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01.08.2013 | Original Article

Factors that affect sleep quality: perceptions made by patients in the intensive care unit after thoracic surgery

verfasst von: Lei Zhang, Yong Sheng Sha, Qing Qing Kong, Jennifer Ai-lian Woo, Adam R Miller, Hong Wei Li, Li Xin Zhou, Yi Zhou, Chang Li Wang

Erschienen in: Supportive Care in Cancer | Ausgabe 8/2013

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Abstract

Objective

This study identifies factors affecting sleep patterns among thoracic surgery patients in the intensive care unit (ICU) and compares the perceptions of sleep-disturbing factors between nurses and patients.

Methods

One hundred and fifty-two patients and 40 nurses were surveyed using the Pittsburgh Sleep Quality Index (PSQI) and self-designed questionnaires (for patients and nurses). All statistical analyses were carried out by SPSS, and the following statistical methods were used to evaluate the data: chi-squared test and logistic regression.

Results

Of 152 patients, 46.1 % reported poor sleep quality during their hospitalization; their PSQI total score was 6.95 ± 3.713. Of these, 69.1 % indicated that their sleep quality was poorer than before; 50.0 % of them changed their sleep patterns. Significant discrepancies exist between nurses and patients in the perceptions of sleep-disturbing factors of patients.

Conclusion

Thoracic surgical patients’ perceptions of their sleep in the ICU indicate poor sleep quality, which is decided by a variety of disturbing factors. Perceptions of these factors varied greatly between surveyed patients and nurses.

Olson DM, Borel CO, Laskowitz DT et al (2001) Quiet time: a nursing intervention to promote sleep in neurocritical care units. Am J Crit Care 10(2):74–78PubMed

Davidson JR, MacLean AW, Brudage MD et al (2002) Sleep disturbances in cancer patients. Soc Sci Med 54:1309–1321PubMedCrossRef

Parish JM (2009) Sleep-related problems in common medical conditions. Chest 135(2):563–572PubMedCrossRef

Ginsburg ML, Quirt C, Ginsburg AD et al (1995) Psychiatric illness and psychosocial concerns of patients with newly diagnosed lung cancer. CMAJ 152(5):701–708PubMed

Le Guen Y, Gagnadoux F, Hureaux J et al (2007) Sleep disturbances and impaired daytime functioning in outpatients with newly diagnosed lung cancer. Lung Cancer 58(1):139–143PubMedCrossRef

Nicolás A, Aizpitarte E, Iruarrizaga A et al (2008) Perception of night-time sleep by surgical patients in an intensive care unit. Nurs Crit Care 13(1):25–33PubMedCrossRef

Freedman NS, Kotzer N, Schwab RJ (1999) Patient perception of sleep quality and etiology of sleep disruption in the intensive care unit. Am J Respir Crit Care Med 159:1155–1162PubMedCrossRef

Simini B (1999) Patients’ perceptions of intensive care 354: 571–572

Buckle P, Pouliot Z, Millar T et al (1992) Polysomnography in acutely ill intensive care unit patients. Chest 102:288–291PubMedCrossRef

10.

Davidson JR, MacLean AW, Brundage MD et al (2002) Sleep disturbance in cancer patients. Soc Sci Med 54:1309–1321PubMedCrossRef

11.

Gabor JY, Cooper AB, Crombach SA et al (2003) Contribution of the intensive care unit environment to sleep disruption in mechanically ventilated patients and healthy subjects. Am J Respir Crit Care Med 167:708–715PubMedCrossRef

12.

Carskadon MA, Dement WC (1999) Normal human sleep: An overview. In: Kryger M, Roth T, Dement WC (eds) Principles and practice of sleep medicine. Saunders, Philadelphia, pp 15–26

13.

Meyer TJ, Eveloff SE, Bauer MS et al (1994) Adverse environmental conditions in the respiratory and medical ICU settings. Chest 105:1211–1216PubMedCrossRef

14.

Kamdar BB, Needham DM, Collop NA (2011) Sleep dDeprivation in cCritical iIllness: iIts rRole in pPhysical and pPsychological rRecovery. J Intensive Care Med 21:261–269

15.

Bergbom-Engberg I, Haljamäe H (1989) Assessment of patients’' experience of discomforts during respiratory therapy. Crit Care Med 17:1068–1072PubMedCrossRef

16.

Christensen M (2005) What knowledge do ICU nurses have with regard to the effects of noise exposure in the intensive care unit? Intensive Crit Care Nurs 21:199–207PubMedCrossRef

17.

Richardson A, Crow E, Turnock C (2007) A comparison of sleep assessment tools by nurses and patients in critical care. J Clin Nurs 16:1660–1668PubMedCrossRef

Titel: Factors that affect sleep quality: perceptions made by patients in the intensive care unit after thoracic surgery
verfasst von: Lei Zhang
Yong Sheng Sha
Qing Qing Kong
Jennifer Ai-lian Woo
Adam R Miller
Hong Wei Li
Li Xin Zhou
Yi Zhou
Chang Li Wang
Publikationsdatum: 01.08.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 8/2013
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-013-1754-2

Springer Medizin

Factors that affect sleep quality: perceptions made by patients in the intensive care unit after thoracic surgery