Efforts to improve sleep quality in a medical intensive care unit: effect of a protocol of non-pharmacological interventions

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dc.authorscopusid57450281900
dc.authorscopusid57362887700
dc.contributor.authorTopçu, Nihal
dc.contributor.authorTosun, Zeynep
dc.date.accessioned2022-05-11T14:07:31Z
dc.date.available2022-05-11T14:07:31Z
dc.date.issued2022
dc.departmentYüksekokullar, Sağlık Yüksekokulu, Hemşirelik Bölümü
dc.description.abstractPurpose: This study aimed to evaluate the effect of a protocol of nonpharmacological interventions to improve sleep quality in the intensive care unit (ICU). Due to its close relationship with sleep quality, the effects of the same interventions on noise levels and delirium rates were also evaluated in this study. Methods: This pretest–posttest design with a control group was carried out in a medical ICU over 8 months. Data were collected using Acute Physiology and Chronic Health Evaluation II, the Glasgow Coma Scale, the Richmond Agitation-Sedation Scale, the Richards-Campbell Sleep Questionnaire (RCSQ), the Confusion Assessment Method for the Intensive Care Unit, and noise measurement devices. In the first phase of the study, patients receiving standard care in the ICU were followed. After the first stage, a training session was held for nurses to raise awareness and information. Then, the sleep-promoting protocol created by the researchers was applied. The ambient noise level was measured continuously. Results: A total of 78 patients with a mean age of 70.0 ± 13.2 years were followed in the ICU for an average of 7.3 ± 3.8 days. With protocol implementation, the ambient noise level in the ICU was reduced from 70.9 ± 3.8 dB(A) to 62.7 ± 3.5 dB(A) (p < 0.01); the RCSQ scores of the patients increased from 48.3 ± 1.4 to 62.1 ± 1.8 (p < 0.01). Although statistically nonsignificant, efforts to improve sleep quality also reduced the development of delirium by 15%. Conclusion: It is possible to improve sleep quality and reduce noise levels in an ICU with a protocol consisting of multicomponent nonpharmacological interventions. © 2022, The Author(s), under exclusive licence to Springer Nature Switzerland AG.
dc.description.sponsorshipThis study was supported by university fund of scientific research projects (Project No: NKU.BAP.23.YL.17.095). The funding source had no effect on the study.
dc.identifier.doi10.1007/s11325-022-02570-w
dc.identifier.issn1520-9512
dc.identifier.pmid35146570
dc.identifier.scopus2-s2.0-85124545763
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1007/s11325-022-02570-w
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5132
dc.identifier.wosWOS:000753917900001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorTosun, Zeynep
dc.language.isoen
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.relation.ispartofSleep and Breathing
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDelirium
dc.subjectIntensive care unit
dc.subjectNoise
dc.subjectNon-pharmacological protocol
dc.subjectSleep quality
dc.titleEfforts to improve sleep quality in a medical intensive care unit: effect of a protocol of non-pharmacological interventions
dc.typeArticle

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