Night-time care routine interaction and sleep disruption in adult cardiac surgery.
J Clin Nurs
; 27(7-8): e1377-e1384, 2018 Apr.
Article
en En
| MEDLINE
| ID: mdl-29318698
ABSTRACT
AIMS AND OBJECTIVES:
To explore the context and the influence of night-time care routine interactions (NCRIs) on night-time sleep effectiveness (NSE) and daytime sleepiness (DSS) of patients in the cardiac surgery critical-care and progressive-care units of a hospital.BACKGROUND:
There exists a paucity of empirical data regarding the influence of NCRIs on sleep and associated outcomes in hospitalised adult cardiac surgery patients.METHODS:
An exploratory repeated-measures research design was employed on the data provided by 38 elective cardiac surgery patients (mean age 60.0 ± 15.9 years). NCRI forms were completed by the bedside nurses and patients completed a 9-item Visual Analogue Sleep Scale (100-mm horizontal lines measuring NSE and DSS variables). All data were collected during postoperative nights/days (PON/POD) 1 through 5 and analysed with IBM SPSS software.RESULTS:
Patient assessment, medication administration and laboratory/diagnostic procedures were the top three NCRIs reported between midnight and 600 a.m. During PON/POD 1 through 5, the respective mean NSE and DSS scores ranged from 52.9 ± 17.2 to 57.8 ± 13.5 and from 27.0 ± 22.6 to 45.6 ± 16.5. Repeated-measures ANOVA showed significant changes in DSS scores (p < .05). NSE and DSS were negatively correlated (r = -.44, p < .05), but changes in NSE scores were not significant (p > .05). Finally, of 8 NCRIs, only 1 (postoperative exercises) was significantly related to sleep variables (r > .40, p < .05). CONCLUSION AND RELEVANCE TO CLINICAL PRACTICE Frequent NCRIs are a common occurrence in cardiac surgery units of a hospital. Further research is needed to make a definitive conclusion about the impact of NCRIs on sleep/sleep disruptions and daytime sleepiness in adult cardiac surgery. Worldwide, acute and critical-care nurses are well positioned to lead initiatives aimed at improving sleep and clinical outcomes in cardiac surgery.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Trastornos del Sueño-Vigilia
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Enfermería Perioperatoria
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Cuidados Críticos
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Enfermería Cardiovascular
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Cuidados Nocturnos
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Clin Nurs
Asunto de la revista:
ENFERMAGEM
Año:
2018
Tipo del documento:
Article
País de afiliación:
Estados Unidos