Critical Care Medicine,
Год журнала:
2014,
Номер
43(1), С. 135 - 141
Опубликована: Сен. 17, 2014
Disrupted
sleep
is
a
common
and
potentially
modifiable
risk
factor
for
delirium
in
the
ICU.
As
part
of
quality
improvement
project
to
promote
ICU,
we
examined
association
perceived
ratings
other
patient
ICU
factors
with
daily
transition
delirium.Secondary
analysis
prospective
observational
study.Medical
over
201-day
period.Two
hundred
twenty-three
patients
greater
than
or
equal
one
night
medical
between
two
consecutive
days
assessment.None.Daily
were
measured
using
Richards-Campbell
Sleep
Questionnaire.
Delirium
was
twice
Confusion
Assessment
Method
Other
covariates
evaluated
included
age,
sex,
race,
admission
diagnosis,
nighttime
mechanical
ventilation
status,
prior
day's
sedation
benzodiazepines
opioids,
via
both
bolus
continuous
infusion.
Perceived
similar
who
ever
versus
never
delirious
(median
[interquartile
range]
ratings,
58
[35-76]
vs
57
[33-78],
respectively;
p
=
0.71),
unrelated
(adjusted
odds
ratio,
1.00;
95%
CI,
0.99-1.00).
In
mechanically
ventilated
patients,
receipt
benzodiazepine
and/or
opioid
infusion
associated
4.02;
2.19-7.38;
<
0.001),
reporting
use
pharmacological
aids
at
home
less
likely
0.40;
0.20-0.80;
0.01).We
found
no
delirium.
Infusion
medications
strongly
an
important,
critically
ill
patients.
Journal of Intensive Care Medicine,
Год журнала:
2014,
Номер
31(1), С. 14 - 23
Опубликована: Июнь 10, 2014
Patients
in
the
intensive
care
unit
(ICU)
are
susceptible
to
sleep
deprivation.
Disrupted
is
associated
with
increased
morbidity
and
mortality
critically
ill
patients.
The
etiology
of
disruption
multifactorial.
article
reviews
literature
on
ICU,
effects
deprivation,
strategies
promote
ICU.
Until
impact
disrupted
better
explained,
it
appropriate
provide
patients
consolidated,
restorative
sleep.
American Journal of Critical Care,
Год журнала:
2012,
Номер
21(4), С. 261 - 269
Опубликована: Июнь 30, 2012
The
Richards-Campbell
Sleep
Questionnaire
(RCSQ)
is
a
simple,
validated
survey
instrument
for
measuring
sleep
quality
in
intensive
care
patients.
Although
both
patients
and
nurses
can
complete
the
RCSQ,
interrater
reliability
agreement
have
not
been
fully
evaluated.To
evaluate
patient-nurse
of
RCSQ
medical
unit.The
included
5
items
plus
rating
nighttime
noise,
each
scored
by
using
100-mm
visual
analogue
scale.
mean
comprised
total
score.
For
24
days,
night-shift
unit
completed
regarding
their
patients'
overnight
quality.
Upon
awakening,
all
conscious,
nondelirious
RCSQ.
Neither
nor
knew
others'
ratings.
Patient-nurse
was
evaluated
differences
Bland-Altman
plots.
Reliability
intraclass
correlation
coefficients.Thirty-three
had
92
paired
assessments.
items,
nurses'
scores
were
higher
(indicating
"better"
sleep)
than
scores,
with
significantly
ratings
depth
(mean
[SD],
67
[21]
vs
48
[35],
P
=
.001),
awakenings
(68
60
[33],
.03),
score
[19]
57
[28],
.01).
plots
also
showed
that
generally
Intraclass
coefficients
pairs
ranged
from
0.13
to
0.49
across
questions.Patient-nurse
on
"slight"
"moderate,"
tending
overestimate
perceived
Intensive and Critical Care Nursing,
Год журнала:
2015,
Номер
31(6), С. 325 - 335
Опубликована: Июль 26, 2015
Patients
in
an
intensive
care
unit
(ICU)
may
risk
disruption
of
their
circadian
rhythm.
In
intervention
research
project
a
cycled
lighting
system
was
set
up
ICU
room
to
support
patients'
Part
I
aimed
compare
experiences
the
environment
two
rooms
with
different
environments
by
questionnaire.
The
results
indicated
differences
advantage
for
patients
(n=48),
perception
daytime
brightness
(p=0.004).
nighttime,
greater
variation
(p=0.005)
found
ordinary
(n=52).
II
describe
equipped
environment.
(n=19)
were
interviewed
and
presented
categories:
"A
dynamic
environment",
"Impact
on
sleep",
"The
impact
lighting/lights
rhythm"
calms".
Most
had
from
sleep
disorders
half
nightmares/sights
rhythm
disruption.
Nearly
all
pleased
environment,
which
together
daylight
supported
night's
actual
levels
helped
staff
connect
engendered
feelings
calm.
Annals of the American Thoracic Society,
Год журнала:
2018,
Номер
15(9), С. 1075 - 1082
Опубликована: Июнь 26, 2018
Poor
sleep
quality
is
common
in
the
intensive
care
unit
(ICU)
and
may
be
associated
with
adverse
outcomes.
Hence,
ICU-based
efforts
to
promote
are
gaining
attention,
motivating
interest
methods
measure
critically
ill
patients.
Actigraphy
evaluates
rest
activity
by
algorithmically
processing
gross
motor
data,
usually
collected
a
noninvasive
wristwatch-like
accelerometer
device.
In
patients,
actigraphy
has
been
used
as
surrogate
of
sleep;
however,
its
use
not
systematically
reviewed.
American Journal of Critical Care,
Год журнала:
2017,
Номер
26(4), С. 278 - 286
Опубликована: Июль 1, 2017
Background
Multiple
factors
are
believed
to
contribute
disruption
of
patients’
sleep
and
negatively
affect
clinical
outcomes
in
the
intensive
care
unit.
Achieving
restorative
for
critically
ill
patients
remains
a
challenge.
Objectives
To
explore
perceptions
beliefs
staff,
patients,
surrogates
regarding
environmental
nonenvironmental
medical
unit
that
sleep.
Methods
This
qualitative
study
included
24
staff
(7
physicians,
5
respiratory
therapists,
10
nurses,
2
patient-care
assistants),
8
6
patient
surrogates.
Semistructured
interviews
were
conducted,
analysis
content
was
used
code,
categorize,
identify
interview
themes.
Results
Interview
responses
revealed
4
themes
with
related
subthemes:
(1)
The
overnight
environment
does
sleep,
(2)
such
as
difficult
emotions
anxiety
also
(3)
respondents’
about
quality
highly
variable,
(4)
suggestions
improvement
reassuring
care-clustering
strategies.
Conclusions
this
suggest
is
not
only
factor
influencing
Decreases
sources
disturbance
necessary
but
sufficient
improvement.
Guideline-recommended
clustered
needed
provide
adequate
opportunity,
must
be
addressed.
