Australian Critical Care, Journal Year: 2024, Volume and Issue: 37(5), P. 755 - 760
Published: April 4, 2024
Language: Английский
Critical Care, Journal Year: 2020, Volume and Issue: 24(1)
Published: April 28, 2020
Background: Circadian deregulation in patients treated an intensive care unit (ICU) is commonplace and associated with complications such as immune system disruption delirium.The presence nature of circadian rhythms the vital signs recorded ICU are not well documented, nor their generalisability across different populations.This paper investigates 24 h prior to discharge from who subsequently recovered.We hypothesise that vital-sign will be observable this cohort patients, these resemble known behaviour healthy individuals, generalisable populations patients.Methods: investigated several commonly measured signs: systolic blood pressure, heart rate, respiratory temperature.The data employed MIMIC-III (2001-2012), eICU-CRD (2014-2015), PICRAM (2009-2015) databases, spanning 198,205 211 hospitals USA UK.Evaluation encompasses a comparison between observed rhythm profiles peak-nadir excursions those found literature, assessment correlation databases.Results: patterns all four were conform reported for non-ICU cohorts.Additionally, correlated databases at p = 0.05 level.The excursion was suppressed by factor 2-5 relative results literature cohorts young, individuals.Conclusions: Across three datasets, temperature showed variation ICU.However, amplitude variations markedly reduced adults.The strongly suggesting there state during (Continued on next page)
Language: Английский
Citations
30
Nature and Science of Sleep, Journal Year: 2020, Volume and Issue: Volume 12, P. 791 - 800
Published: Oct. 1, 2020
Purpose: This study aimed to investigate the effects of patient-directed interactive music on saliva melatonin levels and sleep quality among postoperative elderly patients in intensive care unit (ICU). Patients Methods: A total 133 were randomized into three groups: therapy (IMT), passive listening (PL), control group. The group (n = 45) received routine medical care, while IMT PL groups ICU day 1. up 20 mins sessions, including relaxation techniques. only pre-selected relaxing music-listening for 30 mins. Saliva cortisol measured times at 11 p.m. (preoperative, operation day, [POD] 1). Richards-Campbell Sleep Questionnaire (RCSQ) Quality Recovery-40 questionnaire (QoR40) administered preoperative as well PODs 1 2. Results: RCSQ showed a significant improvement compared POD2 (71.50 vs 56.89, p=0.012), but QoR40 did not show any difference between groups. sample was available due immediate patient's condition, resulting higher dropout rate. POD elevated (1.45 0.04, p=0.0068). level Conclusion: Single intervention improved subjectively assessed short-term patients. It is difficult conclude whether affects cortisol. Trial Registration: registered ClinicalTrials.Gov (number NCT03156205). Keywords: critical delirium, therapy, melatonin,
Language: Английский
Citations
27
Nursing in Critical Care, Journal Year: 2023, Volume and Issue: 29(3), P. 555 - 563
Published: June 2, 2023
Abstract Background Noise pollution in intensive care units is a relevant problem, associated with psychological and physiological consequences for patients healthcare staff. Sources of noise include medical equipment, alarms, communication tools, staff activities, conversations. Aims To explore the cumulative effects caused by an increasing number type devices setting on simulated clinical complexity. Secondly, to measure device alarms nursing activities' sound levels, evaluating their role as potentially disruptive noises. Study Design Observational simulation study (reported according STROBE checklist). Using electronic meter, levels room seven scenarios were measured single day (09 March 2022), each featuring numbers devices, hypothetically corresponding augmented patients' specific activities performed at distance three meters from meter analysed. Results The empty room's mean baseline level was 37.8 (±0.7) dBA; among scenarios, ranged between 45.3 (±1.0) 53.5 (±1.5) dBA. Alarms 76.4 81.3 dBA, while tasks (closing drawer, opening saline bag overwrap, or sterile packages) speaking all over 80 noisiest activity package (98 dBA). Conclusion An increased expression higher complexity, not significant cause noise. Some conversations produce than alarms. This study's findings suggest further research assess relationships these factors encourage adequate reduction strategies. Relevance Clinical Practice Excessive unit issue that negatively affects providers' well‐being. increase generally limited. Typical These could be helpful raise awareness professionals recognize sources. components environment can modified behaviour, promoting strategies improving critical environment.
