Factors affecting sleep quality in Intensive Care Units
Por:
Bernat Adell MD, Galarza Barrachina L, Bisbal Andrés E, Cebrián Graullera G, Pagés Aznar G, Morán Marmaneu MÁ, Ferrandiz Selles MD and Melgarejo Urendez A
Publicada:
1 nov 2021
Ahead of Print:
1 oct 2021
Categoría:
Critical care and intensive care medicine
Resumen:
affecting sleep quality in Intensive Care Objective: To report sleep quality and identify related factors.
Design: A descriptive cross-sectional study was made with a convenience sample of 129 patients. The differences between 3 periods were evaluated using the Wilcoxon test and Spearman correlation r. Multiple regression analyses were performed to relate independent variables to sleep quality.
Setting: The Department of Intensive Care Medicine of a tertiary hospital.
Participants: Patients admitted between February 2016 and December 2017.
Interventions: Questionnaire administration.
Variables: Items of the modified Freedman questionnaire, and demographic and clinical variables.
Results: External factors interfering with sleep quality were noise and constant light exposurein the 3 periods, with significant differences between these periods in nursing care (P=0.005) and nursing activities (P=0.019). The other factors affecting sleep quality and identified by the multivariate regression model were age (P=0.012), daily alcohol intake (P=0.023), benzodiazepine use during admission to the ICU (P=0.01) and comorbidities (P=0.005). There were significant differences in sleepiness between discharge and the first day (P=0.029) and between discharge and half stay (P=0.001).
Conclusions: Noise and light were the most annoying factors, but statistical significance was only reached for nursing activities and care. Age, alcohol intake, benzodiazepine use in the ICU and a higher comorbidity index had a negative impact upon sleep. Sleepiness was reduced at the end of stay. (C) 2020 Elsevier Espana, S.L.U. y SEMICYUC. All rights reserved.
Filiaciones:
:
Unidad Predepartamental de Enfermería, Universitat Jaume I, Castellón, España
:
Servicio de Medicina Intensiva, Hospital General Universitario de Castellón, Castellón, España
:
Servicio de Medicina Intensiva, Hospital General Universitario de Castellón, Castellón, España
:
Servicio de Medicina Intensiva, Hospital General Universitario de Castellón, Castellón, España
:
Servicio de Medicina Intensiva, Hospital General Universitario de Castellón, Castellón, España
:
Servicio de Medicina Intensiva, Hospital General Universitario de Castellón, Castellón, España
:
Servicio de Medicina Intensiva, Hospital General Universitario de Castellón, Castellón, España
:
Servicio de Medicina Intensiva, Hospital General Universitario de Castellón, Castellón, España
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