Factors affecting sleep quality in Intensive Care Units

Adell, M.D. Bernat; Galarza, Laura; Andrés, E. Bisbal; Graullera, G. Cebrián; Aznar, G. Pagés; Marmaneu, M.A. Morán; Sellés, Magda; Urendez, A. Melgarejo

doi:10.1016/j.medine.2021.08.011

Cited by 10 publications

(5 citation statements)

References 27 publications

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“…Subjective measures of sleep duration support the perceptions of individual rank within the socioeconomic hierarchy compared with others ( 29 ). Subjective sleep is intended to capture the delicate aspects of the area more precisely as it is introduced to the psychosocial processes influenced by the social context.…”

Section: Literature Reviewmentioning

confidence: 90%

RETRACTED: Evaluation of sleep quality and duration using wearable sensors in shift laborers of construction industry: A public health perspective

Sathvik

Krishnaraj²,

Irfan³

2022

Front. Public Health

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Approximately 21% of the workers in developing and developed countries are shift laborers. The laborer's work shifts can affect personal life and sleep standards, adversely impacting laborers and their manage. This study assesses the impact of various shift plans (seven evenings/7 days, fixed-night or fixed-day, and backup shifts) on shift laborers, considering four shift schedules. Most laborers were on rotational shifts, whereas others were on a permanent day, permanent night, and standby shifts. In a cross-sectional study, 45 development laborers from the National Construction firm were enlisted. Bio-wearable sensors were provided to monitor sleep. Participants were approached and asked to complete a survey bundle comprising the Pittsburgh sleep quality index (PSQI) and Epworth sleepiness scale (ESS). Differences in sleep models were estimated using a Fitbit watch at various shift schedules. The average age of laborers who participated in the study was 37.5 years, and their average experience in the construction company was 6.5 years. The average total sleep time was 346 ± 46 min. The rotational shift laborers yielded the minimum total sleep time compared to the average PSQI and ESS scores of 7.66 ± 1.3 and 6.94 ± 3.4, respectively. Fifteen shift laborers (33.33%) were affected by a sleeping disorder in the present experimental investigation, and 30 participants had inadequate standards of sleep based on the PSQI scores. Poor sleep quality and duration among construction shift laborers decrease productivity at work. Additional studies are expected to assess sleep-related issues affecting construction shift laborers.

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Section: Literature Reviewmentioning

confidence: 90%

RETRACTED: Evaluation of sleep quality and duration using wearable sensors in shift laborers of construction industry: A public health perspective

Sathvik

Krishnaraj²,

Irfan³

2022

Front. Public Health

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“…Previous studies have pointed out that environmental factors, such as noise, light or nursing interventions performed at night, can cause sleep disturbance (Bernat Adell et al, 2020; Bihari et al, 2012; Dobing et al, 2016). The included review articles reported moderate evidence that reducing light exposure and sound level and developing quiet‐time protocols at night can improve patients’ subjective and objective sleep quality.…”

Section: Discussionmentioning

confidence: 99%

Effects of nursing interventions to improve inpatients' sleep in intensive and non‐intensive care units: Findings from an umbrella review

Bellon

Beti-Abad

Pastells-Peiró

et al. 2022

Journal of Clinical Nursing

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Aim This review aimed to synthesise the available reviews on the effects of nursing interventions on sleep quality among patients hospitalised in intensive care and non‐intensive care units. Background Poor sleep quality is a common fact in hospitalised patients. Nurses can contribute to the improvement of patients' sleep quality and duration. Design A review of intervention reviews was carried out and reported following the PRISMA guidelines and checklist. Methods We systematically searched for reviews published from January 2009 to December 2019 in PubMed, CINAHL Plus, Scopus, Institute for Scientific Information Web of Science, Joanna Briggs Database of Systematic Reviews and Cochrane Central Register of Controlled Trials databases. Searches were repeated at 24 November 2020 to include the most recent evidence. A narrative synthesis of the results was conducted. Results Nine reviews (representing 109 original papers) met the selection criteria and were included for critical appraisal. Overall, nursing interventions and sleep quality were poorly defined. We grouped the interventions into 3 categories (environmental, barrier and internal interventions) to provide a more comprehensive overview and examine effects of nursing interventions on inpatients sleep quality. Inconsistent results were obtained and low quality of the original articles was reported, making it difficult to establish absolute conclusions. Conclusion The impact of environmental changes on patients’ sleep was positive but inconclusive, while use of earplugs and eye masks, music and acupuncture generally showed positive results with moderate quality of evidence, and no harmful effects were reported.

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“…Methods to promote better sleep can include medications, such as benzodiazepines, which may result in changes to cognitive function, increased risk of tolerance and dependence, ventilatory impairment, and adverse effects on sleep patterns [ 37 ]. Alternatively, non-pharmacological approaches may be employed, including mental or behavioral interventions, breathing exercises, music therapy, aromatherapy, massage, guided imagery, acupuncture, environmental changes (e.g., synchronization of ICU activities with daylight, noise reduction], social support (e.g., family assistance), and equipment modification [ 4 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Sleep, anxiety, depression, and stress in critically ill patients: a descriptive study in a Portuguese intensive care unit

Silva,

Teixeira,

Pinho

et al. 2024

ACC

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Background: Sleep disorders are common among patients admitted to intensive care units (ICUs). This study aimed to assess the perceptions of sleep quality, anxiety, depression, and stress reported by ICU patients and the relationships between these perceptions and patient variables.Methods: This cross-sectional study used consecutive non-probabilistic sampling to select participants. All patients admitted for more than 72 hours of ICU hospitalization at a Portuguese hospital between March and June 2020 were asked to complete the “Richard Campbell Sleep Questionnaire” and “Anxiety, depression, and Stress Assessment Questionnaire.” The resulting data were analyzed using descriptive statistics, Pearson’s correlation coefficient, Student t-tests for independent samples, and analysis of variance. The significance level for rejecting the null hypothesis was set to α ≤0.05.Results: A total of 52 patients admitted to the ICU for at least 72 hours was recruited. The mean age of the participants was 60 years (standard deviation, 14.6); 32 (61.5%) of the participants were male. Approximately 19% had psychiatric disorders. The prevalence of self-reported poor sleep was higher in women (t[50]=2,147, P=0.037) and in participants with psychiatric problems, although this difference was not statistically significant (t[50]=–0.777, P=0.441). Those who reported having sleep disorders before hospitalization had a worse perception of their sleep. Conclusions: Sleep quality perception was worse in female ICU patients, those with psychiatric disorders, and those with sleep alterations before hospitalization. Implementing early interventions and designing nonpharmacological techniques to improve sleep quality of ICU patients is essential.

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Factors affecting sleep quality in Intensive Care Units

Cited by 10 publications

References 27 publications

RETRACTED: Evaluation of sleep quality and duration using wearable sensors in shift laborers of construction industry: A public health perspective

RETRACTED: Evaluation of sleep quality and duration using wearable sensors in shift laborers of construction industry: A public health perspective

Effects of nursing interventions to improve inpatients' sleep in intensive and non‐intensive care units: Findings from an umbrella review

Sleep, anxiety, depression, and stress in critically ill patients: a descriptive study in a Portuguese intensive care unit

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