Factors Affecting on Sleeplessness of Patients in Intensive Care Unit (ICU)

Sleeplessness of Patients in ICU

Authors

  • Jennifer William
  • Nisha Sarwar
  • Humaira Saddique
  • Syeda Tasneem Kauser
  • Kalim Ullah

DOI:

https://doi.org/10.54393/pjhs.v4i06.520

Keywords:

Sleeplessness, Factors, Intensive Care Unit, ICU Light, ICU Noise

Abstract

Sleeplessness is the second problematic issue during the stay in ICU. after being discharged from hospital. Almost 51% of ICU patients complaint that their sleep habit is badly affected. Objective: To assess the factors affecting on sleeplessness of patients in intensive care unit ICU. Methods: A descriptive cross sectional research study design was conducted to examine the factors affecting on sleeplessness of patients in ICU. The population was targeted through purposive sampling techniques. Data collected from those patients who were not in very critical condition who are awaken and those who are recently shifted from ICU to ward as they were critical in ICU were targeted in this study. The targeted population was 137 of ICU patients. Data analysis were done through statistical package for the social sciences (SPSS) version-21.  Results: The overall result of this study is shown that noise and light have effect on the sleep of patients. The patients who cannot sleep when lights on were 57(47.1%), the patients who disturbed by noise were 55 (40.1%). Patients who are admitted more than 3 days or a week are more disturbed by light and noise of ICU. Conclusions: Study shows that noise and light levels in ICU are above than recommended levels. So, the hospital should take steps to improve the strategies which lead to comfort of patients sleep. Noise and light play vital role in patient healing. So, they can have peaceful sleep. Study shows that these factors should be minimized by using strategies that leads patients’ health towards healing and make their life long.

References

Luetz A, Grunow JJ, Mörgeli R, Rosenthal M, Weber-Carstens S, Weiss B, et al. Innovative ICU solutions to prevent and reduce delirium and post–intensive care unit syndrome. InSeminars in respiratory and critical care medicine. Thieme Medical Publishers. 2019 Oct: 40(05): 673-86. doi: 10.1055/s-0039-1698404. DOI: https://doi.org/10.1055/s-0039-1698404

Xie H, Kang J, Mills GH. Clinical review: The impact of noise on patients' sleep and the effectiveness of noise reduction strategies in intensive care units. Critical Care. 2009 Apr; 13(2): 1-8. doi: 10.1186/cc7154. DOI: https://doi.org/10.1186/cc7154

Berens RJ. Noise in the pediatric intensive care unit. Journal of Intensive Care Medicine. 1999 Aug; 14(4): 118-29. doi: 10.1046/j.1525-1489.1998.00118.x. DOI: https://doi.org/10.1046/j.1525-1489.1998.00118.x

Christensen M. Noise levels in a general intensive care unit: a descriptive study. Nursing in Critical Care. 2007 Jul; 12(4): 188-97. doi: 10.1111/j.1478-5153.2007.00229.x. DOI: https://doi.org/10.1111/j.1478-5153.2007.00229.x

Pugh RJ, Jones C, Griffiths RD. The impact of noise in the intensive care unit. InIntensive Care Medicine: Annual Update. Springer New York. 2007; 2007: 942-9. doi: 10.1007/978-3-540-49433-1_85. DOI: https://doi.org/10.1007/978-3-540-49433-1_85

Leather P, Beale D, Santos A, Watts J, Lee L. Outcomes of environmental appraisal of different hospital waiting areas. Environment and Behavior. 2003 Nov; 35(6): 842-69. doi: 10.1177/0013916503254777. DOI: https://doi.org/10.1177/0013916503254777

Iftikhar A, Arif M, Hanif A. Factors affecting quality of sleep in intensive care unit. The International Journal of Frontier Sciences. 2020 Jan; 4(1): 7-12. doi: 10.37978/tijfs.v4i1.60. DOI: https://doi.org/10.37978/tijfs.v4i1.60

Richardson A, Thompson A, Coghill E, Chambers I, Turnock C. Development and implementation of a noise reduction intervention programme: a pre‐and postaudit of three hospital wards. Journal of clinical nursing. 2009 Dec; 18(23): 3316-24. doi: 10.1111/j.1365-2702.2009.02897.x. DOI: https://doi.org/10.1111/j.1365-2702.2009.02897.x

Cordova AC, Logishetty K, Fauerbach J, Price LA, Gibson BR, Milner SM. Noise levels in a burn intensive care unit. Burns. 2013 Feb; 39(1): 44-8. doi: 10.1016/j.burns.2012.02.033. DOI: https://doi.org/10.1016/j.burns.2012.02.033

Busch-Vishniac I and Ryherd E. Hospital soundscapes: Characterization, impacts, and interventions. Acoustics Today. 2019 Jan; 15(3): 11. doi: 10.1121/AT.2019.15.3.11. DOI: https://doi.org/10.1121/AT.2019.15.3.11

