Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.13/806879

OpenURL Link
Title
Factors that impact on sleep in intensive care patients
Author/Creator
Tembo, Agness C.;  Parker, Vicki
Institution
The University of Newcastle. Faculty of Health, School of Nursing and Midwifery
Description
This literature review shows that sleep is important for healing and survival of critical illness. Sleep deprivation impinges on recovery, ability to resist infection, brings about neurological problems such as delirium, respiratory problems because it weakens upper air way muscles thus prolonging the duration of ventilation, ICU stay and complicating periods just after extubation. Noise, pain and discomfort and modes of ventilation and drugs have been cited as causes of sleep deprivation in critically ill patients. The inability of nurses to accurately assess patients’ sleep has also been cited as a concern while polysonography has been cited as the most effective way of assessing patients’ sleep despite the difficulties associated with it. While some of these causes of sleep disruption can not be easily alleviated, every effort must be made to promote REM and SWS sleep. More research is needed to find solutions to sleep disruption in ICU. More research is needed to ascertain the impact of mechanical ventilation on sleep disruption and more focused ways of sleep assessment are needed. Nurses need to minimise disruptions by clustering their care at night in order to allow patients to have the much needed REM sleep. Furthermore, more specific way of sleep assessment in the critically ill.
Relation
Intensive and Critical Care Nursing Vol. 25, Issue 6, p. 314-322
Publisher Link
http://dx.doi.org/10.1016/j.iccn.2009.07.002
Date
2009
Publisher
Elsevier
Keyword(s)
sleep;  mechanical ventilation;  critical illness;  intensive care units
Resource Type
journal article
Identifier
http://hdl.handle.net/1959.13/806879
Identifier
ISSN:0964-3397
Reviewed
Reviewed
26 Visitors 28 Hits 0 Downloads
Save/E-mail Citation
Citation Format
E-mail Address
Subject
"Intensive and Critical Care Nursing"
 
OR