Comparing quality and barriers to sleep in non-mechanically ventilated intensive care patients in intensive care unit and in hospital ward.

Autor: Yee S; Department of Intensive Care Medicine, Peninsula Health, Frankston Hospital, Frankston, VIC, 3199, Australia., Teo A; Department of Intensive Care Medicine, Peninsula Health, Frankston Hospital, Frankston, VIC, 3199, Australia., Reddy MP; Department of Intensive Care Medicine, Peninsula Health, Frankston Hospital, Frankston, VIC, 3199, Australia.; Department of Intensive Care, North Canberra Hospital, Canberra, ACT, Australia.; Department of Anesthesia and Pain Medicine, Nepean Hospital, Kingswood, NSW, Australia., Paul E; School of Public Health and Preventive Medicine, ANZIC-RC, Monash University, Melbourne, VIC, Australia., Haji K; Department of Intensive Care Medicine, Peninsula Health, Frankston Hospital, Frankston, VIC, 3199, Australia.; Division of Medicine, Peninsula Clinical School, Monash University, Frankston, VIC, Australia.; Department of Surgery, University of Melbourne, Melbourne, VIC, Australia., Tiruvoipati R; Department of Intensive Care Medicine, Peninsula Health, Frankston Hospital, Frankston, VIC, 3199, Australia. travindranath@hotmail.com.; School of Public Health and Preventive Medicine, ANZIC-RC, Monash University, Melbourne, VIC, Australia. travindranath@hotmail.com.; Division of Medicine, Peninsula Clinical School, Monash University, Frankston, VIC, Australia. travindranath@hotmail.com.
Jazyk: angličtina
Zdroj: Sleep & breathing = Schlaf & Atmung [Sleep Breath] 2024 Nov 25; Vol. 29 (1), pp. 4. Date of Electronic Publication: 2024 Nov 25.
DOI: 10.1007/s11325-024-03180-4
Abstrakt: Purpose: It is uncertain if quality and barriers of sleep differs based on the location of a patient in the hospital. Our aim was to compare the patient reported sleep quality (QoS) in non-mechanically ventilated patients in ICU and wards, and identify the barriers of sleep in ICU and in wards.
Methods: The survey assessed the QoS at three stages including the day immediately prior to hospital admission, after their last night spent in the ICU prior to discharge, and the first night in wards. Visual analogue scale (VAS) ranging from 0 to 10 was used, with 0 being the 'worst possible sleep' and 10 'best quality sleep'. The patients were also asked to identify the barriers to sleep in both ICU and wards.
Results: 51 patients were enrolled. The QoS was found to be significantly better in the wards than in the ICU [median 6 (IQR 4-8) vs. 5 (IQR 3-7), median difference 0.76, p = 0.04], as well as at home compared to the ICU [6 (IQR 5-8) vs. 5 (IQR 3-7), median difference 1.12 p = 0.046]. There was no statistical difference in median QoS at home compared to the wards. Noise, being awoken for procedures were the commonest barriers to sleep both in the ICU and ward.Medical devices (58.8% vs. 32%, p = 0.004) and being disorientated or confused (27.5% vs. 10%, p = 0.0135) were largely reported as barriers in ICU compared to the wards.
Conclusions: QoS in ICU is generally poorer than the wards. The use of medical devices and disorientation in ICU were the main differentiating factors between the ICU and the wards.
Competing Interests: Declarations. Ethical approval: The study was approved by the Low Risk Research Subcommittee (LRRS) of the Peninsula Health Human Research Ethics committee (HREC), (ref: LNR/65435/PH-2020). Informed consent: Verbal cosent was obtained to participate in this survey. Participation in the survey is considered to have provided consent as participation in this survey is voluntary. Conflict of interest: No Conflicts of Interest. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.
(© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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