Obanor OO, McBroom MM, Elia JM, Ahmed F, Sasaki JD, Murphy KM, et al. The impact of earplugs and eye masks on sleep quality in surgical ICU patients at risk for frequent awakenings. Critical Care Medicine. 2021 Apr; 49(9): e822-32. doi: 10.1097/CCM.0000000000005031. DOI: https://doi.org/10.1097/CCM.0000000000005031

Locihová H, Axmann K, Padyšáková H, Fejfar J. Effect of the use of earplugs and eye mask on the quality of sleep in intensive care patients: a systematic review. Journal of Sleep Research. 2018 Jun; 27(3): e12607. doi: 10.1111/jsr.12607. DOI: https://doi.org/10.1111/jsr.12607

Pappa S, Barmparessou Z, Athanasiou N, Sakka E, Eleftheriou K, Patrinos S, et al. Depression, insomnia and post-traumatic stress disorder in COVID-19 survivors: Role of gender and impact on quality of life. Journal of Personalized Medicine. 2022 Mar; 12(3): 486. doi: 10.3390/jpm12030486. DOI: https://doi.org/10.3390/jpm12030486

Blomqvist YT, Nyqvist KH, Rubertsson C, Funkquist EL. Parents need support to find ways to optimise their own sleep without seeing their preterm infant's sleeping patterns as a problem. Acta Paediatrica. 2017 Feb; 106(2): 223-8. doi: 10.1111/apa.13660. DOI: https://doi.org/10.1111/apa.13660

Patel J, Baldwin J, Bunting P, Laha S. The effect of a multicomponent multidisciplinary bundle of interventions on sleep and delirium in medical and surgical intensive care patients. Anaesthesia. 2014 Jun; 69(6): 540-9. doi: 10.1111/anae.12638. DOI: https://doi.org/10.1111/anae.12638

Bani Younis M, Hayajneh F, Alshraideh JA. Effect of noise and light levels on sleep of intensive care unit patients. Nursing in Critical Care. 2021 Mar; 26(2): 73-8. doi: 10.1111/nicc.12490. DOI: https://doi.org/10.1111/nicc.12490

Papaioannou VE, Sertaridou EN, Chouvarda IG, Kolios GC, Pneumatikos IN. Determining rhythmicity and determinism of temperature curves in septic and non-septic critically ill patients through chronobiological and recurrence quantification analysis: a pilot study. Intensive Care Medicine Experimental. 2019 Dec; 7(1): 1-6. doi: 10.1186/s40635-019-0267-9. DOI: https://doi.org/10.1186/s40635-019-0267-9

Darbyshire JL, Müller‐Trapet M, Cheer J, Fazi FM, Young JD. Mapping sources of noise in an intensive care unit. Anaesthesia. 2019 Aug; 74(8): 1018-25. doi: 10.1111/anae.14690. DOI: https://doi.org/10.1111/anae.14690

Chaudhary A, Kumari V, Neetu N. Sleep promotion among critically ill patients: earplugs/eye mask versus ocean sound—a randomized controlled trial study. Critical Care Research and Practice. 2020 Dec; 2020: 1-10. doi: 10.1155/2020/8898172. DOI: https://doi.org/10.1155/2020/8898172

Alsulami G, Rice AM, Kidd L. Prospective repeated assessment of self-reported sleep quality and sleep disruptive factors in the intensive care unit: acceptability of daily assessment of sleep quality. BMJ Open. 2019 Jun; 9(6): e029957. doi: 10.1136/bmjopen-2019-029957. DOI: https://doi.org/10.1136/bmjopen-2019-029957

Andersen-Ranberg NC, Poulsen LM, Perner A, Wetterslev J, Estrup S, Hästbacka J, et al. Haloperidol for the treatment of delirium in ICU patients. New England Journal of Medicine. 2022 Dec; 387(26): 2425-35.

Miranda-Ackerman RC, Lira-Trujillo M, Gollaz-Cervantez AC, Cortés-Flores AO, Zuloaga-Fernández del Valle CJ, García-González LA, et al. Associations between stressors and difficulty sleeping in critically ill patients admitted to the intensive care unit: a cohort study. BMC Health Services Research. 2020 Dec; 20(1): 1-0. doi: 10.1186/s12913-020-05497-8. DOI: https://doi.org/10.1186/s12913-020-05497-8

Downloads

Published

2023-06-30
CITATION
DOI: 10.54393/pjhs.v4i06.520
Published: 2023-06-30

How to Cite

William, J. ., Sarwar, N. ., Saddique, H. ., Kauser , S. T. ., & Ullah , K. . (2023). Factors Affecting on Sleeplessness of Patients in Intensive Care Unit (ICU): Sleeplessness of Patients in ICU. Pakistan Journal of Health Sciences, 4(06), 114–118. https://doi.org/10.54393/pjhs.v4i06.520

Issue

Section

Original Article

Plaudit