Promoting nighttime sleep in the intensive care unit: Alternative strategies in nursing

Kulakaç

Nursing in Critical Care

2020

Background Intensive care is a noisy environment for patients and one that affects pain, anxiety levels, and sleep quality. Aims and objectives To determine the relationship between noise levels and pain, anxiety, and sleep levels in patients in intensive care units. Design A descriptive and observational study design was used. Methods This study was conducted between June and December 2018 in a public hospital and included 111 patients admitted to surgical critical care for at least 24 hours. Three Benetech Gm1351 manual sound level metres were used to measure noise. A Patient Information Form, a pain Visual Analog Scale (VAS), the Spielberger State‐Trait Anxiety Inventory, and the Richards Campbell Sleep Questionnaire (RCSQ) were used for data collection. Results The mean age of the patients was 57.29 years. The mean noise level detected in the intensive care unit was 66.52 dB (dB). Patients' mean pain VAS score was 3.79 ± 1.72, the mean State Anxiety Inventory score was 39.74 ± 2.98, and the mean total RCSQ score was 25.10 ± 13.17. Our findings show that patients in the intensive care unit are exposed to high noise levels and that, while this has no effect on pain, it significantly impacts anxiety and quality of sleep. Conclusions Noise levels in intensive care units significantly exceed recommended thresholds, and this adversely affects patients' anxiety levels and sleep quality. It is important for suitably restful conditions to be provided for patients, to be aware of the potential for anxiety, and for these factors to be borne in mind when planning nursing interventions. Relevance to clinical practice Further studies on the effects of noise levels on pain, anxiety, and sleep levels in patients admitted to intensive care units are needed.

Section: Discussionmentioning

confidence: 99%

The effects of noise levels on pain, anxiety, and sleep in patients

Kulakaç

Nursing in Critical Care

2020

“…Procedures related factors as vital signs, blood draws, diagnostic tests, and hygienic intervention. Staff related factors such as nursing procedures, beepers, phone, overhead paging and staff conversation [9].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients

Khalik¹,

Elbaky²,

Ahmed³

et al. 2020

AJNS

Sleep disturbance among hospitalized patients has many factors especially at critical care units. Daily breathing exercises as pursed lip breathing (PLB) and diaphragmatic breathing improves sleep quality and reduces the occurrence of delirium. Aim of the study Evaluate the effectiveness of using breathing exercise on sleep quality among hospitalized patients. Design quasi experimental design. Sample A purposive sample including 152 patients were divided into four equal groups two from the Medical ward (study and control) 38 patients each group and two form the Medical Intensive Care Unit (MICU) (study and control) 38 each group at Minia university hospital. Results majority of the groups were male; all patients were in the middle age. (39% and 44.7%) of the medical ward groups (study and control) and (52.6% and 44.7%) respectively of the MICU groups had sever sleep problem. But after applying breathing exercise for 3 continuous days, the study groups (44.7%) of the medical ward and (50%) of the MICU had great sleep quality. Majority of study group's patients at the medical ward and MICU had no Confusion," with percentage (60.5% and 52.6%) respectively which mean no presence of delirium. Conclusion breathing exercise had significance effect on improving sleeping quality and reduce the occurrence of delirium among the study groups than the control groups.

“…In addition, complementary treatment such as foot and hand massage, music and aromatherapy have been cited but not fully explored (Foreman et al, 2015;Dobing et al, 2017;Litton et al, 2017). Although the aromatherapy has been around for many years, its application as a complementary treatment for sleep in hospital is a relatively new topic (Pagnucci et al, 2019). Pagnucci et al (2019) reported the benefit of aromatherapy application to ICU patients, but the lack of skills and techniques of nurses limited the application of this treatment (Mofredj et al, 2016;Bagheri-Nesami et al, 2015;Cooke et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, complementary treatment such as foot and hand massage, music and aromatherapy (Patel et al, 2014) have been reported in other studies (Jacobs et al, 2016;Pagnucci et al, 2019) but not fully explored in the studies included in this review. -Erikson et al (2015) carried out a qualitative study to explore nurses' experiences and their strategies to promote sleep.…”

Section: Salzmannmentioning

confidence: 99%

Interventions to improve inpatients' sleep quality in intensive care units and acute wards: a literature review

Aparício

Panin

2020

Br J Nurs

Background: Sleep is essential for the physical and psychological restoration of inpatients, and lack of sleep results in sleep deprivation and poor sleep quality, with potentially harmful consequences. Aim: To summarise sleep-promoting interventions in the Intensive care unit (ICU) and acute ward setting. Method and results: Six databases were searched to obtain studies for review and eight studies were selected, appraised, analysed and produced two themes: sleep-disturbing factors and sleep-promoting strategies. Sleep-disturbing factors included environmental factors (such as light and noise), illness-related factors (such as pain, anxiety and discomfort), clinical care and diagnostics. Sleep-promoting strategies included using pharmacological aids (medication) and non-pharmacological aids (reducing noise and disturbances, eye masks, earplugs and educational and behavioural changes). Conclusion: The literature review showed that both ICU and acute ward settings affect patients' sleep and both use similar strategies to improve this. Nevertheless, noise and sleep disturbances remain the most critical sleep-inhibiting factors in both settings. The review recommended future research should focus on behavioural changes among health professionals to reduce noise and improve patients' sleep.