Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi,
Journal Year:
2023,
Volume and Issue:
6(3), P. 533 - 541
Published: Oct. 12, 2023
Amaç:
Bu
araştırma,
COVID-19
pandemi
sürecinde
yoğun
bakım
ünitesinde
yatan
hastaların
uyku
kalitesini
ve
etkileyen
faktörleri
saptamak
amacı
ile
gerçekleştirildi.
Yöntem:
Kesitsel
türdeki
araştırmanın
evrenini,
bir
eğitim
araştırma
hastanesinin
hastalar,
örneklemini
ise
198
hasta
oluşturdu.
Araştırma
verileri
toplanırken
Hasta
Bilgi
Formu
Richards
Campbell
Uyku
Ölçeği
kullanıldı.
Bulgular:
Hastaların
%55.6’sı
erkek,
yaş
ortalamaları
56.82±17.33
(min.-max.:16-95)
yıl,
%78.8’i
evli,
%24.7’si
emekli
%96.4’ü
sağlık
güvencesine
sahipti.
Yoğun
toplam
puan
ortalamasının
44.71±14.88
%61.1’inin
kalitesinin
kötü
olduğu
saptandı.
Ev
ortamında
uykuya
rahat
geçen,
sorunu
yaşamayan
ünitesi
deneyimi
olmayan,
uykusunun
etkilenmediğini
ifade
eden,
geçiş
için
ilaç
kullanan
kendilerini
huzursuz
hissetmeyen
istatistiksel
olarak
anlamlı
bulundu
(p
Biomedicines,
Journal Year:
2022,
Volume and Issue:
10(9), P. 2143 - 2143
Published: Aug. 31, 2022
Background:
Osteoarthritis
(OA)
is
a
leading
cause
of
disability,
the
most
common
form
chronic
disease
in
temporomandibular
joint
(TMJ),
and
severe
type
disorders
(TMD).
The
etiology
TMD
multifactorial,
considering
parafunctional
habits,
sleep
bruxism,
or
disturbance
as
factors.
Insomnia
apnea
are
two
frequent
forms
patients.
Due
to
this,
objective
this
systematic
review
was
highlight
whether
there
currently
scientific
evidence
literature
describing
that
patients
with
osteoarthritis
(TMJ-OA)
associated
increased
impaired
quality.
Methods:
This
completed
accordance
Preferred
Reporting
Items
for
Systematic
reviews
Meta-Analysis
(PRISMA)
statement
registered
PROSPERO
prior
completion
main
search.
Original
observational
studies
analyze
association
quality
TMJ-OA
were
included
present
review.
Results:
770
screened
by
abstract
title
according
inclusion
exclusion
criteria,
finally,
7
articles
qualitative
synthesis
total
772
diagnosed
TMJ-OA.
Conclusions:
There
insufficient
indicate
TMJ
OA
poorer
Pflügers Archiv - European Journal of Physiology,
Journal Year:
2024,
Volume and Issue:
476(3), P. 295 - 306
Published: Jan. 4, 2024
Abstract
Artificial
light
at
night
(ALAN)
affects
most
of
the
population.
Through
retinohypothalamic
tract,
ALAN
modulates
activity
central
circadian
oscillator
and,
consequently,
various
physiological
systems,
including
cardiovascular
one.
We
summarised
current
knowledge
about
effects
on
system
in
diurnal
and
nocturnal
animals.
Based
published
data,
reduces
day-night
variability
blood
pressure
heart
rate
animals
by
increasing
values
variables
decreasing
them
The
are
mainly
transmitted
through
autonomic
nervous
system.
is
also
considered
a
stress-inducing
factor,
as
glucocorticoid
glucose
level
changes
indicate.
Moreover,
rats,
increases
response
to
load.
In
addition,
induces
molecular
vessels.
Changes
significantly
depend
duration
exposure.
To
some
extent,
alterations
physical
can
explain
observed
after
Although
acts
differently
animals,
we
conclude
that
both
exhibit
weakened
coordination
among
which
risk
future
complications
ability
anticipate
stress.
Australian Critical Care,
Journal Year:
2025,
Volume and Issue:
38(3), P. 101159 - 101159
Published: Jan. 16, 2025
Sleep
and
circadian
rhythms
are
markedly
altered
in
intensive
care
unit
(ICU)
patients.
Numerous
factors
related
to
the
patient
ICU
environment
affect
ability
initiate
maintain
sleep.
Therefore,
nonpharmacological
interventions
could
play
an
essential
role
improving
sleep
rhythm.
The
aim
of
this
study
was
examine
evaluated
for
promoting
adult
ICUs.
A
scoping
review
conducted,
including
randomised
controlled
trials,
nonrandomised
quasi-experimental
other
studies
investigating
effects
total
57
articles
14
ongoing
trials
were
included
review,
which
38
clinical
trials.
Nine
improve
critically
ill
patients
evaluated:
earplugs
and/or
eye
masks,
aromatherapy,
bundles,
music
intervention,
massage
or
acupressure,
noise
masking,
bright
light,
dynamic
light.
