Sleep Quality During and After Cardiothoracic Intensive Care and Psychological Health During Recovery

The Journal of Cardiovascular Nursing
Nittaya CaruanaLeila Gholizadeh

Abstract

Intensive care patients experience poor sleep quality. Psychological distress and diminished health-related quality of life (HRQOL) are also common among former intensive care unit (ICU) patients. Coronary artery bypass graft (CABG) surgery is a frequent reason adults require treatment in ICU. The effect of on- versus off-pump surgery on sleep and recovery has not been reported. The aim of this study was to assess sleep quality of CABG patients during and after ICU, psychological well-being, HRQOL during recovery, and whether on- versus off-pump surgery affects sleep and recovery. Data were collected in the ICU and hospital ward, and 2 and 6 months after hospital discharge using validated self-report questionnaires. The sample (n = 101) had a mean age of 66.6 ± 11.1 years, was 79% male, and had a median ICU stay of 2 (2-4) days and a mean body mass index of 27.3 ± 4.3; 75% underwent on-pump surgery. Poor sleep was reported by 62% of the patients at 6 months and by 12% of the patients at all time points. Off-pump CABG patients had fewer posttraumatic stress symptoms (P = .02) and better physical HRQOL (P = .01). In multivariate analysis, prehospital insomnia (P = .004), and physical (P < .0005) and mental (P < .0005) HRQOL were ...Continue Reading

References

Jun 5, 1998·International Journal of Nursing Practice·U M Edéll-GustafssonE K Hamrin
Apr 8, 1999·American Journal of Respiratory and Critical Care Medicine·N S FreedmanR J Schwab
May 13, 1999·Journal of Advanced Nursing·U M Edéll-GustafssonC B Arén
Aug 2, 2000·Critical Care Medicine·J M EddlestonE Guthrie
Dec 22, 2000·Spine·J E Ware
Feb 17, 2001·American Journal of Respiratory and Critical Care Medicine·N S FreedmanR J Schwab
Dec 12, 2001·Psychotherapy and Psychosomatics·Valérie A G VentureyraChantal De Mey-Guillard
Feb 25, 2003·American Journal of Respiratory and Critical Care Medicine·Jonathan Y GaborPatrick J Hanly
Jun 10, 2004·Journal of Advanced Nursing·Janice RattrayJ A W Wildsmith
Jul 21, 2004·Research in Nursing & Health·Nancy S RedekerChristine Hedges
Nov 30, 2004·Critical Care : the Official Journal of the Critical Care Forum·Johannes P van de LeurJan H Zwaveling
Oct 28, 2005·Nature·Jerome M Siegel
Jul 11, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Birte Østergaard JensenDaniel A Steinbrüchel
Jan 30, 2008·Nursing in Critical Care·Ana NicolásCarmen Asiain
Feb 29, 2008·Journal of Cardiac Surgery·Emmanouil I KapetanakisPaul J Corso
Aug 5, 2008·Critical Care : the Official Journal of the Critical Care Forum·Lotti OrweliusFolke Sjöberg
Jan 24, 2009·Intensive Care Medicine·Dimitry S DavydowDale M Needham
Feb 11, 2010·Critical Care : the Official Journal of the Critical Care Forum·Hilde MyhrenOlav Stokland
Mar 20, 2010·Nursing in Critical Care·Janice RattrayJohn Connaghan
Dec 28, 2010·International Journal of Nursing Studies·Rosalind ElliottPeter Cistulli
Jan 12, 2011·Journal of Intensive Care Medicine·Biren B KamdarNancy A Collop
Nov 18, 2011·The Journal of Nursing Research : JNR·Wen-Chun LiaoShiow-Li Hwang
Mar 28, 2012·The New England Journal of Medicine·André LamyUNKNOWN CORONARY Investigators
Aug 24, 2012·Journal of Geriatric Cardiology : JGC·Phillip J Tully, Robert A Baker
Feb 2, 2013·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Catarina TingsvikMaria Henricson
Feb 21, 2013·JAMA : the Journal of the American Medical Association·Daniel J Buysse
Mar 20, 2013·Critical Care : the Official Journal of the Critical Care Forum·Rosalind ElliottMary Fien
Mar 20, 2013·Critical Care Medicine·David N HagerDale M Needham
Nov 26, 2013·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Lydia PooleAndrew Steptoe
Dec 3, 2013·Journal of Psychosomatic Research·Sharon McKinleyDoug Elliott
Jan 17, 2015·Heart & Lung : the Journal of Critical Care·Elizabeth C ParsonsDimitry S Davydow
Feb 11, 2015·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Birte ØstergaardDaniel Steinbrüchel

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Citations

Jan 10, 2021·Chinese Journal of Integrative Medicine·Halimeh Khaton Zare ElmiFarzad Ebrahimzadeh
May 24, 2021·Critical Care Nursing Clinics of North America·Anna Kornienko
May 30, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Marita Ritmala-CastrenHelena Leino-Kilpi
Jun 25, 2021·Frontiers in Medicine·Dandan LinAnshi Wu

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