Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients

Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
Pureepat ArttawejkulNaricha Chirakalwasan

Abstract

Poor sleep quality in intensive care unit (ICU) can be associated with poor outcome. Excessive noise and lights in ICU are known to disrupt patients' sleep by causing arousals. A prospective randomized controlled study. The patients admitted to the medical ICU were prospectively included and randomized to receive earplugs and eye masks or no intervention during their first 5 nights in ICU. Their arousal index and other sleep parameters were measured during the first night by polysomnography. Secondary outcomes including wrist actigraphy profiles and subjective sleep quality were recorded during all study nights. Seventeen patients were enrolled. Eight patients were randomized to earplugs and eye masks group and nine patients were randomized to control group during their first 5 nights in the ICU. The use of earplugs and eye masks demonstrated the trend toward lower arousal index during the first night (21.15 (14.60) vs 42.10 (18.20) events per hour, p = 0.086) and increased activity index (activity count/hour) (16.12 (7.99) vs 10.84 (10.39) count/hour, p = 0.059) compared to control group. Polysomnography and actigraphy did not demonstrate good agreement. The use of earplugs and eye masks has a trend toward reduction in arousal...Continue Reading

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Citations

Mar 10, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Nagarajan Ramakrishnan
Apr 21, 2021·British Journal of Nursing : BJN·Randy Wolcott
Aug 31, 2021·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Jeehye JunPatricia E Hershberger

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