Sleeping with one cerebrum open: patient and staff perceptions of sleep quality and quantity on an inpatient neurology unit.

Autor:	Kadura S; Department of Medicine, Pulmonary Diseases and Critical Care, University of Rochester Medical Center, Rochester, New York., Poulakis A; University of Rochester School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, New York., Roberts DE; Department of Neurology, University of Rochester Medical Center, Rochester, New York., Arora VM; Department of Medicine, University of Chicago Medicine, Chicago, Illinois., Darrow SN; Department of Operations Excellence, University of Rochester Medical Center, Rochester, New York., Eisner L; University of Rochester School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, New York., Ibarra M; Department of Neurology, University of Rochester Medical Center, Rochester, New York., Lin J; University of Rochester School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, New York., Wang L; Department of Biostatistics, University of Rochester Medical Center, Rochester, New York., Pigeon WR; Department of Psychiatry, University of Rochester Medical Center, Rochester, New York.
Jazyk:	angličtina
Zdroj:	Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2024 Apr 01; Vol. 20 (4), pp. 619-629.
DOI:	10.5664/jcsm.10958
Abstrakt:	Study Objectives: This study sought to investigate perceptions of sleep disruptions among patients and staff in the inpatient neurology setting. The objectives were to explore the differences between these groups regarding factors that impact sleep, identify the most significant sleep disruptions, and examine the barriers and opportunities suggested to improve inpatient sleep. Methods: A survey-based observational study was conducted on a 25-bed inpatient neurology unit at an academic medical center. Staff and patients completed the Potential Hospital Sleep Disruptions and Noises Questionnaire, and focus groups were held to gather qualitative data. Patient-reported sleep measures were collected for additional assessment. Responses were dichotomized for comparison. Regression models were used to assess associations between disruptors and patient-reported sleep measures. Qualitative thematic analyses were performed. Results: Forty-nine inpatient staff and 247 patients completed sleep surveys. Top primary patient diagnoses included stroke, epilepsy, autoimmune diseases, and psychogenic nonepileptic attacks. Medical interventions, environmental factors, patient-related factors, and unit workflows emerged as key themes related to sleep disruptions. Patient-reported sleep efficiency was significantly reduced when pain, anxiety, stress, temperature, and medication administration disrupted sleep. Staff perspectives highlighted medical interventions as most disruptive to sleep, while patients did not find them as disruptive as expected. Conclusions: Differing perspectives on sleep disruption exist between staff and patients in the inpatient neurology setting. Medical interventions may be overstated in staff perceptions and inpatient sleep research, as pain, anxiety, and stress had the most significant impact on patient-reported sleep efficiency. Citation: Kadura S, Poulakis A, Roberts DE, et al. Sleeping with one cerebrum open: patient and staff perceptions of sleep quality and quantity on an inpatient neurology unit. J Clin Sleep Med . 2024;20(4):619-629. (© 2024 American Academy of Sleep Medicine.)
Databáze:	MEDLINE
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