Percepción de los pacientes quirúrgicos del sueño nocturno en una Unidad de Cuidados Intensivos

Nicolás, Ana Isabel Silva; Aizpitarte, E.; Iruarrizaga, A.; Vázquez, Mónica; Margall, M A; Asiain, M C

doi:10.1016/s1130-2399(02)78063-2

Cited by 16 publications

(3 citation statements)

References 27 publications

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“…To measure sleep quality, we used the validated Spanish language version of the Richards–Campbell Sleep Questionnaire (RCSQ) [ 17 ]. For this questionnaire, the patient is given a 100 mm visual analogue scale and places a mark on the line that best represents the quality and quantity of sleep.…”

Section: Methodsmentioning

confidence: 99%

Associations between stressors and difficulty sleeping in critically ill patients admitted to the intensive care unit: a cohort study

Miranda-Ackerman

Lira-Trujillo

Gollaz-Cervantez

et al. 2020

BMC Health Serv Res

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Background: Patients admitted to the intensive care unit (ICU) experience sleep disruption caused by a variety of conditions, such as staff activities, alarms on monitors, and overall noise. In this study, we explored the relationship between noise and other factors associated with poor sleep quality in patients. Methods: This was a prospective cohort study. We used the Richards-Campbell Sleep Questionnaire to explore sleep quality in a sample of patients admitted to the ICU of a private hospital. We measured the noise levels within each ICU three times a day. After each night during their ICU stay, patients were asked to complete a survey about sleep disturbances. These disturbances were classified as biological (such as anxiety or pain) and environmental factors (such as lighting and ICU noise). Results: We interviewed 71 patients; 62% were men (mean age 54.46 years) and the mean length of stay was 8 days. Biological factors affected 36% and environmental factors affected 20% of the patients. The most common biological factor was anxiety symptoms, which affected 28% of the patients, and the most common environmental factor was noise, which affected 32.4%. The overall mean recorded noise level was 62.45 dB. Based on the patients' responses, the environmental factors had a larger effect on patients' sleep quality than biological factors. Patients who stayed more than 5 days reported less sleep disturbance. Patients younger than 55 years were more affected by environmental and biological factors than were those older than 55 years.

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Section: Methodsmentioning

confidence: 99%

Associations between stressors and difficulty sleeping in critically ill patients admitted to the intensive care unit: a cohort study

Miranda-Ackerman

Lira-Trujillo

Gollaz-Cervantez

et al. 2020

BMC Health Serv Res

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“…Participants were also invited to propose suggestions for improvements through an open question. To assess patients' sleep, the design of the study questionnaire took the Spanish versions of the Richards-Campbell Sleep Questionnaire (RCSQ) (Nicolás et al, 2002) and the Pittsburg Sleep Quality Questionnaire (Macías & Royuela, 1996) as guides. Before the start of the study, the questionnaire was piloted in 31 patients who were not part of the final sample.…”

Section: Variables and Data Collectionmentioning

confidence: 99%

Participatory action research intervention for improving sleep in inpatients with cancer

Cabrera-Jaime

Martínez

Bachiller

et al. 2022

Journal of Clinical Nursing

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Aim To design and implement a plan to improve oncohaematological patients’ sleep. Background The hospital environment can compromise inpatients’ sleep, negatively impacting on health outcomes and patient satisfaction. Design and Method The improvement plan was designed in collaboration with 18 professionals, 3 patients and 3 accompanying relatives. The study designed followed the SQUIRE 2.0 guidelines. Outcome variables were self‐reported patient satisfaction regarding sleep, measured using a 30‐item, ad hoc questionnaire and a 10‐point visual analogue scale, completed by 318 oncohaematological inpatients (pre‐intervention n = 120, post‐intervention, n = 198) in a comprehensive cancer centre in Spain from 2017 to 2019. Results Overall, 61.5% (n = 190) of the inpatients reported sleep alterations, and 92.6% reported interruptions in their nightly sleep. Half slept less than 6 h/night, but 58.0% said they felt rested upon waking, despite the interruptions. These outcomes were similar before and after the intervention. The improvement plan identified four domains for work (professionals, care procedures, instruments/environment and patients/relatives), 10 areas for improvement and 35 actions for implementation. However, overall sleep worsened significantly, from 6.73 to 6.06 on the 10‐point scale. The intervention significantly improved variables related to professionals’ behaviour, including noise during the shift change, conversations at the control desk and the use of corridor lights. Sleep disturbances were mainly caused by pain/discomfort and infuser alarms, and collectively they decreased significantly after the intervention (p = .008). However, overall sleep worsened significantly, from 6.73 to 6.06 on the 10‐point scale. Conclusions Pain, clinical devices and noise made by professionals are the main causes of sleep disturbances. Involving professionals in decision‐making to improve patients’ sleep have a positive impact on noise levels. Relevance to clinical practice This study proposes new strategies for improving sleep by increasing staff awareness and changing attitudes towards patients’ sleep. Nurses should be involved in addressing sleep disturbances during hospitalization.

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“…Entre los posibles factores que podrían alterar el sueño en las UCIs se encuentran por un lado, aquellos relacionados con la propia estructura de la mayoría de estas unidades, en las que el entorno está alterado por un nivel de ruido considerable y por luces ambientales que dificultan la orientación entre el día y la noche, dando lugar a cambios en el ritmo circadiano; por otro lado, los pacientes también refieren tener dificultad para dormir en estas unidades por las interrupciones frecuentes del sueño, debidas a la atención continua que reciben por parte del personal sanitario, así como por aspectos relacionados con la propia enfermedad y su tratamiento (incomodidad, dolor, formas de ventilación y drogas utilizadas) (Friese, 2008;Kass, 2008;Nicolás et al, 2002).…”

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Afectación emocional asociada al ingreso en una Unidad de Cuidados Intensivos

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Percepción de los pacientes quirúrgicos del sueño nocturno en una Unidad de Cuidados Intensivos

Cited by 16 publications

References 27 publications

Associations between stressors and difficulty sleeping in critically ill patients admitted to the intensive care unit: a cohort study

Associations between stressors and difficulty sleeping in critically ill patients admitted to the intensive care unit: a cohort study

Participatory action research intervention for improving sleep in inpatients with cancer

Afectación emocional asociada al ingreso en una Unidad de Cuidados Intensivos

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