Publish in this journal
Journal Information
Vol. 45. Issue 8.
Pages 470-476 (November 2021)
Share
Share
Download PDF
More article options
ePub
Visits
...
Vol. 45. Issue 8.
Pages 470-476 (November 2021)
Original
Factors affecting sleep quality in Intensive Care Units
Factores que afectan a la calidad del sueño en las unidades de cuidados intensivos
Visits
...
M.D. Bernat Adella, L. Galarza Barrachinab,
Corresponding author
galarza_lau@gva.es

Corresponding author.
, E. Bisbal Andrésb, G. Cebrián Graullerab, G. Pagés Aznarb, M.Á. Morán Marmaneub, M.D. Ferrandiz Sellesb, A. Melgarejo Urendezb
a Unidad Predepartamental de Enfermería, Universitat Jaume I, Castellón, Spain
b Servicio de Medicina Intensiva, Hospital General Universitario de Castellón, Castellón, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Tables (2)
Table 1. Characteristics of the patients and of admission to intensive care.
Table 2. Multiple linear regression model: sleep quality on the first day of admission.
Show moreShow less
Additional material (1)
Abstract
Objective

To report sleep quality and identify related factors.

Design

A descriptive cross-sectional study was made with a convenience sample of 129 patients. The differences between 3 periods were evaluated using the Wilcoxon test and Spearman correlation r. Multiple regression analyses were performed to relate independent variables to sleep quality.

Setting

The Department of Intensive Care Medicine of a tertiary hospital.

Participants

Patients admitted between February 2016 and December 2017.

Interventions

Questionnaire administration.

Variables

Items of the modified Freedman questionnaire, and demographic and clinical variables.

Results

External factors interfering with sleep quality were noise and constant light exposure in the 3 periods, with significant differences between these periods in nursing care (P = 0.005) and nursing activities (P = 0.019). The other factors affecting sleep quality and identified by the multivariate regression model were age (P = 0.012), daily alcohol intake (P = 0.023), benzodiazepine use during admission to the ICU (P = 0.01) and comorbidities (P = 0.005). There were significant differences in sleepiness between discharge and the first day (P ≤ 0.029) and between discharge and half stay (P = 0.001).

Conclusions

Noise and light were the most annoying factors, but statistical significance was only reached for nursing activities and care. Age, alcohol intake, benzodiazepine use in the ICU and a higher comorbidity index had a negative impact upon sleep. Sleepiness was reduced at the end of stay.

Keywords:
Critical care
Psychometrics
Sleep quality
Resumen
Objetivos

Describir la calidad del sueño e identificar los factores que la afectan.

Diseño

Estudio observacional descriptivo y transversal realizado con una muestra de conveniencia de 129 pacientes. La diferencia entre los 3 tiempos se calculó mediante la prueba de Wilcoxon y la correlación entre variables mediante la r de Spearman. Con análisis de regresión múltiple se relacionaron las variables independientes con «calidad del sueño».

Ámbito

Servicio de Medicina Intensiva de un hospital terciario.

Participantes

Pacientes ingresados en la unidad entre febrero de 2016 y diciembre de 2017.

Intervenciones

Administración de un cuestionario.

Variables

Ítems del cuestionario Freedman modificado, variables demográficas y de episodio.

Resultados

Los factores que más afectaron a la calidad del sueño en los 3 tiempos de forma constante fueron el ruido y la luz. Hubo diferencias entre los 3 tiempos para los cuidados (p = 0,005) y actividades de enfermería (p = 0,019). Mediante el modelo de regresión múltiple se encontró que otros factores que influían en la calidad del sueño eran la edad (p = 0,012), la ingesta habitual de alcohol (p = 0,023), la administración de benzodiacepinas en UCI (p = 0,01) y la comorbilidad (p = 0,005). Resultaron diferencias significativas en somnolencia entre el alta y el primer día (p ≤ 0,029), y entre el alta y la mitad de la estancia (p = 0,001).

Conclusiones

La somnolencia disminuyó al final de la estancia. Aunque el ruido y la luz fueron los factores más molestos, solo los cuidados y actividades de enfermería resultaron significativos. La edad, la ingesta habitual de alcohol, la administración de benzodiacepinas en UCI y un mayor índice de comorbilidad interfieren negativamente en la calidad del sueño.

Palabras clave:
Cuidados críticos
Psicometría
Calidad del sueño

Article

These are the options to access the full texts of the publication Medicina Intensiva (English Edition)
Member
If you are a member of the Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias::
Go to the members area of the website of the SEMICYUC (www.semicyuc.org )and click the link to the magazine.
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Medicina Intensiva (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Medicina Intensiva (English Edition)

Subscribe to our newsletter

Article options
Tools
Supplemental materials
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?