Night‐time care routine interaction and sleep disruption in adult cardiac surgery

Abstract

Frequent NCRIs are a common occurrence in cardiac surgery units of a hospital. Further research is needed to make a definitive conclusion about the impact of NCRIs on sleep/sleep disruptions and daytime sleepiness in adult cardiac surgery. Worldwide, acute and critical-care nurses are well positioned to lead initiatives aimed at improving sleep and clinical outcomes in cardiac surgery.

Sleep‐disrupting effects of nocturnal nursing interventions in intensive care unit patients: A systematic review

“…One PSG study analysed night‐time records only (Ritmala‐Castren et al., 2015). Nine studies (Casida et al., 2018; Giusti et al., 2016; Hacker et al., 2013; Knauert et al., 2019; Le et al., 2012; Monsén & Edéll‐Gustafsson, 2005; Tamburri et al., 2004; Uğraş & Öztekin, 2007; Ҫelik et al., 2005) analysed 6‐ to 12‐hr night‐time measurements.…”

“…There were also considerable differences in recording interventions between the studies. Although some studies analysed the frequency of interventions over shorter periods of time, such as 1 h (Elliott et al., 2013; Gabor et al., 2003; Hamze et al., 2015; Ritmala‐Castren et al., 2015), others counted interventions during the entire night (Casida et al., 2018; Giusti et al., 2016; Hacker et al., 2013; Le et al., 2012; Li et al., 2011; Patel et al., 2014; Tamburri et al., 2004; Ҫelik et al., 2005). Some studies reported the absolute numbers of interventions (Hilton, 1976; Knauert et al., 2019; Monsén & Edéll‐Gustafsson, 2005; Uğraş & Öztekin, 2007), but others did not (Bihari et al., 2012; Cicek et al., 2014; Freedman et al., 1999).…”

“…Some studies reported the absolute numbers of interventions (Hilton, 1976; Knauert et al., 2019; Monsén & Edéll‐Gustafsson, 2005; Uğraş & Öztekin, 2007), but others did not (Bihari et al., 2012; Cicek et al., 2014; Freedman et al., 1999). The number of interventions was the main parameter in 10 studies (Casida et al., 2018; Gabor et al., 2003; Giusti et al., 2016; Hacker et al., 2013; Hamze et al., 2015; Le et al., 2012; Ritmala‐Castren et al., 2015; Tamburri et al., 2004; Uğraş & Öztekin, 2007; Ҫelik et al., 2005). In nine studies (Bihari et al., 2012; Cicek et al., 2014; Elliott et al., 2013; Freedman et al., 1999; Hilton, 1976; Knauert et al., 2019; Li et al., 2011; Monsén & Edéll‐Gustafsson, 2005; Patel et al., 2014), the number of interventions was one of the parameters (alongside environmental factors, sleep quality, etc.)…”

“…Four studies (Giusti et al., 2016; Hacker et al., 2013; Tamburri et al., 2004; Ҫelik et al., 2005) retrospectively analysed medical records; five studies (Casida et al., 2018; Knauert et al., 2019; Le et al., 2012; Monsén & Edéll‐Gustafsson, 2005; Uğraş & Öztekin, 2007) used the observational or experimental method.…”

Symptoms of anxiety and depression in surgical patients at the hospital, 6 weeks and 6 months postsurgery: A questionnaire study

“…Research indicates that the relationship between sleep deprivation and anxiety may be bi‐directional—that is, anxiety disorder generates sleep loss and perhaps insomnia, and sleep deprivation leads to anxiety (Pires, Bezerra, Tufik, & Andersen, 2016). The hospital environment in the immediate postoperative period then contributes to sleep disturbances where sleeping in room with other patients and common night‐time care routines, such as assessment of the patients, administration of medication and laboratory tests, performed by nurses influence night‐time sleep effectiveness (Casida, Davis, Zalewski, & Yang, 2018). Although sleep was not assessed at the hospital in our study, our findings indicate that patients should be screened for sleep deprivation during follow‐up appointments.…”