Sleep quality in intensive care unit: Are we doing our best for our patients?

Romero-Bermejo, Francisco José

doi:10.4103/0972-5229.130567

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…Konsekuensi dari kualitas tidur yang buruk diantaranya meningkatkan gangguan pada kardiovaskular yaitu penyakit jantung koroner dan stroke, pada pernafasan dapat mengakibatkan hiperkapnia hingga hipoventilasi, gangguan metabolik yang terjadi terhadap toleransi glukosa, pelepasan insulin, sekresi hormon pertumbuhan dan kortisol, pengaturan nafsu makan oleh leptin dan gerlin, dan mempengaruhi kualitas tidur. Pengaruh yang terjadi pada sistem imun dapat meningkatkan resiko infeksi karena perubahan pada fungsi sel limfosit, sel polinuklear sel-sel pembunuh alami, dan inflamasi sitokonin (seperti IL-1, IL-6 dan TNF) hal ini dapat menyebabkan dampak kerusakan organ dan peningkatan mordibitas (Romero-Bermejo, 2014).…”

Section: Pendahuluanunclassified

Pengaruh Foot Massage terhadap Kualitas Tidur Pasien di Ruang ICU

Afianti¹,

Mardhiyah²

2017

JKP

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AbstrakGangguan tidur pasien kritis di ruang Intensive Care Unit dapat mengakibatkan terganggunya fungsi kekebalan tubuh, menurunkan kemampuan otot inspirasi pernafasan, terganggunya sistem metabolisme, terganggunya regulasi sistem saraf pusat dan kondisi psikologis pasien yang berdampak terhadap waktu perawatan berkepanjangan. Foot Massage merupakan salah satu terapi komplementer yang aman dan mudah diberikan dan mempunyai efek meningkatkan sirkulasi, mengeluarkan sisa metabolisme, meningkatkan rentang gerak sendi, mengurangi rasa sakit, merelaksasikan otot dan memberikan rasa nyaman pada pasien. Tujuan penelitian ini teridentifikasinya perbedaan pengaruh skor kualitas tidur pada kelompok kontrol dan perlakuan. Penelitian quasi eksperimental ini menggunakan kelompok kontrol dan kelompok perlakuan dengan masing-masing kelompok dilakukan penilaian pretest dan postest. Jumlah sampel sebanyak 24 pasien. Instrumen kualitas tidur menggunakan Richard Campbell Sleep Quationare (RCSQ). Data dianalisis dengan uji t berpasangan dan uji t tidak berpasangan. Hasil penelitian menunjukan pada kelompok kontrol tidak terdapat perbedaan yang bermakna rerata skor kualitas tidur (p = 0,150), sedangkan pada kelompok perlakuan, terdapat perbedaan yang bermakna rerata skor kualitas tidur (p=0,002). Adapun selisih skor kualitas tidur pada kelompok kontrol dan kelompok perlakuan terdapat perbedaan secara bermakna (p= 0,026). Simpulan penelitian ini skor kualitas tidur pada kelompok intervensi lebih tinggi daripada kelompok kontrol, sehingga disarankan foot massage dijadikan evidence based di rumah sakit sebagai salah satu terapi komplementer yang dapat dijadikan intervensi mandiri keperawatan untuk membantu mengatasi gangguan tidur pasien kritis.Kata kunci: Foot massage, ICU, kualitas tidur. The effect of Foot Massage on Sleep Quality of in ICU Rooms' Patients AbstractSleep disorders of critical patients in the Intensive Care Unit can result in impaired immune function, decrease respiratory muscle capacity, disruption of metabolic system, disruption of central nervous system regulation and psychological condition of patients impacting on long treatment period. Foot Massage is one of the complementary therapies that is considered safe and easy to administer and has the effect of improving circulation, removing the rest of the metabolism, increasing the range of motion of the joints, reducing the pain, relaxing muscles and providing comfort to the patient. The purpose of this study is to identify differences in the effect of sleep quality score on control and treatment groups. This quasi experimental study used a control group and a treatment group where each group performed a pretest and posttest assessment. The sample size was 24 patients. Sleep quality instrument used Richard Campbell Sleep Questionnaire (RCSQ). Data were analyzed by paired t test and unpaired t test. The results showed that there was no significant difference in sleep quality score (p = 0,150), while in the treatment group, showed that there was a significant differe...

