[Applying a Sleep Care Bundle to Improve Quality of Sleep in Patients in the Intensive Care Unit]

Area of Science:

• Critical care medicine
• Sleep science
• Patient recovery

Background:

• Poor sleep quality in intensive care units (ICUs) is linked to adverse post-hospital outcomes, including higher readmission rates and mortality.
• Patients in this ICU reported low mean sleep quality scores (Richards-Campbell Sleep Questionnaire [RCSQ] 49.7 mm on day 3, 51.7 mm on day 5).

Purpose of the Study:

• To improve sleep quality in ICU patients by increasing the mean RCSQ score from 51.7 mm to a target of 76.0 mm by the fifth day of hospitalization.
• The fifth day was selected due to patient disease severity and related clinical factors.

Main Methods:

• Implementation of an evidence-based sleep care bundle.
• Interventions included non-medication pain management, environmental adjustments, optimized care processes, and personalized sleep support.

Main Results:

• The mean RCSQ score increased from 49.7 mm to 55.9 mm on day 3 and from 51.7 mm to 80.9 mm on day 5.
• The post-intervention mean RCSQ score on day 5 exceeded the study's target.

Conclusions:

• The sleep care bundle effectively addressed factors contributing to sleep disturbances in ICU patients.
• This intervention significantly improved overall sleep quality for hospitalized intensive care patients.