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Sleep Deprivation from the Perspective of a Patient Hospitalized in the Intensive Care Unit—Qualitative Study

(1) Introduction: Sleep architecture of Intensive Care Unit (ICU) patients is altered, with over 60% of them reporting sleep disorders or even sleep deprivation during their stay. The aim of the study was to describe the experiences related to sleep and nighttime rest of patients hospitalized in the...

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Autores principales: Lewandowska, Katarzyna, Mędrzycka-Dąbrowska, Wioletta, Pilch, Dorota, Wach, Krystyna, Fortunato, Antonietta, Krupa, Sabina, Ozga, Dorota
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551405/
https://www.ncbi.nlm.nih.gov/pubmed/32967235
http://dx.doi.org/10.3390/healthcare8030351
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author Lewandowska, Katarzyna
Mędrzycka-Dąbrowska, Wioletta
Pilch, Dorota
Wach, Krystyna
Fortunato, Antonietta
Krupa, Sabina
Ozga, Dorota
author_facet Lewandowska, Katarzyna
Mędrzycka-Dąbrowska, Wioletta
Pilch, Dorota
Wach, Krystyna
Fortunato, Antonietta
Krupa, Sabina
Ozga, Dorota
author_sort Lewandowska, Katarzyna
collection PubMed
description (1) Introduction: Sleep architecture of Intensive Care Unit (ICU) patients is altered, with over 60% of them reporting sleep disorders or even sleep deprivation during their stay. The aim of the study was to describe the experiences related to sleep and nighttime rest of patients hospitalized in the ICU. (2) Method: the study used a qualitative project based on phenomenology as a research method. A semi-structured interview was used as the method to achieve the goal. The patients’ answers were recorded and transcribed. The data were coded and cross-processed. (3) Results: twenty-three patients were surveyed, fifteen men and eight women. The average age was 49.7 years. The average time of hospitalization was 34.3 days. During the ICU stay, patients required mechanical ventilation through the tracheostomy tube. Five themes were identified from the interview as factors disturbing sleep: fear, noise, light, medical staff, and at home best. (4) Conclusions: chronic anxiety appears to contribute to sleep disturbances in the ICUs, psychological support, and individualized approach to the hospitalized patient seem necessary. By raising the awareness of the essence of sleep among medical staff, environmental factors can be reduced as disturbing sleep. Based on the participants’ comments, it is possible that repeated actions could also increase the patients’ sense of security.
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spelling pubmed-75514052020-10-14 Sleep Deprivation from the Perspective of a Patient Hospitalized in the Intensive Care Unit—Qualitative Study Lewandowska, Katarzyna Mędrzycka-Dąbrowska, Wioletta Pilch, Dorota Wach, Krystyna Fortunato, Antonietta Krupa, Sabina Ozga, Dorota Healthcare (Basel) Article (1) Introduction: Sleep architecture of Intensive Care Unit (ICU) patients is altered, with over 60% of them reporting sleep disorders or even sleep deprivation during their stay. The aim of the study was to describe the experiences related to sleep and nighttime rest of patients hospitalized in the ICU. (2) Method: the study used a qualitative project based on phenomenology as a research method. A semi-structured interview was used as the method to achieve the goal. The patients’ answers were recorded and transcribed. The data were coded and cross-processed. (3) Results: twenty-three patients were surveyed, fifteen men and eight women. The average age was 49.7 years. The average time of hospitalization was 34.3 days. During the ICU stay, patients required mechanical ventilation through the tracheostomy tube. Five themes were identified from the interview as factors disturbing sleep: fear, noise, light, medical staff, and at home best. (4) Conclusions: chronic anxiety appears to contribute to sleep disturbances in the ICUs, psychological support, and individualized approach to the hospitalized patient seem necessary. By raising the awareness of the essence of sleep among medical staff, environmental factors can be reduced as disturbing sleep. Based on the participants’ comments, it is possible that repeated actions could also increase the patients’ sense of security. MDPI 2020-09-21 /pmc/articles/PMC7551405/ /pubmed/32967235 http://dx.doi.org/10.3390/healthcare8030351 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lewandowska, Katarzyna
Mędrzycka-Dąbrowska, Wioletta
Pilch, Dorota
Wach, Krystyna
Fortunato, Antonietta
Krupa, Sabina
Ozga, Dorota
Sleep Deprivation from the Perspective of a Patient Hospitalized in the Intensive Care Unit—Qualitative Study
title Sleep Deprivation from the Perspective of a Patient Hospitalized in the Intensive Care Unit—Qualitative Study
title_full Sleep Deprivation from the Perspective of a Patient Hospitalized in the Intensive Care Unit—Qualitative Study
title_fullStr Sleep Deprivation from the Perspective of a Patient Hospitalized in the Intensive Care Unit—Qualitative Study
title_full_unstemmed Sleep Deprivation from the Perspective of a Patient Hospitalized in the Intensive Care Unit—Qualitative Study
title_short Sleep Deprivation from the Perspective of a Patient Hospitalized in the Intensive Care Unit—Qualitative Study
title_sort sleep deprivation from the perspective of a patient hospitalized in the intensive care unit—qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551405/
https://www.ncbi.nlm.nih.gov/pubmed/32967235
http://dx.doi.org/10.3390/healthcare8030351
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