Detection of factors influencing circadian rhythms on Intensive Care inpatients and hospitalization: Protocol for an observational study

Autor: María de los Angeles Rol De Lama, Juan A Madrid-Pérez, Eva Abad-Corpa, Elvira Casado-Ramírez, María Teresa Moreno-Casbas, Julia M Padilla-Martínez, Montserrat Gea-Sánchez
Rok vydání: 2020
Předmět:
Zdroj: Journal of Advanced Nursing. 77:411-416
ISSN: 1365-2648
0309-2402
DOI: 10.1111/jan.14569
Popis: Identify the prevalence of circadian health disorders in ICU and hospitalized patients. Stablish the relationship of the circadian system with light, temperature, noise and nursing activities.Commonly, self-assessment through subjective questionnaires is used for research about sleep quality. However, more reliable and valid measures should be applied objectively to find out the real prevalence of the problem. There is a negative relationship between circadian rhythms and hospitalization. In this study, we will analyse sleep patterns and hospital environments to implement measures to improve the quality of care related to sleep.Descriptive observational study. It is estimated that 975 patients from 13 hospitals need to be recruited from ICU and hospitalization units. The sample should meet the following criteria: Patients over 18 admitted to ICU and medical units, length of stay between 96-148 hr, with no visual, hearing or moderate-severe cognitive impairment. Variables: Sleep variables are collected with an electronic device (named Kronowise® and Kronobed®), circadian and infrared light exposure, environmental noise, temperature, unit structural characteristics, nursing care (from 0 to 6 a.m.) and, characteristics of hospitalization period. The study, registered on Clinical Trials, initiated in December 2019 and it will continue up to December 2022.Using objective and subjective measures of sleep and circadian rhythms, this study will shed light on the factors that negatively affect the hospitalized patients' sleep quality and circadian health. The ultimate goal is to design hospital guidelines to minimize the adverse effects on the dependent variables studied. Arguably, these guidelines will contribute to reducing the risk of these alterations and it will also serve to improve the nursing activities.We expect to obtain adequate results for the creation of a protocol to improve the circadian health, quality of care and health outcomes related to sleep in patients.目标: 确定对重症监护室患者和住院病人中生物周期紊乱的患病率。建立生物周期节律系统与光照、温度、噪声和护理活动的关系。 背景: 通常,通过主观问卷的自我评估来研究睡眠质量。但是,应该客观地采取更可靠和有效的措施来查明问题的真正普遍性。生物周期节律与住院时间呈负相关。在这项研究中,我们将分析睡眠模式和医院环境,以采取措施改善与睡眠有关的护理质量。 设计: 描述性观察研究。据估计,需要从13家医院重症监护室和住院部门招募975名患者。样本应符合以下标准:18岁以上重症监护室和病房患者,住院时间在96至148小时之间,无视觉、听觉或中重度认知障碍。变量:使用电子设备(名为Kronowise®和Kronobed®)、生物周期节律和红外光照射收集睡眠变量,环境噪声、温度、单元结构特征、护理(凌晨0点至6点)和住院时间特征。这项研究等级在临床试验中,于2019年12月启动,将持续到2022年12月。 讨论: 本研究通过对睡眠和生物周期节律的客观和主观测量,揭示影响住院病人睡眠质量和生物周期节律的因素。最终目标是设计医院指南,以尽量减少对因变量的不利影响。可以说,这些指南将有助于降低这些改变的风险,也将有助于改善护理活动。 结论: 我们期望能获得足够的结果,以建立一个方案来改善患者的生理健康、护理质量和与睡眠相关的健康结果。.
Databáze: OpenAIRE
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