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Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients

PURPOSE: Poor sleep quality in intensive care unit (ICU) can be associated with poor outcome. Excessive noise and lights in ICU are known to disrupt patients’ sleep by causing arousals. STUDY DESIGN: A prospective randomized controlled study. MATERIALS AND METHODS: The patients admitted to the medic...

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Autores principales: Arttawejkul, Pureepat, Reutrakul, Sirimon, Muntham, Dittapol, Chirakalwasan, Naricha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7050172/
https://www.ncbi.nlm.nih.gov/pubmed/32148342
http://dx.doi.org/10.5005/jp-journals-10071-23321
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author Arttawejkul, Pureepat
Reutrakul, Sirimon
Muntham, Dittapol
Chirakalwasan, Naricha
author_facet Arttawejkul, Pureepat
Reutrakul, Sirimon
Muntham, Dittapol
Chirakalwasan, Naricha
author_sort Arttawejkul, Pureepat
collection PubMed
description PURPOSE: Poor sleep quality in intensive care unit (ICU) can be associated with poor outcome. Excessive noise and lights in ICU are known to disrupt patients’ sleep by causing arousals. STUDY DESIGN: A prospective randomized controlled study. MATERIALS AND METHODS: The patients admitted to the medical ICU were prospectively included and randomized to receive earplugs and eye masks or no intervention during their first 5 nights in ICU. Their arousal index and other sleep parameters were measured during the first night by polysomnography. Secondary outcomes including wrist actigraphy profiles and subjective sleep quality were recorded during all study nights. RESULTS: Seventeen patients were enrolled. Eight patients were randomized to earplugs and eye masks group and nine patients were randomized to control group during their first 5 nights in the ICU. The use of earplugs and eye masks demonstrated the trend toward lower arousal index during the first night (21.15 (14.60) vs 42.10 (18.20) events per hour, p = 0.086) and increased activity index (activity count/hour) (16.12 (7.99) vs 10.84 (10.39) count/hour, p = 0.059) compared to control group. Polysomnography and actigraphy did not demonstrate good agreement. CONCLUSION: The use of earplugs and eye masks has a trend toward reduction in arousal index and increased activity in patients admitted to ICU. Limited sample size most likely explained insignificant difference in outcomes. Wrist actigraphy did not accurately measure sleep parameters in ICU patients. TRIAL REGISTRATION: www.clinicaltrials.in.th, TCTR20170727003. HOW TO CITE THIS ARTICLE: Arttawejkul P, Reutrakul S, Muntham D, Chirakalwasan N. Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients. Indian J Crit Care Med 2020;24(1):6–10.
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spelling pubmed-70501722020-03-06 Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients Arttawejkul, Pureepat Reutrakul, Sirimon Muntham, Dittapol Chirakalwasan, Naricha Indian J Crit Care Med Original Article PURPOSE: Poor sleep quality in intensive care unit (ICU) can be associated with poor outcome. Excessive noise and lights in ICU are known to disrupt patients’ sleep by causing arousals. STUDY DESIGN: A prospective randomized controlled study. MATERIALS AND METHODS: The patients admitted to the medical ICU were prospectively included and randomized to receive earplugs and eye masks or no intervention during their first 5 nights in ICU. Their arousal index and other sleep parameters were measured during the first night by polysomnography. Secondary outcomes including wrist actigraphy profiles and subjective sleep quality were recorded during all study nights. RESULTS: Seventeen patients were enrolled. Eight patients were randomized to earplugs and eye masks group and nine patients were randomized to control group during their first 5 nights in the ICU. The use of earplugs and eye masks demonstrated the trend toward lower arousal index during the first night (21.15 (14.60) vs 42.10 (18.20) events per hour, p = 0.086) and increased activity index (activity count/hour) (16.12 (7.99) vs 10.84 (10.39) count/hour, p = 0.059) compared to control group. Polysomnography and actigraphy did not demonstrate good agreement. CONCLUSION: The use of earplugs and eye masks has a trend toward reduction in arousal index and increased activity in patients admitted to ICU. Limited sample size most likely explained insignificant difference in outcomes. Wrist actigraphy did not accurately measure sleep parameters in ICU patients. TRIAL REGISTRATION: www.clinicaltrials.in.th, TCTR20170727003. HOW TO CITE THIS ARTICLE: Arttawejkul P, Reutrakul S, Muntham D, Chirakalwasan N. Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients. Indian J Crit Care Med 2020;24(1):6–10. Jaypee Brothers Medical Publishers 2020-01 /pmc/articles/PMC7050172/ /pubmed/32148342 http://dx.doi.org/10.5005/jp-journals-10071-23321 Text en Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd. © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Original Article
Arttawejkul, Pureepat
Reutrakul, Sirimon
Muntham, Dittapol
Chirakalwasan, Naricha
Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients
title Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients
title_full Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients
title_fullStr Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients
title_full_unstemmed Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients
title_short Effect of Nighttime Earplugs and Eye Masks on Sleep Quality in Intensive Care Unit Patients
title_sort effect of nighttime earplugs and eye masks on sleep quality in intensive care unit patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7050172/
https://www.ncbi.nlm.nih.gov/pubmed/32148342
http://dx.doi.org/10.5005/jp-journals-10071-23321
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