Effect of a Multicomponent Sleep Protocol on Sleep Quality in Conscious Patients in the Intensive Care Unit

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F20%3AN0000105" target="_blank" >RIV/00098892:_____/20:N0000105 - isvavai.cz</a>

Result on the web

<a href="https://journals.indexcopernicus.com/api/file/viewByFileId/1067221.pdf" target="_blank" >https://journals.indexcopernicus.com/api/file/viewByFileId/1067221.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.4274/jtsm.galenos.2020.08208" target="_blank" >10.4274/jtsm.galenos.2020.08208</a>

Result language

angličtina

Original language name

Effect of a Multicomponent Sleep Protocol on Sleep Quality in Conscious Patients in the Intensive Care Unit

Original language description

Objective: Sleep disruption is common in patients admitted in the intensive care unit (ICU), and it is associated with various negative effects. This study aimed to investigate whether the implementation of a multicomponent sleep protocol improved the quality of sleep, both subjectively (assessed with a questionnaire) and objectively (measured using actigraphy). Materials and Methods: A prospective interventional non-randomized controlled study compared two groups (PRE and POST groups) of 20 spontaneously conscious ICU patients. Results: Subjectively evaluated sleep quality was poor in the entire sample (n=40) [Richards-Campbell Sleep Questionnaire (RCSQ) total 49.2±25.1]. The mean total sleep time was 389.0±78.8 min, the Sleep Efficiency index (SEI) was 81.1±16.4%, and the number of awakenings per night was 18.4±9.79. The quality of sleep (both subjective and objective) was not significantly improved following the application of the sleep protocol (POST group), as inferred from most of the studied parameters. Subjective assessment yielded better results (RCSQ total: 45.1 PRE vs 51.1 POST); however, they were not statistically significant. Paradoxically, statistically significantly better results were observed for SEI (86.6% PRE vs 75.9% POST, p=0.044), total sleep time (416 min PRE vs 364 min POST, p=0.044), and noise (T=2.11, p=0.046) in the control group. Conclusion: Although the results failed to confirm that the multicomponent protocol exerted a significant effect, its implementation in clinical practice may be valuable. In a selected group of ICU patients, the proposed interventions may aid in achieving good sleep and in improving their overall comfort.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30210 - Clinical neurology

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Turkish Sleep Medicine

ISSN

2148-1504

e-ISSN

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Volume of the periodical

7

Issue of the periodical within the volume

3

Country of publishing house

TR - TURKEY

Number of pages

9

Pages from-to

140-148

UT code for WoS article

000579120800006

EID of the result in the Scopus database

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