstream medical therapies, nurses can decrease patients’ anxiety, promote sleep, and promote a healing environment to improve outcomes. Minimizing noise and providing access to natural light help promote a healing environment. Methods to promote sleep include relaxation techniques such as progressive muscle relaxation and massage and communication with patients’ and their families to determine the patients’ normal sleep patterns. Complementary therapies to relieve anxiety and agitation include music intervention, imagery, presence, and animal-assisted therapy.

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Patients’ sleep in an intensive care unit—patients’ and nurses’ perception

Cited by 127 publications

References 19 publications

Effects of Aromatherapy Massage on the Sleep Quality and Physiological Parameters of Patients in a Surgical Intensive Care Unit

Effects of Aromatherapy Massage on the Sleep Quality and Physiological Parameters of Patients in a Surgical Intensive Care Unit

Patient Perception of Environmental and Nursing Factors Contributing to Sleep Disturbances in a Neurosurgical Intensive Care Unit

Nonpharmacological Interventions to Manage Common Symptoms in Patients Receiving Mechanical Ventilation

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