The effect of nursing care provided to coronary intensive care patients according to their circadian rhythms on sleep quality, pain, anxiety, and delirium: a randomised controlled trial

BMC Nursing, Journal Year: 2025, Volume and Issue: 24(1)

Published: Feb. 7, 2025

This study carried out to examine the effects of nursing care given coronary intensive patients according their circadian rhythms on sleep quality, pain, anxiety, and delirium. was designed as a randomised controlled, clinical investigation. The population consisted treated in unit training research hospital between September 2022 February 2023. Total 44 participants were included. included followed up for 3 days unit. Data collected using "Patient Information Form, Sleep Quality Scale Coronary Intensive Care Patients (SQ-CC), Visual Analogue (VAS), Morningness-Eveningness Questionnaire (MEQ), Hospital Anxiety Depression (HADS), Delirium Screening Checklist (ICDSC)." In addition, melatonin cortisol measurements made, data taken with smartwatch. intermediate chronotype, delirium, ventilator support, or sedative drugs excluded. chronotypes determined, intervention group by rhythms. No made control group, routine continued accordance functioning. Frequency distribution, dependent independent sample t-test, Wilcoxon test, repeated measures analysis variance, Mann Whitney U, chi-square used evaluate data. has been registered ClinicalTrials.gov (Identifiers: NCT04934436). During statistical analysis, groups coded Group A B, ensuring blinding statistician. group's quality increased compared (post-test SQ-CC total scores: 22.41 ± 6.67 vs. 50.45 10.63, p < 0.001). Although no significant difference found result study, there decrease pain score (VAS pre-test: 1.55 2.15, post-test: 0.68 2.21, = 0.036). anxiety decreased significantly HADS-Anxiety 3.18 3.29 8.50 5.66, post-test delirium higher ICDSC 0.32 0.48 1.18 0.50, Melatonin both without statistically differences them (melatonin levels: > 0.05). Considering sound levels environment, first-night decibel mean than (first-night mean: 56.58 2.43 dB 54.51 2.41 dB, Finally, smartwatch show times (p 0.05), but had more deep sleep, while less sleep. Nursing rhythm increases reduces risk acute syndrome

Language: Английский

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Rehabilitation in the intensive care unit (RehabICU). Clinical practice recommendations of the national Union of Physical and Rehabilitation Medicine Specialists of Russia and of the national Federation of Anesthesiologists and Reanimatologists

Annals of critical care, Journal Year: 2022, Volume and Issue: 2, P. 7 - 40

Published: April 28, 2022

After discharge from the Intensive Care Unit (ICU), more than 50 % of patients experience pathological symptoms that are not related to primary emergency but reduce quality life and require rehabilitation. Post Syndrome (PIСS) include only those conditions do have a direct causal relationship with condition gave rise hospitalization in ICU. The pathophysiological basis PICS is phenomenon “learned non-use”: state artificial limitation patient’s motor cognitive activity as result use analgosedation, bed rest immobilization. clinical picture determined by severity its individual components, detailed using package clinimetric scales. Based on results dynamic testing, index calculated. sum scores range 0 10 reflects effectiveness rehabilitation measures. For prevention PICS, Union Rehabilitologists Russia together Federation Anesthesiologists Resuscitators has developed complex “ReabICU”. In English-language literature, such called “Awakening Breathing Coordination, Delirium monitoring/management, Early exercise/mobility” bundle. ReabICU technologically therapeutic diagnostic modules “positioning mobilization”, “prevention dysphagia nutritional deficiency”, emotional impairment delirium”, loss self-care skills”. multidisciplinary team, which includes doctor for medical rehabilitation, 2 specialists physical specialist occupation therapy, psychologist, speech therapist, nurse team evaluated criteria achievement main goal — preservation premorbid status socialization.

Language: Английский

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Causes, Consequences, and Treatments of Sleep and Circadian Disruption in the ICU: An Official American Thoracic Society Research Statement

American Journal of Respiratory and Critical Care Medicine, Journal Year: 2023, Volume and Issue: 207(7), P. e49 - e68

Published: March 31, 2023

Section:ChooseTop of pageAbstract <

Language: Английский

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Summary of the Best Evidence for Non‐Pharmacological Management of Sleep Disturbances in Intensive Care Unit Patients

Journal of Clinical Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 21, 2025

