Evidence-based
guidelines
advocate
promoting
sleep
in
intensive
care
unit
(ICU)
patients,
yet
many
patients
experience
poor
quality.
We
sought
to
develop
a
collaborative
evidence-based
intervention
with
healthcare
providers
and
assess
whether
interventions
could
improve
quality
awake
adult
ICU
patients.
conducted
prospective,
nonrandomized
cluster
control
trial
two
units
(ICUs)
at
tertiary
general
teaching
hospital
China.
Patients
aged
18
years
or
older
who
stayed
the
for
one
night
more
were
conscious
eligible
enrollment.
only
blinded
not
outcome
assessors.
On
basis
of
practice
clinical
reality,
we
developed
measures
group,
which
mainly
included
four
aspects:
reducing
environmental
noise
ICU,
adjusting
nursing
actions,
modifying
nighttime
lighting,
other
measures.
The
assessment
tools
used
wearable
actigraphy
monitoring
devices
Richards-Campbell
Sleep
Questionnaire
(RCSQ).
primary
outcomes
patient
quality,
including
total
time,
deep
light
rapid
eye
movement
(REM)
number
awakenings,
overall
score,
patients'
self-assessment
their
that
night.
data
collected
analyzed
via
SPSS
Mplus
statistical
software
between-group
analysis,
pre-post
comparison,
profile
calculation
effect
size.
From
September
1,
2023,
January
31,
2024,
713
underwent
eligibility
assessment,
ultimately
246
125
group
121
group.
Comparative
analysis
revealed
no
statistically
significant
differences
between
groups
when
duration
=
1
(P
>
0.05),
small
However,
had
higher
scores
(sleep
wristband:
57.74
±
22.55
57.72
19.39;
RCSQ
questionnaire:
60.58
22.14
57.61
24.4)
time
(440.42
262.11
420.31
236.89),
lower
awakening
frequency
(3.98
2.69
<
6.09
4.66)
(3.976
2.693
4.664)
than
did
significantly
improved
all
parameters
except
(min)
according
pre-post-test
analyses
medium
large
size
favorable
effects.
hospitalized
day.
our
results
do
support
improvement
admitted
Clinical
registration:
ChiCTR2300075763,
Registered
14
2023—Retrospectively
registered,
https://www.chictr.org.cn/bin/userProject
Journal of Clinical Nursing,
Год журнала:
2024,
Номер
33(12), С. 4528 - 4542
Опубликована: Окт. 6, 2024
Sleep
is
a
fundamental
prerequisite
for
physical
and
mental
health.
Poor
quality
of
sleep
common
among
post-cardiac
surgery
patients
leads
to
serious
health
conditions.
Nutrition Reviews,
Год журнала:
2024,
Номер
unknown
Опубликована: Июнь 21, 2024
Circadian
rhythms
in
humans
are
biological
that
regulate
various
physiological
processes
within
a
24-hour
time
frame.
Critical
illness
can
disrupt
the
circadian
rhythm,
as
environmental
and
clinical
factors,
including
altered
light
exposure,
organ
replacement
therapies,
disrupted
sleep-wake
cycles,
noise,
continuous
enteral
feeding,
immobility,
therapeutic
interventions.
Nonpharmacological
interventions,
controlling
ICU
environment,
pharmacological
treatments
among
treatment
strategies
for
disruption.
Nutrition
establishes
metabolically
active
peripheral
tissues
organs
through
appropriate
synchronization
with
endocrine
signals.
Therefore,
adhering
to
feeding
schedule
based
on
clock,
concept
known
"chrononutrition,"
appears
be
vitally
important
regulating
clocks.
Chrononutritional
approaches,
such
intermittent
includes
overnight
fasting
consideration
of
macronutrient
composition
solutions,
could
potentially
restore
health
by
resetting
However,
due
lack
evidence,
further
studies
effect
chrononutrition
outcomes
critical
needed.
The
purpose
this
review
was
discuss
role
illness,
its
impact
outcomes.
Evidence-based
guidelines
advocate
promoting
sleep
in
intensive
care
unit
(ICU)
patients,
yet
many
patients
experience
poor
quality.
We
sought
to
develop
a
collaborative
evidence-based
intervention
with
healthcare
providers
and
assess
whether
interventions
could
improve
quality
awake
adult
ICU
patients.
conducted
prospective,
nonrandomized
cluster
control
trial
two
units
(ICUs)
at
tertiary
general
teaching
hospital
China.
Patients
aged
18
years
or
older
who
stayed
the
for
one
night
more
were
conscious
eligible
enrollment.
only
blinded
not
outcome
assessors.
On
basis
of
practice
clinical
reality,
we
developed
measures
group,
which
mainly
included
four
aspects:
reducing
environmental
noise
ICU,
adjusting
nursing
actions,
modifying
nighttime
lighting,
other
measures.
The
assessment
tools
used
wearable
actigraphy
monitoring
devices
Richards-Campbell
Sleep
Questionnaire
(RCSQ).
primary
outcomes
patient
quality,
including
total
time,
deep
light
rapid
eye
movement
(REM)
number
awakenings,
overall
score,
patients'
self-assessment
their
that
night.
data
collected
analyzed
via
SPSS
Mplus
statistical
software
between-group
analysis,
pre-post
comparison,
profile
calculation
effect
size.
From
September
1,
2023,
January
31,
2024,
713
underwent
eligibility
assessment,
ultimately
246
125
group
121
group.
Comparative
analysis
revealed
no
statistically
significant
differences
between
groups
when
duration
=
1
(P
>
0.05),
small
However,
had
higher
scores
(sleep
wristband:
57.74
±
22.55
57.72
19.39;
RCSQ
questionnaire:
60.58
22.14
57.61
24.4)
time
(440.42
262.11
420.31
236.89),
lower
awakening
frequency
(3.98
2.69
<
6.09
4.66)
(3.976
2.693
4.664)
than
did
significantly
improved
all
parameters
except
(min)
according
pre-post-test
analyses
medium
large
size
favorable
effects.
hospitalized
day.
our
results
do
support
improvement
admitted
Clinical
registration:
ChiCTR2300075763,
Registered
14
2023—Retrospectively
registered,
https://www.chictr.org.cn/bin/userProject
