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Patient-related factors may influence nursing perception of sleep in the Intensive Care Unit


Autoři: Mariam Louis aff001;  Kasey Treger aff001;  Tracy Ashby aff001;  Carmen Smotherman aff001;  Shiva Gautum aff001;  Vandana Seeram aff001;  James Cury aff001;  Lisa Jones aff001
Působiště autorů: University of Florida, Jacksonville, UF Health Clinical Center, Jacksonville, Florida, United States of America aff001
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0226323

Souhrn

Objective

There exist conflicting data regarding the accuracy of ICU nurses accurately assessing patient sleep using validated questionnaires. Using the Richards-Campbell Sleep Questionnaire (RSQ), we hypothesize that patient factors might influence nursing perception of their sleep.

Methods

Patients in the ICU who met the inclusion criteria were asked to complete the sleep questionnaire, as were their nurses and intraclass correlation analysis was done.

Results

38 paired patient-nurse surveys were included for analysis. The mean difference in total average score of the RSQ was not significantly different between patients and nurses. There was fair intraclass correlation by patient age, black race, and admission for respiratory illnesses. A good intraclass correlation existed for non-blacks and admission for non-respiratory reasons. Most striking was the intraclass correlation by sex, with poor intraclass correlation for women compared to an excellent correlation for men.

Conclusion

The results of our study confirm that patients in our ICU have poor sleep with a fair intraclass correlation. When examined by patient related factor, the greatest divergence between patient and nursing perception of sleep in the ICU using the RCSQ was patient female sex. More research is needed in this area to better understand the divergence and improve sleep in the ICU.

Klíčová slova:

Cognitive impairment – Intensive care units – Nurses – Nursing science – Questionnaires – Respiratory failure – Sleep – Surveys


Zdroje

1. Freedman NS, Kotzer N, Schwab RJ. Patient perception of sleep quality and etiology of sleep disruption in the intensive care unit. Am J Respir Crit Care Med. 1999;159:1155–1162. doi: 10.1164/ajrccm.159.4.9806141 10194160

2. Novaes MA, Knobel E, Bork AM, Pavao OF, Noqueira-Martins LA, Ferraz MB. Stressors in ICU: Perception of the patient, relatives and health care team. Intensive Care Med. 1999;25:1421–1426. doi: 10.1007/s001340051091 10660851

3. Pulak LM, Jensen L. Sleep in the Intensive Care Unit: A review. Intensive Care Med. 2016 Jan;31(1):14–23

4. Friese RS. Sleep and recovery from critical illness and injury: a review of theory, current practice, and future directions. Crit Care Med. 2008;36(3):697–705. doi: 10.1097/CCM.0B013E3181643F29 18176314

5. Elliott R, McKinley S, Cistulli P and Fien M. Characterization of sleep in the intensive care using 24 hour polysomnography: an observational study. Critical Care. Mar 2013; 17(2): R46 doi: 10.1186/cc12565 23506782

6. Goel N, Kim H and Lao RP. Gender differences in polysomonographic sleep in young healthy sleepers. Chronobiol Int. 2005 22(5)

7. Boyko Y, Jennum P, Nikolic M, Holst R, Oerding H, Toft P. Sleep in intensive care unit: The role of environment. J Crit Care. Feb 2017;37:99–105. doi: 10.1016/j.jcrc.2016.09.005 27660924

8. Ritmala-Castren M, Axelin A, Kiljunen K, Sainio C, Leino-Kilpi H. Sleep in the intensive care unit - nurses' documentation and patients' perspectives. Nurs Crit Care. Jul 2017;22(4):238–246. doi: 10.1111/nicc.12102 25270892

9. Campbell C. A Comparison of Patients’ and Nurses’ Perception of Patient Sleep in the Intensive Care Unit [master's thesis] Northwestern State University; Natchitoches, LA: 1986.

10. Frisk U, Nordstrom G. Patients’ sleep in an intensive care unit: patients’ and nurses’ perception. Intensive Crit Care Nurs. 2003;19(6):342–349 doi: 10.1016/s0964-3397(03)00076-4 14637294

11. Kamdar BB, Needham DM, Collop NA. Sleep deprivation in critical illness its role in physical and phsycological recovery. J intensive Care med. 2012;27(2)

12. Aitken LM, Elliott R, Mitchell M, Davis C, Macfarlane B, Ullman A et al. Sleep assessment by patients and nurses in the intensive care: An exploratory descriptive study. Aust Crit Care. Mar 2017;30(2):59–66. doi: 10.1016/j.aucc.2016.04.001 27094380

13. Nesbitt L, Goode D. Nurses perceptions of sleep in the intensive care unit environment: a literature review. Intensive Crit Care Nurs. Aug 2014;30(4):231–235. doi: 10.1016/j.iccn.2013.12.005 24486160

14. Nicolas A, Aizpitarte E, Iruarrizaga A, Vázquez M, Margall A, Asiain C. Perception of night-time sleep by surgical patients in an intensive care unit. Nurs Crit Care. 2008; 13 (1):25–33 doi: 10.1111/j.1478-5153.2007.00255.x 18226052

15. Ruiter ME, Decoster J, Jacobs L, Lichstein KL. Normal Sleep in African-Americans and Caucasian-Americans: a meta-analysis. Sleep Med, 2011 Mar; 12 (3).

16. Kamdar BB, Shah PA, King LM, Kho ME, Zhou X, Colantuoni E et al. Patient-nurse interrater reliability and agreement of the Richards-Campbell sleep questionnaire. Am J Crit Care. 2012 Jul;21(4):261–9 doi: 10.4037/ajcc2012111 22751369

17. Mong JA and Cusmano DM. Sex Differences in sleep: impact of biological sex and sex steroids. Philos Trans R Soc Lond B Biol Sci. Feb 2016; 19(371).

18. Redline S, Kirchner HL, Quan SF, Gottlieb DJ, Kapur V, Newman A. The effects of age, sex, ethnicity, and sleep disordered breathing on sleep architecture. Arch Intern Med. Feb 2004 23(164(4).)

19. Richards KC, O'Sullivan PS, Phillips RL. Measurement of sleep in critically ill patients. J Nurs Meas 2000; 8(2)131–144 11227580

20. Zhang B and Wing YK. Sex Differences in insomnia a meta-analysis. Sleep 2006; 29:85–93 doi: 10.1093/sleep/29.1.85 16453985


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