Sleep Deprivation in Patients Having Open-heart Surgery

Evaluating adult patients’ sleep: an integrative literature review in critical care

“…Clinical nurses and researchers have used several different observation schemes and instruments. These vary from a simple estimate of the patient being asleep or not to scientifically developed instruments, such as Echols' Patient's Sleep Behaviour Observational Tool, which guides the observer to estimate whether the patient is awake, drowsy, in REM sleep or in NREM sleep and Richards–Campbell Sleep Questionnaire (RCSQ), which consists of five items to be rated on a visual analogue scale (VAS). The items are sleep depth, falling asleep, number of awakenings, per cent of time awake and the quality of sleep.…”

Sleep in the surgical intensive care unit: continuous polygraphic recording of sleep in nine patients receiving postoperative care.

“…Frequent diagnostic, therapeutic, and nursing procedures, pain, and psychological factors may make sleep well nigh impossible. [1][2][3][4][5] In this busy environment light and sound levels tend to be high6 and there may be a lack of awareness that patients have a problem sleeping. For instance, a patient who has not fallen asleep until 4 am may be wakened at 5 30 because the nurses are expected to wash him before handing over to the morning shift.…”

Sleep in Acute Care Settings: An Integrative Review

“…falling asleep, earlier awakening and bedtime, shorter duration, more napping, perception of not feeling rested, poor quality sleep, less sleep than needed, and the need for sleeping pills, compared with sleeping at home (Beyerman, 1987;Closs, 1990;Freedman, Kotzer, & Schwab, 1999;McFadden & Giblin, 1971;Pacini & Fitzpatrick, 1982;Southwell & Wistow, 1995;Yinnon et al, 1992). Nightmares may also be more frequent after surgery, with cardiac surgical patients having more nightmares than other surgical patients (Brimacombe & Macfie, 1993).…”