Sleep and nursing care activities in an intensive care unit

Nursing & Health Sciences
Marita Ritmala-CastrenHelena Leino-Kilpi

Abstract

This study aimed to describe the quality of sleep of non-intubated patients and the night-time nursing care activities in an intensive care unit. The study also aimed to evaluate the effect of nursing care activities on the quality of sleep. An overnight polysomnography was performed in 21 alert, non-intubated, non-sedated adult patients, and all nursing care activities that involved touching the patient were documented by the bedside nurse. The median (interquartile range) amount of sleep was 387 (170, 486) minutes. The portion of deep non-rapid-eye-movement (non-REM) sleep varied from 0% to 42% and REM sleep from 0% to 65%. The frequency of arousals and awakenings varied from two to 73 per hour. The median amount of nursing care activities was 0.6/h. Every tenth activity presumably awakened the patient. Patients who had more care activities had more light N1 sleep, less light N2 sleep, and less deep sleep. Nursing care was often performed while patients were awake. However, only 31% of the intervals between nursing care activities were over 90 min. More attention should be paid to better clustering of care activities.

Associated Clinical Trials

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Citations

Jan 31, 2018·Palliative & Supportive Care·Christina MangurianJulia Kearney
Sep 14, 2018·Open Medicine·Wioletta Medrzycka-DabrowskaKatarzyna Czyż-Szypenbajl
Mar 2, 2018·Critical Care Nursing Quarterly·Mohammad Bani Younis, Ferial A Hayajneh
May 21, 2020·Critical Care Medicine·Kimia HonarmandKaren J Bosma
Jan 9, 2021·SAGE Open Nursing·Jorunn Beck Edvardsen, Fredrik Hetmann
Dec 3, 2020·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Brian A Rottweiler, Mary Beth Flynn Makic
Jun 18, 2021·Nature and Science of Sleep·Georg NiliusMaik Schroeder

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