Most
simultaneously
assessed
effect
more
than
one
intervention
on
perceived
quality
using
questionnaires.
association
between
improved
varied.
In
case
multicomponent
interventions,
it
is
difficult
identify
components
might
have
influenced
improvement.
various
promote
patients,
several
quality.
However,
substantial
variability
their
implementation
complicates
drawing
reliable
conclusions.
protocol
registered
with
Open
Science
Framework
under
identifier
https://doi.org/10.17605/OSF.IO/MPEQ5.
Nursing Reports,
Journal Year:
2025,
Volume and Issue:
15(2), P. 54 - 54
Published: Feb. 4, 2025
Background:
Sleep
quality
is
crucial
for
patient
recovery
and
well-being,
yet
hospitalized
patients
often
suffer
from
poor
sleep
due
to
environmental
disruptions,
clinical
routines,
psychosocial
stressors.
While
these
challenges
are
well-documented,
qualitative
insights
into
nurses’
perspectives—essential
frontline
providers
shaping
the
environment—are
scarce,
especially
within
rapidly
evolving
healthcare
systems
like
Saudi
Arabia’s.
This
study
explores
perceptions
of
factors
influencing
in
a
private
hospital
Al
Ahsa,
Arabia,
identifies
strategies
improvement.
Methods:
We
conducted
qualitative,
cross-sectional
using
semi-structured
interviews
with
14
registered
nurses
diverse
nationalities,
specialties
(Obstetrics/Gynecology,
Medical-Surgical,
Pediatrics,
Intensive
Care,
Orthopedics,
Bariatrics),
experience
levels.
Interviews
were
Arabic
or
English,
audio-recorded,
transcribed,
thematically
analyzed
ATLAS.ti
software.
Roy’s
Adaptation
Model
guided
examination
environmental,
patient-specific,
systemic
affecting
sleep.
Findings:
Four
primary
themes
emerged:
(1).
Environmental
Factors:
noise
alarms,
equipment,
family
presence,
late-night
activities,
along
abrupt
lighting
changes,
consistently
disrupted
(2).
Patient-Specific
pain,
emotional
distress,
cultural
expectations,
involvement
influenced
experiences.
(3).
Systemic
Contextual
language
barriers,
infrastructural
disparities
between
governmental
hospitals,
limited
resources
can
impeded
effective
sleep-promoting
strategies.
(4).
Role
Health
Technology:
recognized
potential
innovations
smart
wearable
monitors
enhance
but
faced
implementation
knowledge
gaps
familiarity.
highlighted
how
adaptation
through
physiological
cognitive–emotional
pathways,
as
observed
by
nurses,
was
facilitated
hindered
factors.
Conclusions:
Enhancing
in-hospital
requires
holistic,
culturally
sensitive
approach
that
integrates
modifications,
patient-centered
care,
improvements.
Strategic
investments
staff
communication
training,
upgrades,
support
services,
adoption
health
technologies
promote
adaptive
responses
optimize
rest.
By
leveraging
theory-driven
context-specific
strategies,
systems—particularly
those
undergoing
rapid
development—can
better
fostering
restorative
environments
fundamental
component
thereby
enhancing
recovery,
satisfaction,
overall
well-being.
Brain and Behavior,
Journal Year:
2025,
Volume and Issue:
15(2)
Published: Feb. 1, 2025
ABSTRACT
Purpose
To
provide
a
comprehensive
review
of
sleep
disturbances
in
hospitalized
patients,
focusing
on
case‐based
approach
to
illustrate
the
multifaceted
nature
this
clinical
challenge.
Method
An
extensive
related
literature
was
conducted
determine
common
causes
such
as
environmental,
medical,
psychological,
and
physiological
factors.
The
case
Mrs.
Z
used
how
these
factors
interact
setting.
Findings
study
revealed
high
prevalence
which
can
lead
significant
adverse
outcomes.
A
multidisciplinary
involving
physicians,
nurses,
pharmacists,
other
healthcare
professionals
is
essential
effectively
manage
disorders
due
interplay
various
Nonpharmacological
interventions
are
fundamental
management
plan.
Pharmacotherapy
may
sometimes
be
necessary
improve
quality
duration.
Conclusion
Health
significantly
enhance
piatients
by
understanding
value
providing
evidence‐based
strategies
for
improvement.
In
return,
improves
patient
outcomes,
reduces
costs,
advances
general
satisfaction.
Central European Journal of Nursing and Midwifery,
Journal Year:
2025,
Volume and Issue:
16(1), P. 2119 - 2126
Published: March 5, 2025
Aim:
The
main
objective
was
to
determine
how
hospitalized
patients
subjectively
perceive
sleep
disturbances.
study
also
assessed
the
influence
of
selected
factors
(physiological,
physical,
environmental,
and
psychological)
clinical
demographic
variables
on
disruption.
Design:
A
multicenter
descriptive
study.