ABSTRACT Aim To retrieve, evaluate and summarise the best evidence for non‐pharmacological management of sleep disturbances in ICU patients, to provide basis clinical nursing practice. Design This study was an summary followed by reporting standard Fudan University Center Evidence‐based Nursing. Methods All on patients from both domestic international databases relevant websites systematically searched, including guidelines, expert consensuses, practice, decision‐making, summaries systematic review. Data Sources UpToDate, BMJ Best Practice, Joanna Briggs Institute, Scottish Intercollegiate Guidelines Network, National Guideline Clearinghouse, Institute Health Clinical Excellence, Yi Maitong Registered Nurses Association Ontario, Canadian Medical Association: Practice Guideline, International WHO, Cochrane Library, CINAHL, Embase, PubMed, Web Science, CNKI, WanFang database, VIP SinoMed, The American Psychological Association, European Sleep Research Society, Academy Medicine Foundation were searched establishment June 1, 2024. Results A total 18 pieces literature included, involving 4 2 1 practice 11 reviews. 25 covering categories risk factors, monitoring, non‐pharmaceutical intervention, education training summarised. Conclusion summarises patients. In application, medical staff should make professional judgements fully combine situations patient preferences select evidence, laying a theoretical foundation later empirical research reduce incidence improve quality critically ill Implications Profession Patient Care can refer reasonable plans improving their life satisfaction. Impact has not received sufficient attention standardisation. Accurate standardised evaluation monitoring are help nurses enhance Reporting Method specifications Nursing, which based methodological process produced Institute. Nursing; registration number is ‘ES20231708’. or Public Contribution No Contribution.

Language: Английский

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Earplug use during sleep and its association with cardiovascular disease – Results from a large sample of the general population

IJC Heart & Vasculature, Journal Year: 2025, Volume and Issue: 57, P. 101642 - 101642

Published: March 7, 2025

Language: Английский

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Nurse‐led evidence‐based quality improvement programme to improve intensive care unit patient sleep quality

Nursing in Critical Care, Journal Year: 2025, Volume and Issue: 30(3)

Published: April 5, 2025

Abstract Background Patients in the intensive care unit (ICU) suffer from significant sleep disturbances, which can negatively impact their healing and overall health. Nurses, as primary caregivers, need to have expertise management ensure better patient outcomes. Implementing nurse‐led, evidence‐based protocols ICUs is crucial. Aim This study aimed improve ICU patients' quality by developing implementing a SLEEP Bundle, including Sleep initiative, Light control, Eye mask earplugs usage, Environment noise cancellation Provision of non‐pharmacological (aromatherapy music therapy) pharmacological (dexmedetomidine painkillers) support. Methods The Framework Evidence‐based Continuous Quality Improvement Ottawa Model Research Use framework were used guide development, implementation assessment Bundle. A quasi‐experimental was conducted 12‐bed surgical (SICU), assessing patient‐perceived quality, nurses' self‐report knowledge, attitudes actions regarding conditions adherence interventions. Interventions In order successfully translate evidence into clinical practice, protocol crafted with nurse involvement, input promotion materials flexible continuing education component, provided credits encourage participation. sleep‐aid kit, complete tools, system regular control feedback integral application protocol. Results intervention significantly enhanced evidenced increase Richards‐Campbell Questionnaire scores 62 (IQR = 48–72) 70 62–76) (95% CI [−10.000, −6.000], Z −6.100, p < .001). Nurses demonstrated 100% agreement knowledge items upsurge action following intervention. Concurrently, practice standards showed notable improvements practices, assessment, daytime functional exercise support compliance environmental regulations, along increased use earplugs, eye masks aromatherapy/music therapy. Conclusions highlights effectiveness feasibility nurse‐led strategy, improved outcomes Relevance Clinical Practice well interventions nurses suggest that this Bundle could be effectively translated other settings.

Language: Английский

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Personal Strategies to Reduce the Cardiovascular Impacts of Environmental Exposures

Circulation Research, Journal Year: 2024, Volume and Issue: 134(9), P. 1197 - 1217

Published: April 25, 2024

Ubiquitous environmental exposures increase cardiovascular disease risk via diverse mechanisms. This review examines personal strategies to minimize this risk. With regard fine particulate air pollution exposure, evidence exists recommend the use of portable cleaners and avoidance outdoor activity during periods poor quality. Other may support physical activity, dietary modification, omega-3 fatty acid supplementation, indoor in-vehicle conditioning as viable adverse health effects. There is currently insufficient data specific approaches reduce effects noise pollution. Public advisories for extreme heat or cold should be observed, with limited supporting a warm ambient home temperature limit harms extremes. Perfluoroalkyl polyfluoroalkyl substance exposure can reduced by avoiding contact perfluoroalkyl substance–containing materials; blood plasma donation cholestyramine total body stores substances. However, impact these interventions has not been examined. Limited utilization pesticides safe handling encouraged. Finally, vasculotoxic metal decreased using cleaners, water filtration, awareness potential contaminants in ground spices. Chelation therapy reduces physiological metals effective secondary prevention disease.