Language: Английский
Citations
8
Critical Care Research and Practice, Journal Year: 2020, Volume and Issue: 2020, P. 1 - 10
Published: Dec. 23, 2020
Background.
Poor
sleep
quality
is
common
in
the
intensive
care
unit
(ICU),
where
several
factors
including
environmental
contribute
to
deprivation.
Objective.
This
study
aims
assess
and
compare
effectiveness
of
earplugs
eye
mask
versus
ocean
sound
on
among
ICU
patients.
Design.
A
true
experimental
crossover
design
was
used.
Setting.
Medical
Maharishi
Markandeshwar
Institute
Sciences
Research
Hospital,
Mullana,
India.
Participants.
Sixty-eight
patients
admitted
medical
were
randomly
allocated
by
lottery
methods
into
group
1
2.
Methods.
Nocturnal
nine-hour
(10
:
00
pm
7
am)
for
a
four-night
period
measured.
Earplugs
crossed
over
between
two
groups.
Subjective
four
nights
assessed
using
structured
scale.
Scores
each
question
range
from
0
3,
with
higher
score
indicating
poor
quality.
Results.
Repeated
measures
ANOVA
showed
that
there
significant
change
(
Language: Английский
Citations
21
Clinical Nursing Research, Journal Year: 2021, Volume and Issue: 31(1), P. 122 - 135
Published: June 23, 2021
This study aimed to evaluate the efficacy of Benson’s relaxation technique on anxiety and depression among patients undergoing hemodialysis. A systematic review randomized controlled trials was conducted. Searching databases included EBSCO Host, PubMed, ProQuest, Science Direct, Sage Journals, Ovid, Google Scholar from January 2000 September 2020. Five were identified. Findings revealed a statistically significant decrease in score. Concerning depression; one RCT showed two RCTs non-significant difference level. The overall quality not high. Despite that benefits BRT managing anxiety. However, this is same for depression. lack high-quality scientific evidence supporting its retinue use indicates additional well designed multiple countries are warranted support
Language: Английский
Citations
19
BMC Anesthesiology, Journal Year: 2022, Volume and Issue: 22(1)
Published: June 1, 2022
Abstract Background Postoperative sleep disorder is common and may cause aggravated postoperative pain, delirium, poor prognosis. We accessed the effect of intraoperative intravenous dexmedetomidine on quality in patients with endoscopic sinus surgery. Methods This single-center, double-blind, placebo-controlled randomized clinical trial enrolled a total 110 participants aged 18 years to 65 who were scheduled receive Placebo (normal saline) or infusion (load dose 0.5 μg kg −1 over 10 min, followed by maintenance 0.2 ug h ) during The primary outcome was quality. Secondary outcomes Ramsay sedation scores, Visual Analog Scale (VAS) serum cortisol, 5-hydroxytryptamine (5-HT) hypocretin, nausea vomiting (PONV). Results Among patients, 55 administer placebo. In total, 14 (7 each group) excluded because protocol deviations, 96 (48 included per-protocol analysis. group had significantly higher efficiency index(SEI) (66.85[3.00] vs 65.38[3.58]), ratio rapid eye movement sleep(REM)(13.63[1.45] 12.38[2.11]) lower arousal index (AI) (7.20[1.00] 8.07[1.29]), score at post-operation 1 h, 12 point, VAS scores 24 5-HT hypocretin than placebo group. Conclusion this trial, can improve undergoing These results suggest that therapy be viable strategy enhance Trial registration study approved Bethune International Peace Hospital Ethics Committee (2021-KY-129) registered Chinese Clinical Registry (www.chictr.org.cn/index.aspx, 28/09/2021).
