Noise in the intensive care unit and its influence on sleep quality: a multicenter observational study in Dutch intensive care units

Autor: Hilde Marieken Feijen, Koen S. Simons, Sam Jelfs, Marijke S. van der Steen, Mark van den Boogaard, AG Armin Kohlrausch, Johannes P.C. Sonneveld, Cornelis P.C. de Jager, Paul Marcel Carl Lemmens, Eva Verweij, Munhum Park, Peter E. Spronk
Přispěvatelé: Human Technology Interaction
Rok vydání: 2018
Předmět:
Sleep Wake Disorders
Male
medicine.medical_specialty
Letter
Polysomnography
Noise/adverse effects
lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4]
Polysomnography/methods
Critical Care and Intensive Care Medicine
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
law.invention
Background noise
03 medical and health sciences
All institutes and research themes of the Radboud University Medical Center
0302 clinical medicine
law
Surveys and Questionnaires
Intensive care
medicine
Humans
Intensive care unit
030212 general & internal medicine
Sleep Wake Disorders/etiology
Netherlands
Aged
RCSQ
Intensive Care Units/organization & administration
business.industry
lcsh:Medical emergencies. Critical care. Intensive care. First aid
030208 emergency & critical care medicine
Regression analysis
lcsh:RC86-88.9
Middle Aged
Sleep quality
Sleep in non-human animals
3. Good health
Intensive Care Units
Noise
Emergency medicine
Regression Analysis
Delirium
Female
Observational study
medicine.symptom
Critical illness
business
Zdroj: Critical Care, Vol 22, Iss 1, Pp 1-8 (2018)
Critical Care, 22(1):250. BioMed Central
Critical Care
Critical Care, 22, pp. 250
Critical Care, 22, 250
ISSN: 1364-8535
Popis: Background: High noise levels in the intensive care unit (ICU) are a well-known problem. Little is known about the effect of noise on sleep quality in ICU patients. The study aim is to determine the effect of noise on subjective sleep quality. Methods: This was a multicenter observational study in six Dutch ICUs. Noise recording equipment was installed in 2-4 rooms per ICU. Adult patients were eligible for the study 48 h after ICU admission and were followed up to maximum of five nights in the ICU. Exclusion criteria were presence of delirium and/or inability to be assessed for sleep quality. Sleep was evaluated using the Richards Campbell Sleep Questionnaire (range 0-100 mm). Noise recordings were used for analysis of various auditory parameters, including the number and duration of restorative periods. Hierarchical mixed model regression analysis was used to determine associations between noise and sleep. Results: In total, 64 patients (68% male), mean age 63.9 (± 11.7) years and mean Acute Physiology And Chronic Health Evaluation (APACHE) II score 21.1 (± 7.1) were included. Average sleep quality score was 56 ± 24 mm. The mean of the 24-h average sound pressure levels (LAeq, 24h) was 54.0 dBA (± 2.4). Mixed-effects regression analyses showed that background noise (β =-0.51, p < 0.05) had a negative impact on sleep quality, whereas number of restorative periods (β = 0.53, p < 0.01) and female sex (β = 1.25, p < 0.01) were weakly but significantly correlated with sleep. Conclusions: Noise levels are negatively associated and restorative periods and female gender are positively associated with subjective sleep quality in ICU patients. Trial registration: Www.ClinicalTrials.gov, NCT01826799. Registered on 9 April 2013.
Databáze: OpenAIRE
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