Language: Английский

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A multicentre point prevalence study of nocturnal hours awake and enteral pharmacological sleep aids in patients admitted to Australian and New Zealand intensive care units

Critical Care and Resuscitation, Journal Year: 2024, Volume and Issue: 26(3), P. 192 - 197

Published: July 31, 2024

Critically ill patients suffer disrupted sleep. Hypnotic medications may improve sleep; however, local epidemiological data regarding the amount of nocturnal time awake and use such is needed. Point prevalence study. Adult ICUs in Australia New Zealand. All adult admitted to participating Intensive Care Units (ICUs) on study day. Time overnight (22:00–06:00) was determined by structured nurse observation. The enterally administered sedative-hypnotic drugs prior during ICU admission recorded, as a unit policy non-pharmacological sleep promotion strategies. Data were available for 532 40 (median age 60 years, 336 (63.2%) male, 222 (41.7%) invasively ventilated). Forty-eight (9.0%) received an enteral pharmacological aid, which melatonin (28, 5.2%) most frequently used. Patients not ventilated observed be median 4.0 h (interquartile range (IQR): 2.5, 5.5), with no difference those receiving hypnotic (p = 0.9). Non-pharmacological aids reportedly offered or 52% (earplugs) 63% (eye masks). Only 7 (17.5%) had informing sleep-optimising interventions. invasive ventilation appeared spend many hours awake. Pharmacological aid administration associated greater asleep. Most did receive any have guideline promotion.

Language: Английский

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Effect of using eye masks and earplugs in preventing delirium in intensive care patients: A single‐blinded, randomized, controlled trial

Nursing in Critical Care, Journal Year: 2023, Volume and Issue: 28(5), P. 698 - 708

Published: May 3, 2023

Delirium, which is frequently encountered in intensive care patients, can be prevented with multicomponent nursing interventions, and thus the negative consequences reduced.To examine effect of using eye masks earplugs preventing delirium units (ICUs).A randomized, controlled, single-blind intervention study. This study was conducted medical surgical ICUs a tertiary hospital, nurses were given pre-study training on risks, diagnosis, prevention, management. Data collected patient information form, Nursing Delirium Screening Scale, Richard-Campbell Sleep daily follow-up form. Various environmental modifications made for all evidence-based nonpharmacological interventions applied to patients both groups during day night shifts 3 days. In addition, group provided three nights.The included total 60 (30 30 control group). There statistically significant difference development between (night 2nd day, p = .019; 3rd < .001; ≤ .001). The average sleep quality score found significantly higher than (p .001 nights). Staying internal medicine ICU affected (odds ratio [OR], 11.84; 95% confidence interval [CI], 3.00-46.66; .017) more coronary ICU, being age 65 over, having hearing impairment, coming from operating room, education level had an effect.The used by overnight effective increasing delirium.The use recommended delirium.

Language: Английский

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The effects of earplugs and eye masks on sleep quality of patients admitted to coronary care units: A randomised clinical trial

Journal of Sleep Research, Journal Year: 2021, Volume and Issue: 31(2)

Published: Sept. 12, 2021

Summary Sleep is an essential need for patients admitted to coronary care units. The present clinical trial aimed determine the effect of using eye masks and earplugs on sleep quality with heart disease (CHD). A total 68 eligible CHD were randomly allocated into four groups 17 (control, masks, earplugs, earplugs). All three interventions performed during night from 10:00 p.m. 7:00 a.m. next day. outcomes sleep, measured by Verran Snyder‐Halpern (VSH) Scale, urinary levels nocturnal melatonin cortisol, urine samples taken (from a.m.). study third fourth days. disturbance was statistically significantly lower in (visual analogue scale mean difference [MD]: 74.31 mm, SE : 11.34, p = 0.001). effectiveness higher mask (MD: 36.88 8.75, supplementation 39.79 7.23, There a significant between control group ( 0.03). For cortisol levels, there differences 0.007), 0.001), 0.006). scores comfort, effectiveness, ease use highest that used (2.88, 2.94, 3.18, respectively). As result, all improved patients. However, had different effects dimensions VSH as well melatonin.

Language: Английский

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