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A multi-intervention protocol to improve sleep quality in a coronary care unit
Flávia Gabe Beltrami1, Ângela Beatriz John2, Bruno Rocha de Macedo1
1Serviço de Pneumologia, Hospital de Clínicas de Porto Alegre, Porto Alegre, Ramiro Barcelos, 2350,90035-003, RS, Brazil.
European Journal of Cardiovascular Nursing
|December 22, 2021
Summary
Poor sleep is common in critical illness. A multi-intervention sleep care protocol significantly improved sleep quality and reduced sleep barriers in coronary care unit patients.
Area of Science:
- Critical Care Medicine
- Sleep Medicine
- Nursing Research
Background:
- Poor sleep quality is prevalent among patients in critical care settings, potentially impacting recovery.
- Identifying factors that disrupt sleep in the coronary care unit (CCU) is crucial for developing effective interventions.
Purpose of the Study:
- To evaluate sleep quality in CCU patients.
- To assess the effectiveness of a multi-intervention sleep care protocol in enhancing sleep quality.
Main Methods:
- A quasi-experimental study conducted in two phases: a control group receiving usual care and an intervention group receiving a sleep care protocol.
- Sleep quality was measured using the Richards-Campbell Sleep Questionnaire (RCSQ) and the Sleep in the Intensive Care Unit Questionnaire (SICUQ).
- Interventions included optimizing analgesia, reducing noise and light, and other supportive measures.
Main Results:
- The intervention group demonstrated statistically significant improvements in overall sleep depth, sleep fragmentation, return to sleep, and overall sleep quality compared to the baseline group.
- Patients in the intervention group reported better mean RCSQ scores, indicating improved sleep quality.
- Key sleep barriers such as pain, light, and noise (from monitor and pump alarms) were significantly reduced in the intervention group.
Conclusions:
- A multi-intervention sleep care protocol is feasible and effective in improving sleep quality parameters for CCU patients.
- The protocol successfully reduced common barriers to sleep, including environmental disturbances and pain.
- Implementing targeted sleep interventions can enhance patient recovery in critical care environments.
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