Prospective repeated assessment of self-reported sleep quality and sleep disruptive factors in the intensive care unit: acceptability of daily assessment of sleep quality
Autor: | Ann Marie Rice, Ghaida S. Al-Sulami, Lisa Kidd |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Self-Assessment Multivariate analysis medicine.medical_treatment Psychological intervention Nursing intensive care unit law.invention Continuous assessment 03 medical and health sciences Young Adult 0302 clinical medicine factors affecting sleep law acceptability Surveys and Questionnaires medicine Intubation Humans Prospective Studies Sleep Hygiene Aged business.industry Research 030208 emergency & critical care medicine General Medicine sleep quality self-report Middle Aged Intensive care unit Intensive Care Units 030228 respiratory system Emergency medicine Midazolam Medicine richards campbell sleep questionnaire Sleep Deprivation Observational study Female Sleep (system call) Self Report business medicine.drug |
Zdroj: | BMJ Open BMJ Open, Vol 9, Iss 6 (2019) |
ISSN: | 2044-6055 |
Popis: | IntroductionDespite the importance of sleep, the assessment of sleep quality does not form part of standard clinical care in intensive care unit (ICU). Continuous assessment of self-reported quality of ICU patients’ sleep has been strongly recommended. Prior to implementing such an assessment in the ICU, it is important to assess the acceptability of this method of assessment to the ICU’s patients. The aims of this study were to assess the acceptability to ICU patients of completing daily self-reports on sleep quality during their ICU stay and to assess ICU patients’ self-reported sleep quality and sleep disruptive factors during their time in ICU.MethodsAn observational prospective-repeated assessment was conducted on n=120 patients in an ICU in Saudi Arabia. The participants were both intubated and non-intubated.Outcomes measuresOver a 3-month period, sleep quality was assessed using the Arabic version of the Richards-Campbell Sleep Questionnaire (RCSQ-A), and self-reported sleep disruptive factors were identified. Clinical factors, such as ICU interventions, and previously administered sedatives were also examined. The patients’ acceptance of completing daily RCSQ-A reports was assessed using various indicators of acceptability.ResultsA total of 381 self-reports (RCSQ-A) were collected for this analysis. The patients reported 34.4±5.60, indicating that sleep quality was poor on average. The group of intubated patients reported much poorer sleep quality during intubation than after extubation. In the multivariate analysis, factors which most significantly affected sleep (exp(b), p value) were midazolam (−6.424, pConclusionThe acceptability and feasibility of using daily RCSQ-A for sleep quality assessment was demonstrated. Sleep quality was reported as poor by all participants and the factors affecting sleep were varied. This study provided various recommendations for healthcare providers and researchers in terms of evaluating and improving sleep quality in ICU patients. |
Databáze: | OpenAIRE |
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