The effects of aromatherapy massage with mint and sweet almond oils on the sleep quality of patients with traumatic brain injury admitted to intensive care unit: a randomized clinical trial

Sleep And Breathing, Journal Year: 2025, Volume and Issue: 29(1)

Published: March 1, 2025

Language: Английский

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Inter-rater disagreement in manual scoring of intensive care unit sleep data

BMC Research Notes, Journal Year: 2025, Volume and Issue: 18(1)

Published: April 1, 2025

Severe sleep disruption is common among intensive care unit (ICU) patients. However, the applicability of standard scoring guidelines by American Academy Sleep Medicine (AASM) has been questioned, with most polysomnography (PSG) studies in critically ill patients reporting difficulties setting up and processing recordings. The present study explores human inter-rater agreement stage following AASM guidelines, within a heterogenous ICU patient cohort. Two experts independently scored total 51,454 epochs 20 PSG recordings acquired at ICU. Epoch-per-epoch comparison stages revealed Cohen's κ coefficient 0.36 for 5-stage scoring. Highest occurred Wake (κ = 0.46), while REM showed lowest 0.12). Significant correlations were found between agreement, Simplified Acute Physiology Score (SAPS II, r - 0.506, p 0.038), 12-month mortality (r 0.524, 0.031). Comparison similar underscore challenges applying criteria to Despite accounting artifacts, disparities persisted, emphasizing need nuanced exploration factors influencing inconsistencies Trial was registered as "Sleep biorhythm ICU", Centrale Commissie Mensgebonden Onderzoek register, number NL-OMON43659 ( https://onderzoekmetmensen.nl/nl/trial/43659 ), on registration date august 4th 2015.

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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Validity of an under-mattress sensor for objective sleep measurement in critically ill patients: a prospective observational study

Journal of Intensive Care, Journal Year: 2020, Volume and Issue: 8(1)

Published: Feb. 11, 2020

Considering the adverse effects of sleep disturbance in critical care settings, accurate assessment could aid therapy; however, methodological inadequacies mean that no viable option is currently available. Research healthy population has recently shown a non-wearable measurement device placed under mattress bed be beneficial intensive settings. Therefore, we aimed to validate this compared with polysomnography (PSG) and assess how it related subjective evaluations.This observational study measured critically ill adult patients. The primary goal was Nemuri SCAN (NSCAN; Paramount Bed Co., Ltd., Tokyo, Japan) against reference standard PSG for 24 h. secondary evaluate association between objective parameters obtained from NSCAN report data using Richards-Campbell Sleep Questionnaire (RCSQ) nighttime.Eleven participants were evaluated. median total time scored by 456.0 (353.0-517.5) min during nighttime 305.0 (186.2-542.5) daytime. over h revealed significant decreases restorative sleep, excessive daytime but normal quantity sleep. agreement, sensitivity, specificity rates (with 95% confidence intervals) 68.4% (67.9-69.0%), 90.1% (89.7-90.6%), 38.7% (37.9-39.7%), respectively. RCSQ value when subjectively evaluating 68.0 (26.3-83.5); showed correlation parameters, despite positive ratio stage N2 isolated or combined assessment.NSCAN had moderate high poor which most likely due its inability identify immobile wakefulness often observed patients depth. This remains barrier use quality.This investigation part an interventional trial registered University Hospital Medical Information Network Individual Clinical Trials Registry (UMIN000026350, http://www.umin.ac.jp/icdr/index-j.html) on March 1, 2017.

Language: Английский

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Delirium and depression in cardiac surgery: A comprehensive review of risk factors, pathophysiology, and management

Journal of Cardiac Surgery, Journal Year: 2021, Volume and Issue: 36(8), P. 2876 - 2889

Published: June 13, 2021

Background Mental health and wellbeing continue to gain more attention as they are inextricably associated with clinical outcomes, particularly quality of life. Many medical ailments major surgeries affect patients' mental health, including depression delirium. Aims The objective this manuscript was comprehensively review critically examine the literature pertaining cardiac surgery, depression, Methods This is a narrative article. We performed our search analysis by using following key words: "Cardiac Surgery", "Depression", "Delirium", "Clinical outcomes", "Mental Health". Search done on MedLine PubMed, accessing indexed peer-reviewed publications. Results Cardiac Surgery life-altering intervention indicated improve morbidity mortality in patients cardiovascular diseases. Psychiatric conditions before after surgery worsen patient prognosis increase rate. Specifically, preoperative increases postoperative impaired functional status, slow physical recovery, an increased readmission Discussion Although exact pathophysiology between disease (CVD) unknown, several pathways have been implicated. Unmanaged can also lead other psychological such Like association delirium CVD not well understood, but believed be multifactorial. Conclusion Herein, we provide comprehensive links delirium, surgery. current data that pertains these debilitating issues context Finally, summarize various treatment options available for managing population.

Language: Английский

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The effect of light on sleep quality and physiological parameters in patients in the intensive care unit

Applied Nursing Research, Journal Year: 2022, Volume and Issue: 66, P. 151607 - 151607

Published: June 26, 2022

Language: Английский

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Analysis of patients’ sleep disorder after total knee arthroplasty-A retrospective study

Journal of Orthopaedic Science, Journal Year: 2018, Volume and Issue: 24(1), P. 116 - 120

Published: Aug. 23, 2018

Language: Английский

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Percepción del sueño de los pacientes en una Unidad de Cuidados Intensivos

Enfermería Intensiva, Journal Year: 2018, Volume and Issue: 29(2), P. 53 - 63

Published: March 29, 2018

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Sleep Promotion among Critically Ill Patients: Earplugs/Eye Mask versus Ocean Sound—A Randomized Controlled Trial Study

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 ( p = 0.001 ), which improved after administration sound. Fisher’s LSD post hoc comparison difference p = 0.001 ). Conclusion. better than improving Earplugs, mask, are safe cost effective, could be used as an adjuvant pharmacological interventions improve However, further research this area needs conducted. trial registered NCT03215212.

Language: Английский

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Delirium in ICU patients following cardiac surgery: An observational study

Journal of Clinical Nursing, Journal Year: 2018, Volume and Issue: 27(9-10), P. 1994 - 2002

Published: March 1, 2018

Aims and objectives To observe the clinical structural factors that can be associated with post‐operative onset of delirium in patients who have undergone heart surgery. Background Several risk could contribute to development delirium, such as use some sedative drugs a patient's history certain types acute chronic disease. However, literature, there is little knowledge about association between cardiac surgical intervention their environmental predictors. Design We used an observational design. Methods enrolled 89 hospitalised ICU . Patients were first evaluated using Richmond Agitation Sedation Scale subsequently Confusion Assessment Method for A linear model regression was identify predictors patients. Results The had average age years ( SD = 6.9), predominantly male (84.3%) mostly married (79.8%). majority been subjected bypass (80.9%), while 19.1% endoprosthesis. logistic showed patient age, duration mechanically assisted ventilation, continuous exposure artificial light presence sleep disorders delirium. Conclusion This study further confirms aspects insomnia one's circadian rhythm well elements are variables should monitored order prevent treat severe Relevance practice Identifying possible predispose during intensive therapy following surgery, it fundamental implement interventions this syndrome.

Language: Английский

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