Language: Английский
Citations
13
Medicine, Journal Year: 2023, Volume and Issue: 102(52), P. e36298 - e36298
Published: Dec. 29, 2023
Critically ill patients in intensive care often struggle with disrupted sleep, a prevalent issue this population. However, the question of which non-pharmacological intervention is most effective enhancing sleep quality remains unanswered. This study was conducted to comprehensively evaluate and compare efficacy various interventions aimed at improving among critically individuals.
Language: Английский
Citations
7
Frontiers in Psychiatry, Journal Year: 2021, Volume and Issue: 12
Published: Dec. 3, 2021
Using physical devices such as eye masks and earplugs to improve the quality of sleep in intensive care units (ICUs) is a very important issue. This study was conducted assess efficacy for promotion critically ill adult patients ICU based on various assessment tools. PubMed, Scopus, Web Science, ProQuest were systematically retrieved until May 2021. Both randomized non-randomized experimental quasi-experimental studies included if they evaluated interventions outcomes patients. The methodological assessed by Joanna Briggs Institute (JBI) critical appraisal tool. For main outcome (sleep quality), mean difference (MD) confidence intervals (CIs) 95% determined. A total 2,687 participants from 35 met inclusion criteria. Twenty one meta-analysis 14 qualitative analysis. According results tools; overall scores Pittsburgh Sleep Quality Index (PSQI) Richards-Campbell Questionnaire (RCSQ), mask and/or earplug have positive effect quality. Based Verran-Snyder-Halpern Scale (VSHSS), disturbance significantly lower intervention groups. In terms polysomnography, use resulted significant increase time, efficiency, rapid movement (REM) reduction awaking, arousals index. present suggest that or masks, separately combined affects improvement Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=145830, PROSPERO: CRD42020145830.
Language: Английский
Citations
16
Journal of Clinical Nursing, Journal Year: 2022, Volume and Issue: 32(9-10), P. 1963 - 1978
Published: Feb. 15, 2022
This review aimed to synthesise the available reviews on effects of nursing interventions sleep quality among patients hospitalised in intensive care and non-intensive units.
Language: Английский
Citations
12
Medical - Surgical Nursing Journal, Journal Year: 2024, Volume and Issue: 12(2)
Published: Jan. 9, 2024
Background: Sleep is one of the basic physiological needs human life. Hospitalization causes disturbances in sleep pattern and decreases quality sleep. The present study aimed to compare effect Swedish massage earplugs/eye masks on patients admitted intensive care units (ICUs) teaching hospitals affiliated with Zahedan University Medical Sciences Zahedan, Iran, 2022. Methods: This quasi-experimental was conducted 40 ICUs Khatam Al-Anbia Ali Ibne Abi-Talib Zahedan. participants were selected through convenience sampling from who met inclusion criteria. By using permuted block technique colored cards (red yellow), placed into two earplug/eye mask groups. After enrollment study, both groups did not receive any intervention during first night, their checked Richards-Campbell Questionnaire (RCSQ) as a pre-test night. received intended interventions second night after entering measured post-test. group for 20 minutes before bedtime back area (lumbar cavity shoulder). Moreover, asked wear earplugs eye 10 p.m. 6 a.m. collected data analyzed independent samples t-test, paired chi-square test SPSS software (version 26). Results: results showed that mean scores 130.25 ± 41.91 135 44.36 intervention, respectively. In addition, 202 46.03 184.79 39.5 respectively, showing significant increase (P = 0.001). t-test confirmed score significantly higher than 0.037). Conclusions: Non-pharmacological interventions, such wearing masks, can have increasing ICU. this indicated compared had greater improving patients. Therefore, technique, which does cause sensory restrictions similar those be applied an inexpensive without complications improve patients’ quality.
Language: Английский
Citations
2