Effect of virtual reality meditation on sleep quality of intensive care unit patients: A randomised controlled trial

Intensive and Critical Care Nursing, Journal Year: 2020, Volume and Issue: 59, P. 102849 - 102849

Published: March 31, 2020

Language: Английский

---

The Effects of Melatonin Supplementation on Sleep Quality and Assessment of the Serum Melatonin in ICU Patients: A Randomized Controlled Trial

Critical Care Medicine, Journal Year: 2020, Volume and Issue: 48(12), P. e1286 - e1293

Published: Oct. 13, 2020

Objectives: To evaluate whether the use of exogenous melatonin affects sleep, reduces prevalence delirium, and decreases need for analgosedation to assess serum indices correlate with administration in critically ill patients. Design: Double-blind, randomized, placebo-controlled study. Setting: Multicenter ICUs two tertiary hospitals. Patients: A total 203 adult patients who were admitted ICU administered analgesics and/or sedatives. Interventions: Oral (10 mg) or placebo up seven consecutive nights. Measurements Main Results: The number observed sleeping hours at night was assessed by bedside nurse. Sleep quality evaluated using Richards Campbell Questionnaire (RCSQ). pain, anxiety, adverse reactions, duration mechanical ventilation, length hospital stays, doses sedative analgesic drugs recorded. sedatives daily. Melatonin levels determined enzyme-linked immunosorbent assay. Based on RCSQ results, sleep be better group than that a mean ( sd ) 69.7 (21.2) 60.7 (26.3), respectively p = 0.029). About 45.8% 34.4% participants groups had very good (risk ratio, 1.33; 95% CI, 0.94–1.89), whereas 3.1% 14.6% poor 0.21; 0.06–0.71), respectively. No significant difference regarding days free sedatives, occurrence anxiety. peak 2 am 150 pg/mL (range, 125–2,125 pg/mL) 32.5 18.5–35 < 0.001). Conclusions: associated quality, which suggests its possible role routine care future.

Language: Английский

---

The role of physical exercise in obstructive sleep apnea

Jornal Brasileiro de Pneumologia, Journal Year: 2016, Volume and Issue: 42(6), P. 457 - 464

Published: Dec. 1, 2016

ABSTRACT Obstructive sleep apnea (OSA) is a common clinical condition, with variable and underestimated prevalence. OSA the main condition associated secondary systemic arterial hypertension, as well atrial fibrillation, stroke, coronary artery disease, greatly increasing cardiovascular morbidity mortality. Treatment continuous positive airway pressure not tolerated by all patients often suitable in cases of mild OSA. Hence, alternative methods to treat its consequences are needed. In patients, regular physical exercise has beneficial effects other than weight loss, although mechanisms those remain unclear. this population, physiological adaptations due include increases upper dilator muscle tone slow-wave time; decreases fluid accumulation neck, inflammatory response, body weight. The major benefits programs for reducing severity daytime sleepiness, efficiency maximum oxygen consumption. There few studies that evaluated role alone treatment, their protocols quite diverse. However, aerobic exercise, or combined resistance training, point among studies. review, involved treatment means presented. addition provided regular, predominantly aerobic, program have shown reduction disease an increase peak consumption, regardless loss.

Language: Английский

---

A key role of gut microbiota-vagus nerve/spleen axis in sleep deprivation-mediated aggravation of systemic inflammation after LPS administration

Life Sciences, Journal Year: 2020, Volume and Issue: 265, P. 118736 - 118736

Published: Nov. 8, 2020

Language: Английский

---

Awakenings? Patient and Hospital Staff Perceptions of Nighttime Disruptions and Their Effect on Patient Sleep

Journal of Clinical Sleep Medicine, Journal Year: 2017, Volume and Issue: 13(02), P. 301 - 306

Published: Feb. 14, 2017

Although important to recovery, sleeping in the hospital is difficult because of disruptions. Understanding how patients, physicians, and nurses perceive sleep disruptions identifying which are associated with objective loss can help target improvement initiatives.Patients staff completed Potential Hospital Sleep Disruptions Noises Questionnaire (PHSDNQ). Cutoff points were defined based on means, responses dichotomized. Perceived percent disrupted for each item was calculated, compared across groups using chi-square tests. Objective time patients measured wrist actigraphy. The association between patient-reported assessed a multivariable linear regression model controlling subject random effects.Twenty-eight physicians (78%), 37 (88%), 166 their PHSDNQ. Patients, agreed that pain, vital signs tests top three disrupters patient sleep. Significant differences among groups' perceptions existed alarms [24% (patients) vs. 46% (physicians) 27% (nurses), p < 0.040], room temperature (15% 0% 5%, 0.031) anxiety (18% 21% 38%, 0.031). Using survey actigraphy data from 645 nights 379 presence pain only disruption lower duration (minutes) [-38.1 (95% confidence interval -63.2, -12.9) 0.003].Hospital disrupters. However, greatest loss, highlighting need proactive screening management improve hospitals.

Language: Английский

---

Pharmacological and non-pharmacological interventions to promote sleep in intensive care units: a critical review

Sleep And Breathing, Journal Year: 2019, Volume and Issue: 24(1), P. 25 - 35

Published: July 31, 2019

Language: Английский

---

The role of melatonin and melatonin receptor agonist in the prevention of sleep disturbances and delirium in intensive care unit – a clinical review

Sleep Medicine, Journal Year: 2020, Volume and Issue: 69, P. 127 - 134

Published: Jan. 27, 2020

Language: Английский

---

Effectiveness of aromatherapy on anxiety and sleep quality among adult patients admitted into intensive care units: A systematic review

Intensive and Critical Care Nursing, Journal Year: 2023, Volume and Issue: 76, P. 103396 - 103396

Published: Feb. 2, 2023

Language: Английский

---

Non-pharmacological sleep interventions for adult patients in intensive care Units: A systematic review

Intensive and Critical Care Nursing, Journal Year: 2021, Volume and Issue: 67, P. 103124 - 103124

Published: Aug. 26, 2021

Language: Английский

---

Investigating the Interplay of Thermal, Lighting, and Acoustics in Intensive Care for Enhanced Patient Well-being and Clinical Outcomes

HERD Health Environments Research & Design Journal, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 16, 2025

This research explores the interplay among noise levels, thermal conditions, and lighting intensity in an intensive care unit (ICU), focusing on preserving circadian rhythm promoting nighttime sleep to advance patient-centric care. investigation assesses levels (Lux), natural versus artificial light ratios, ICU room temperature, correlations with acoustic data during a field period examines collective impact of patient exposure linked delirium health outcomes, addressing critical gaps understanding. Findings reveal that between 60 90 dB(A) occupancy exceed disruption thresholds, daytime averages 53.6 48.5 surpassing recommended criteria. Temperature fluctuations, often outside optimal range, suboptimal diurnal variations comfort clinician challenges. Lux mostly fall short optimum affecting rhythms. Temporal distinctions these environmental factors directly clinicians patients, correlated spikes noise, lighting, temperature admission periods requiring heightened attention for These cumulative impacts necessitate navigate challenges ensure consistent effective Patients experience disruptions, highlighting need holistic healthcare design interconnected dynamics. The findings underscore importance comprehensive approaches design, optimizing environment supporting professionals’ well-being. Recommendations include targeted interventions improve sleep, reduce incidence, enhance recovery, advancing better outcomes; facilitating communication practitioners.

Language: Английский

---