Nurses’ Roles to Provide Better Sleep for Adult Patients during Critical Illness in Intensive Care Units

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Siriluk Muangthai
Chuleeporn Heetakson

Abstract

Sleep is prominently significant for critically ill patients in intensive care units. However, they cannot sleep well since their sleep cycle gets interfered by these two main factors: 1) physical disturbance caused by lights and noise from needed medical devices in the unit and 2) psychological conditions from fear and anxiety of both disease severity and processes of treatment. Nurses in the intensive care units, as persons who get closest to the patient, should provide better sleep for them.


The better sleep-providing process begins with estimating the patients’ sleep efficiency and disturbing factors in order to provide nursing assistance under nurses’ independent roles, which are 1) alleviating physical discomfort by providing a suitable environment for sleep along with pain management for the patients. 2) reducing any disturbance caused by nursing activities as well as provide appropriate sleeping periods and 3) taking special care of the patients’ psychological, social and spiritual conditions by clearly declaring their treatment progresses and allow the patients and their relatives to participate in treatment planning.


Anyway, this sleep-providing guidelines for critically ill patients should be considered under particular conditions of each workplace – location, personnel, available resources, etc. Practitioners from all correlative responsibilities should be educated due to the corresponding cooperation, as well. 

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How to Cite
Muangthai, S. ., & Heetakson, C. . (2021). Nurses’ Roles to Provide Better Sleep for Adult Patients during Critical Illness in Intensive Care Units. Journal of Prachomklao College of Nursing, Phetchaburi Province, 4(2), 13–23. retrieved from https://he01.tci-thaijo.org/index.php/pck/article/view/248793
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Academic Articles

References

กวีวรรณ ใจกล้า, จินดารัตน์ ชัยอาจ, และมยุลี สำราญญาติ. (2563). ประสิทธิผลของการใช้แนวปฏิบัติทางคลินิกเพื่อส่งเสริมการนอนหลับในผู้ป่วยวิกฤต. พยาบาลสาร, 47(4),216-228.

จินดารัตน์ ชัยอาจ. (2556). ปัจจัยที่รบกวนการนอนหลับในโรงพยาบาล: การจัดการโดยไม่ใช้ยา. พยาบาลสาร, 40(พิเศษ), 105-115.

นงค์นุช แนะแก้ว. (2560).ความเครียด ความวิตกกังวลและการพยาบาลผู้ป่วยโรคกล้ามเนื้อหัวใจตายเฉียบพลันในหอผู้ป่วยวิกฤติโรคหัวใจ. เวชบันทึกศิริราช, 10(2), 103-108.

นฤมล กิจจานนท์, และอัจฉรา จงเจริญกำโชค. (2562). การรับรู้คุณภาพการนอนหลับของผู้ป่วยหลังผ่าตัดหัวใจ ในหน่วยวิกฤต. วารสาร Mahidol R2R e-Journal, 6(1), 48-58.

พิสมัย โคตรทัศน์, และกล้าเผชิญ โชคบำรุง. (2559) การส่งเสริมการนอนหลับสำหรับผู้ป่วยผู้ใหญ่ที่มีภาวะเจ็บป่วยวิกฤต. วารสารวิจัย มข., 16(3), 35-46.

Beltrami, F. G., Nguyen, X.-L., Pichereau, C., Maury, E., Fleury, B., & Fagondes, S. (2015). Sleep in the intensive care unit. Jornal Brasileiro de Pneumologia, 41(6), 539- 546.

Elliott, R., McKinley, S., & Cistulli, P. (2011). The quality and duration of sleep in the intensive care setting: An integrative review. International Journal of Nursing Studies, 48(3), 384-400.

Grover, S., & Natasha, K. (2012). Assessment scales for delirium: A review. World Journal of Psychiatry, 2(4), 13-33.

Hellstrom, A., & Willman, A. (2011). Promoting sleep by nursing interventions in health care settings: A systematic review. Worldviews on Evidence-Based Nursing, 8(3), 128-142. doi: 10.1111/j.1741- 6787.2010.00203.x.

Her, J., & Cho, M. K. (2021). Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis. Complementary Therapies in Medicine, 60, 102739.

Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., ... & Hillard, P. J. A. (2015). National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health, 1(1), 40-43.

Honarmand, K., Rafay, H., Le, J., Mohan, S., Rochwerg, B., Devlin, J. W.,... & Bosma, K. J. (2020). A systematic review of risk factors for sleep disruption in critically ill adults. Critical Care Medicine, 48(7), 1066-1074.

Jerath, R., Beveridge, C., & Barnes, V. A. (2019). Self-regulation of breathing as an adjunctive treatment of insomnia. Frontiers in Psychiatry, 9, 780. doi: 10.3389/fpsyt.2018.00780.

King, L. M., Bailey, K. B., & Kamdar, B. B. (2015). Promoting sleep in critically ill patients. Nursing 2020 Critical Care, 10(3), 37-43.

Maas, M. B., Lizza, B. D., Abbott, S. M., Liotta, E. M., Gendy, M., Eed, J.,... & Zee, P. C. (2020). Factors disrupting melatonin secretion rhythms during critical illness. Critical Care Medicine, 48(6), 854-861.

Pilkington, S. (2013). Causes and consequences of sleep deprivation in hospitalised patients. Nursing Standard, 27(2), 35-42.

Umbrello, M., Sorrenti, T., Mistraletti, G., Formenti, P., Chiumello, D., & Terzoni, S. (2019). Music therapy reduces stress and anxiety in critically ill patients: A systematic review of randomized clinical trials. Minerva Anestesiologica, 85(8), 886-898. doi:10.23736/S0375-9393.19.13526-2.