Effect of Using Eye Mask on Sleep Quality in Cardiac Patients: A Randomized Controlled Trial

Abstract

Background:Patients in coronary care unit are at risk of sleep deprivation. Sleep deprivation can be associated with increased blood pressure and heart rate, raising the risk of developing cardiovascular problems among patients hospitalized in coronary care unit.Objectives:This study was carried out to examine the effect of eye mask on sleep quality in cardiac patients.Patients and Methods:In this randomized controlled trial, 60 patients who met the inclusion criteria were selected using a convenient sampling method and randomly allocated into the experimental and control groups. Patients in the control group received routine care. However, in the experimental group, patients received routine care and eye mask for three subsequent nights. In the both groups, the sleep quality was assessed using the Pittsburgh sleep quality index. Data were analyzed by the chi-square test, independent samples t-test, Mann-Whitney U, and Wilcoxon signed-rank tests.Results:After the study, the median scores of the subjective sleep quality, the sleep latency, the sleep duration, the habitual sleep efficiency, and the sleep disturbances domains, as well as the median score of overall Pittsburgh sleep quality index in the experimental group were significantly lower than those in the control group (P < 0.05). However, no significant differences were observed between the two groups in terms of the use of sleep medications and the daytime dysfunction domains (P > 0.05).Conclusions:Using eye mask can significantly improve the sleep quality in cardiac patients. Therefore, nurses are recommended to use eye mask in combination with current treatments for improving patients’ sleep quality.

Effect of the use of earplugs and eye mask on the quality of sleep in intensive care patients: a systematic review

“…Three authors (Babaii et al ., ; Daneshmandi et al ., ; Neyse et al ., ) used the Pittsburgh Sleep Quality Index (PSQI). The first study confirmed statistically significant differences in five of the seven monitored domains ( P < 0.05), the second study confirmed a significant improvement in sleep quality after intervention in the total sleep quality score (10.46 ± 4.09/4.86 ± 1.88, P < 0.000) and the third study was in agreement with the results of the second study with the total sleep quality score (10.3 ± 6.3/6.3 ± 2.1, P < 0.001).…”

Sleep Quality of Hospitalized Patients, Contributing Factors, and Prevalence of Associated Disorders

“…Since light exposure appeared to be the main culprit, we believe that the intervention to reduce light exposure is very important in order to improve sleep quality in hospitalized patients. Previous studies demonstrated the effectiveness of using eye mask in improving sleep quality in hospitalized patients in general medical wards, post anesthesia care units as well as in intensive care units [33][34][35]. A review also demonstrated that changing the sound and light environment appeared to be effective in improving sleep in hospitals [36].…”

Kalp Yetersizliği Hastalarında Uyku Sorunları ve Nonfarmakolojik Tedavi Yöntemleri

“…Uygulaması kolay ve etkin olan, bireye ekonomik yük getirmeyen nonfarmakolojik yöntemlerin uyku sorunlarını azaltmada etkili olabileceğini gösteren kanıtlar bulunmaktadır. [22][23][24][25][26][27][28][38][39][40][41][42][43][44][45][46] KY olan hastalarda nonfarmakolojik yöntemlerin uyku kalitesine etkisini inceleyen çalışmaların özellikleri tablo 1'de verilmiştir. [38] destekleyici eğitim [38] Çevrenin düzenlenmesi: Gürültü ve ışık gibi faktörleri ortadan kaldırarak hasta birey için dinlendirici bir ortam hazırlamak ve çevre düzenini sağlamak, uyku ve diğer temel fizyolojik gereksinimlerinin yerine getirilmesine yardımcı olmak hemşirelerin temel görevlerinden biridir.…”

“…Müdahale grubunun %23'ünü KY hastalarının oluşturduğu çalışma sonucunda göz maskesinin uyku kalitesini önemli ölçüde arttırdığı tespit edilmiştir. [40] Uyku apnesi olan KY hastalarında vücut pozisyonunun uyku apnesi üzerindeki etkilerinin incelendiği çalışmada lateral pozisyonda uyumanın uykuda solunum olaylarının sıklığını belirgin şekilde azalttığı saptamıştır. [41] Tedavi planının ayarlanması: Sık hemşirelik girişimleri hastaların uykularının bölünmesine neden olarak uyku problemi yaşamalarına sebep olmaktadır.…”