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Section: Pendahuluanunclassified

Pengaruh Foot Massage terhadap Kualitas Tidur Pasien di Ruang ICU

Afianti¹,

Mardhiyah²

2017

JKP

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“…Pengaruh lingkungan menjadi factor utama yang mempunyai peran penting terjadinya gangguan tidur pada pasien yang dirawat di ruang intensive care unit [4]. Studi terdahulu menyatakan bahwa sebagian besar rusaknya system organ dan peningkatan morbiditas merupakan efek dari gangguan tidur selama di intensive care unit tetapi tidak sampai peningkatan kematian [5].…”

Section: Pendahuluanunclassified

“…Tidur merupakan faktor penting selama proses pemulihan pasien sakit kritis, sebagai bagian dari mekanisme homeostatis yang terintegrasi. Kurang tidur pada pasien kritis di Intensive Care Unit berhubungan dengan penurunan kelangsungan hidup pasien [5]. Tindakan mandiri keperawatan yang dapat dilakukan untuk memenuhi kualitas tidur pasien dapat berupa massage therapy yang merupakan upaya perawatan yang aman, efektif, serta tanpa efek samping.…”

Section: Pembahasanunclassified

The effect of back massage therapy for sleep quality in intensive care unit patients

Anggraheni,

Kristinawati

2023

mki

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The quality of sleep of patients in the intensive care unit can be improved with massage therapy. One of the massage therapies that can be used to improve the quality of sleep patients is back massage therapy. The purpose of this review is to find out the effect of back massage therapy on the quality of sleep patients. Research methods use a Literature Review by looking for the latest and relevant sources. The database was obtained from PubMed, Google Scholar and Science Direct. A review was conducted on 3 articles that were relevant to the criteria namely by providing back massage therapy interventions and publications for the last 5 years (2016-2017). Back massage can improve sleep quality in critical patients with a duration of therapy of 10 minutes and 20 minutes. Measuring instruments used to assess the quality of a patient's sleep are the Verran Snyder-Halpern Sleep Scale (VSH Sleep Scale) and Wrist Actigraph. Back massage therapy is a nurse's self-contained action that can be done to improve the quality of sleep of critical patients in the Intensive Care Unit room.

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“…Sleep disturbances in critically ill patients may affect cardiovascular disorders, respiratory disorders that can lead to hypercapnia to hypoventilation, and metabolic disorders that occur in glucose tolerance, insulin release, growth hormone and cortisol secretion, appetite regulation by leptin and garlic and affect sleep quality (Romero-Bermejo, 2014). Elliott et al (2013) found several factors associated with sleep disturbances among critically ill patients in ICU were noise, lighting, interventions provided by nurses, treatment and patient illnesses (Elliott et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Environmental Factors as Sleep Disturbance on Critically Ill Patients in Intensive Care Units (ICU): A Cross-Sectional Study

Rustam,

Chaidir

2023

NLJ

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Background: Sleep disturbance is a major problem among critically ill patients in the Intensive care unit (ICU) and often leads to negative experiences during their treatment. Previous studies found that environmental factors including noises and lighting mainly associated with the patient's sleep disturbance. Objectives: This study purposed to explore the relationship between environmental noise and lighting with the experience of sleep disturbance among critically ill patients in ICU. Methods: Analytical descriptive with a cross-sectional study approach was used in this study in the population of critically ill patients who were treated in the ICU. Setting of the study was conducted at a public hospital in West Sumatra, Indonesia from June to August 2021. The sample size was calculated by using power analysis from a previous study which obtained 80 participants. A purposive sampling technique was used based on the inclusion criteria. Data was analyzed by using percentages for the descriptive statistic and the Spearmen rank test for the inferential statistic. Results: Results of the study showed that 37.5% of the participants had sleep disturbance from environmental noise and 31 participants 38.75% of participants had sleep disturbance from lighting. Moreover, there was a significant relationship between environmental factors with sleep dis- orders in critically ill patients. Conclusion: Environmental factors of noises and lighting associated with the experience of disturbance among critically ill patients in ICU. It should be expected that hospitals could provide health education for patients and families suffering from sleep disturbance to maintain a calm environment noise and good lighting.

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Sleep quality in intensive care unit: Are we doing our best for our patients?

Cited by 5 publications

References 5 publications

Pengaruh Foot Massage terhadap Kualitas Tidur Pasien di Ruang ICU

Pengaruh Foot Massage terhadap Kualitas Tidur Pasien di Ruang ICU

The effect of back massage therapy for sleep quality in intensive care unit patients

Environmental Factors as Sleep Disturbance on Critically Ill Patients in Intensive Care Units (ICU): A Cross-Sectional Study

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