Methods:
Conducted
in
seven
Czech
hospitals
from
February
May
2023,
included
397
general
wards.
Data
were
collected
using
a
modified
questionnaire
disturbances,
results
analyzed
non-parametric
statistical
tests.
Results:
sample
comprised
193
males
(48.6
%)
204
females
(51.4%).
Females
reported
more
disturbances
than
(p
=
0.023).
Psychological
physical
had
greater
impact
females.
Younger
poorer
quality
0.015).
Pain
strongest
factor
that
negatively
affected
(Ra
0.730).
Environmental
leading
cause
disturbance
0.836).
variability
associated
with
all
studied
(environmental,
psychological,
physiological,
physical)
accounted
for
97.6%
total
disturbance.
Conclusion:
younger
experienced
environmental
primary
causes
disrupted
sleep.
Differences
noted
affecting
between
genders.
BMC Psychology,
Journal Year:
2023,
Volume and Issue:
11(1)
Published: Dec. 13, 2023
With
the
widespread
adoption
of
smartphones,
there
has
been
a
notable
increase
in
problematic
mobile
phone
use
(PMPU),
particularly
prevalent
among
college
students.
Research
suggests
that
apart
from
being
associated
with
various
behaviors,
this
excessive
might
also
have
an
impact
on
individual
personality
traits,
such
as
time
management
disposition
(TMD),
which
plays
significant
role
motivation
and
psychological
well-being.
While
previous
literature
identified
negative
relationship
between
PMPU
TMD,
few
studies
delved
into
underlying
mediating
mechanism.
Thus,
main
aim
study
was
to
examine
chain
effect
sleep
quality
cognitive
flexibility
TMD.A
total
921
Chinese
students
completed
questionnaire.
We
collected
basic
information
about
participants
assessed
their
PMPU,
quality,
using
Problematic
Mobile
Phone
Use
Scale-10,
Adolescence
Time
Management
Disposition
Inventory,
Pittsburgh
Sleep
Quality
Index
scale
Cognitive
Flexibility
Inventory.The
results
indicated
correlation
all
variables.
Moreover,
we
noted
both
fully
mediated
association
TMD.
Additionally,
involving
identified.We
found
had
series
multiple
effects
pathway
significantly
These
findings
impaired
function
may
contribute
difficulties
resulting
suggesting
behaviors
like
can
one's
traits.
Therefore,
interventions
should
be
enhanced
mitigate
adverse
PMPU.
The AMA Journal of Ethic,
Journal Year:
2024,
Volume and Issue:
26(12), P. E916 - 924
Published: Dec. 1, 2024
When
built
environments
in
health
care
result
from
an
evidence-based
design
(EBD)
process,
they
are
interventions
that
can
improve
patients'
outcomes.
This
commentary
on
a
case
discusses
which
ethical
values
should
guide
organizations'
capital
expenditure
decisions
about
retrofits,
might
be
more
costly
than
the
original
budget.
discussion
urges
reevaluation
of
common
assumption
improvements
"sunk
costs,"
since
such
promote
long-term
positive
outcomes
for
organization's
patients,
thereby
advancing
both
financial
value
and
values.
also
suggests
EBD
offers
key
clinically
ethically
relevant.
BackgroundCritically
ill
patients
frequently
encounter
disruptions
in
their
circadian
rhythms
the
intensive
care
unit
(ICU)
environment.
New
lighting
systems
have
been
developed
to
enhance
daytime
light
levels
and
promote
alignment.Objectivesto
investigate
impact
of
implementing
a
cutting-edge
technology
that
mimics
natural
reproduce
colour
skyDesignProspective,
observational,
quasi-randomised,
case-control
study.
ICU
were
exposed
either
system
based
on
new
(case
group)
or
conventional
using
fluorescent
bulbs
(control
group).SettingAn
Italian
devoid
windows,
thereby
denying
access
light.Main
Outcome
MeasuresThe
two
groups
compared
assess
need
for
sedatives
prevalence
absence
delirium
during
stay.
The
secondary
aim
was
presence
anxiety,
depression,
post-traumatic
stress
disorder
at
3,
6,
12
months
after
discharge.Results86
included:
52
(60%)
case
group
34
(40%)
control
group.
Seventy-nine
(82%)
alive
discharge.
Fourteen
(16%)
group:
n
=
8
[15%]
vs.
6
[18%]
group,
(P=0.781).
Vital
signs,
blood
gas
analysis,
use
vasoactive
sedative
drugs,
neuromuscular
blocking
agents
similar
both
groups.
No
differences
incidence
disorders
observed
among
who
underwent
follow-up
visits.ConclusionsInnovative
did
not
provide
any
significant
benefit
reducing
frequency
necessity
medications,
as
traditional
tube
lighting.Implications
Clinical
PracticeA
single
intervention,
lights
mimic
sunny
sky,
result
statistically
reduction
delirium.
As
aetiology
is
multifactorial,
interventions
must
be
multifaceted
address
different
spheres.