Factors affecting sleep quality in Intensive Care Units

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...

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Detalhes bibliográficos
Autores: Bernat Adell MD, Galarza Barrachina L, Bisbal Andrés E, Cebrián Graullera G, Pagés Aznar G, Morán Marmaneu MÁ, Ferrandiz Selles MD, Melgarejo Urendez A
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Recursos:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p8835
Acesso em linha:https://fisabio.portalinvestigacion.com/publicaciones/8835
Access Level:acceso abierto
Palavra-chave:Critical care
Psychometrics
Sleep quality
Descrição
Resumo: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.